Acute cardiac care & resuscitationCohort study

The association between emergency medical service personnel’s out-of-hospital cardiac arrest case volume and patient outcomes: a cohort study

ResuscitationPublished

  • cohort study

Authors' conclusion

EMS personnel's OHCA case volume in the preceding year was not associated with an improved 30-day survival.

Study context

Population
Adult OHCA patients in Denmark from 2016 to 2023, where attending emergency medical service (EMS) personnel could be identifiedOHCA cases with complete data, attended by 3,449 EMS personnel
Participants
16,931 patients
Exposure
The number of OHCA cases attended in the preceding year by EMS personnel in the first arriving EMS unit
Outcome
30-day survival, per increase in annual OHCA case volume
Follow-up
30 days

Main finding

As reported in the abstract

Adjusted relative risk

1.000

95% CI 0.995–1.004

Increasing annual OHCA case volume
aRR 1.000 (95% CI 0.995–1.004)

Per increase in annual OHCA case volume, as printed

Observational data: associations, not effects.

Further findings

OutcomeaRR (95% CI)
Any return of spontaneous circulation, per increase in annual OHCA case volume · not associated1.001 (0.998–1.003)

Annual OHCA exposure per EMS personnel in the first arriving unit

median (Q1;Q3)
5 (3;8) cases

Original publication

The association between emergency medical service personnel’s out-of-hospital cardiac arrest case volume and patient outcomes: a cohort study. Resuscitation. Published 5 March 2026. doi:10.1016/j.resuscitation.2026.111036

Summarised from the published abstract; every number is checked against it