Resuscitation plus最新文献

{"title":"Discrepancies between physician review and algorithmic detection of the zoll rescuenet post-cardiac arrest case review","authors":"Ayal Z. Pierce ,&nbsp;Cody Couperus ,&nbsp;Jordan Parker ,&nbsp;Allison LaRocco ,&nbsp;Michael Mazzeffi ,&nbsp;Nicholas A. Morris","doi":"10.1016/j.resplu.2025.100989","DOIUrl":"10.1016/j.resplu.2025.100989","url":null,"abstract":"<div><h3>Background</h3><div>Accurate measurement of CPR quality metrics is critical for improving cardiac arrest outcomes. Impedance based automated devices have demonstrated limitations. Zoll RescueNet CaseReview, rather, uses accelerometry to analyze chest compressions and automatically provides code feedback, including CPR pause number, length, and chest compression fraction. However, the reliability of these automated measurements compared to manual physician review remains uncertain.</div></div><div><h3>Methods</h3><div>We conducted a retrospective observational cohort study at a tertiary academic medical center, analyzing 212 in-hospital cardiac arrest cases recorded between July 1, 2023, and July 1, 2024. The study compared CPR metrics generated by the Zoll RescueNet CaseReview algorithm to manual physician review of raw defibrillator data, focusing on pause durations and chest compression fraction (CCF) using Bland-Altman plots.</div></div><div><h3>Results</h3><div>Bland-Altman plots indicated overestimation of individual pause times (mean difference 4.00 s), max pause time per arrest (mean difference 24.57 s) total pause time per arrest (mean difference 0.73 min), and average number of pauses per arrest, with corresponding underestimation of CCF (mean difference 8.33%). Substantial variability was present for all variables with increased disagreement for longer pause times.</div></div><div><h3>Conclusion</h3><div>The Zoll RescueNet CaseReview algorithm estimates longer CPR pause durations than manual physician review, thereby lowering the chest compression fraction estimate. These findings support manual review of raw data and improved algorithmic detection of compressions to ensure feedback to resuscitation teams is reliable.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"24 ","pages":"Article 100989"},"PeriodicalIF":2.1,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144177899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Organisations supporting cardiac arrest survivors: An exploratory survey of organisational structures and activities","authors":"Lorenzo Gamberini ,&nbsp;Kirstie L. Haywood ,&nbsp;Sebastian Schnaubelt ,&nbsp;Mazarine Thyssens ,&nbsp;Federico Semeraro ,&nbsp;Koenraad G. Monsieurs","doi":"10.1016/j.resplu.2025.100986","DOIUrl":"10.1016/j.resplu.2025.100986","url":null,"abstract":"<div><h3>Background</h3><div>Cardiac arrest survivors have diverse needs beyond healthcare, including spirituality, social networks, practical, legal, and economic matters, highlighting the need for community-based support. While some non-governmental organisations support various patient groups, little is known about those dedicated to cardiac arrest survivors. The European Resuscitation Council (ERC) conducted a survey to identify and understand these organisations’ structures and activities.</div></div><div><h3>Methods</h3><div>An internet survey developed by the ERC was disseminated through media channels, national resuscitation councils, and social networks. Responses were verified against publicly available information to confirm declared activities and sustained support efforts. Organisations were classified based on whether their primary focus was on cardiac arrest survivors or if support was a secondary activity.</div></div><div><h3>Results</h3><div>Of fifty-six responses, eight organisations were identified as providing structured, continuous support. Six primarily focused on cardiac arrest survivors, while two had a broader scope. Most were established after 2000, with six in Europe and two in the United States. Membership ranged from 520 to 3000 survivors. Common activities included peer support and distributing information materials. Connections with healthcare systems varied, with three reporting none. Only two were represented in their national resuscitation councils (NRCs).