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Does care at a cardiac arrest centre improve outcome after out-of-hospital cardiac arrest?: A systematic review

Resuscitation Feb 22, 2019

Yeung J, et al. - Whether improved patient outcomes could result from care at a specialized cardiac arrest center (CAC) vs care in a healthcare facility not designated as a specialized cardiac arrest center in adults with attempted resuscitation following non-traumatic cardiac arrest was investigated via this systematic review performed using the PRISMA guidelines. From inception to August 1, 2018, researchers searched bibliographic databases (Embase, MEDLINE and the Cochrane Library) and identified randomized controlled trials and non-randomized studies, reporting survival to 30 days with favorable neurological outcomes and survival to hospital discharge with favorable neurological outcomes. Overall, meta-analyses with 17 observational studies on out-of-hospital cardiac arrest (OHCA) patients were carried out. They found that while the certainty of evidence was very low, improved outcomes at hospital discharge were reported in association with post-cardiac arrest care at CACs.

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