</div></div><div><h3>Conclusions</h3><div>Organisations supporting cardiac arrest survivors are scarce but address important unmet needs. However, public presence is limited, and ties with institutions remain weak. Strengthening collaborations with healthcare providers, NRCs, and stakeholders could enhance support networks and improve long-term post-resuscitation care.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"24 ","pages":"Article 100986"},"PeriodicalIF":2.1,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144170142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hydrocortisone and arginine vasopressin in post-resuscitation shock: the HYVAPRESS trial","authors":"Guillaume Geri ,&nbsp;Jean-Baptiste Lascarrou ,&nbsp;Bruno Levy ,&nbsp;Pierre Asfar ,&nbsp;Grégoire Muller ,&nbsp;Stéphane Legriel ,&nbsp;Sylvie Ricôme ,&nbsp;Martin Cour ,&nbsp;Kada Klouche ,&nbsp;Bertrand Sauneuf ,&nbsp;Jean Pierre Quenot ,&nbsp;Wulfran Bougouin ,&nbsp;Alain Cariou ,&nbsp;HYVAPRESS investigators","doi":"10.1016/j.resplu.2025.100982","DOIUrl":"10.1016/j.resplu.2025.100982","url":null,"abstract":"<div><h3>Background</h3><div>Acute circulatory failure after successfull resuscitation of cardiac arrest remains challenging and multifactorial. As the main driver of early mortality after restoration of spontaneous circulation, its therapeutic management essentially relies on fluids administration and vasopressive support using noradrenaline. Data also support the potential impact of a hormonal defect in this setting. Steroids substitution as well as argini-vasopressin treatment should be evaluated in these patients.</div></div><div><h3>Methods</h3><div>The HYVAPRESS trial is a 2x2 factorial randomized placebo-controlled multicentric trial evaluating the effect of both hydrocortisone and arginin-vasopressin in successfully resuscitated (inhospital and out-of-hospital) cardiac arrest patients suffering an acute circulatory failure in the first 24 h after restoration of spontaneous circulation. The main outcome will be the favourable neurological outcome assessed by the Glasgow Outcome Scale (GOS). 380 patients will be included, i.e. 95 patients in each arm, allowing the detection of a 15% difference in mortality using a power of 80% and an alpha-risk of 5%.</div></div><div><h3>Discussion</h3><div>Assessing therapeutics in the hemodynamic failure in post −cardiac arrest patients is challenging as the mortality is very high. Besides the vasopressive support, few investigation have been led so far to improve the management of these patients. While hydrocortisone and arginin-vasopressive have been evaluated in septic shock patients, data are lacking in this very specific subgroup of patients suffering from a very high mortality. Enrollement is ongoing.</div></div><div><h3>Trial registration</h3><div>Clinical Trials NCT04591990, registered on 2020, October 19th.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"24 ","pages":"Article 100982"},"PeriodicalIF":2.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CPR manikin diversity for BLS education: Current status mapped by an international cross-sectional survey and steps to reach health equity","authors":"Christoph Veigl ,&nbsp;Natalie Anderson ,&nbsp;Marco Neymayer ,&nbsp;Sabine Heider ,&nbsp;Benedikt Schnaubelt ,&nbsp;Andrea Kornfehl ,&nbsp;Pauline Convocar ,&nbsp;Enrico Baldi ,&nbsp;Jacqueline Eleonora Ek ,&nbsp;Rakesh Garg ,&nbsp;Zehra’ Al-Hilali ,&nbsp;Mahmoud Tageldin Mustafa ,&nbsp;Mario Krammel ,&nbsp;Federico Semeraro ,&nbsp;Lauren Lai King ,&nbsp;Robert Greif ,&nbsp;Sebastian Schnaubelt","doi":"10.1016/j.resplu.2025.100984","DOIUrl":"10.1016/j.resplu.2025.100984","url":null,"abstract":"<div><h3>Background</h3><div>Certain community groups receive less bystander Basic Life Support (BLS). To improve that it was proposed to include in BLS training manikins representing diverse groups, as in current BLS training most manikins are white, lean and male/flat-chested. However, instructors attitudes about the use of diverse manikins and their distribution worldwide are unclear.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was distributed in international resuscitation networks and national resuscitation councils. Data from participating organisations and manikin characteristics used for BLS training were analysed, and differences between countries from different income classification were assessed.</div></div><div><h3>Results</h3><div>After de-duplication and removal of incomplete responses, data of 133 organisations from 43 countries from six continents reporting on 5,364 manikins were analyzed. Most organisations (55%) use only white, male/flat-chested, lean manikins. Non-white manikins were the most commonly used diversification (33% of participating organisations). Only 20% of organisations use female manikins. Greater diversification is thought to enhance realism in training, promote inclusivity, and allows participants to be more aware of real-world situations involving diverse patient populations. Barriers described were high costs, low awareness towards the need of manikin diversity, institutional resistance to changes, and limited evidence on the impact of diversification.</div></div><div><h3>Conclusion</h3><div>The vast majority of reported adult and pediatric CPR manikins are white, male/flat-chested, and lean, and thus lack diversification. Almost one-fifth of respondents indicated to put a bra on a “standard” manikin to simulate a female manikin. Research into diversified manikin use, how to overcome barriers, and its impact on educational and clinical outcomes are needed.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"24 ","pages":"Article 100984"},"PeriodicalIF":2.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community engagement to improve OHCA outcomes: The “Heart Safe Beach” initiative – Timmendorfer Strand Germany","authors":"Benito Baldauf ,&nbsp;Justin Große Feldhaus ,&nbsp;Jana Hummel,&nbsp;Hendrik Bonnemeier","doi":"10.1016/j.resplu.2025.100979","DOIUrl":"10.1016/j.resplu.2025.100979","url":null,"abstract":"","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"24 ","pages":"Article 100979"},"PeriodicalIF":2.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Venoarterial extracorporeal membrane oxygenation is a feasible option for patients with pregnancy-associated diagnoses who require mechanical circulatory support","authors":"Trishna Parikh ,&nbsp;Sabiha Armin ,&nbsp;Saad Afzal Khan ,&nbsp;Adishwar Rao ,&nbsp;Akriti Agrawal ,&nbsp;Dev Patel ,&nbsp;Bindu Akkanti","doi":"10.1016/j.resplu.2025.100983","DOIUrl":"10.1016/j.resplu.2025.100983","url":null,"abstract":"<div><h3>Background</h3><div>Venoarterial extracorporeal membrane oxygenation (VA-ECMO) is used in patients with cardiopulmonary collapse, but data regarding its use in pregnancy is limited. We aimed to identify the clinical characteristics and predictors of in-hospital mortality in female patients requiring VA-ECMO, including evaluating the role of pregnancy.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, a cohort of female patients aged 19–45 years who required VA-ECMO were identified from the National Inpatient Sample from 2018 to 2021 and further stratified according to presence of pregnancy-associated diagnoses. Baseline characteristics were compared using Pearson chi-square test and Wilcoxon rank-sum test for categorical and continuous variables, respectively. Multivariate analysis using a logistic regression model was performed to identify predictors of in-hospital mortality in the entire cohort. Subgroup analyses were done in patients with coronavirus disease 2019 (COVID-19).</div></div><div><h3>Results</h3><div>Of 2,010 female patients requiring VA-ECMO, 255 (12.7%) had a pregnancy-associated diagnosis. Cardiogenic shock was more common among patients without a pregnancy-associated diagnosis. There was no difference in in-hospital mortality between the two groups (<em>p</em> = 0.15). Infectious complications (adjusted odds ratio [OR]: 1.72 [1.01–2.93], <em>p</em> = 0.05) were positively associated with in-hospital mortality. Pregnancy-associated diagnoses were not associated with survival (OR: 0.51 [0.21–1.25], <em>p</em> = 0.14) in the entire cohort or in a subgroup of patients with COVID-19 (OR: 0.30 [0.01–19.01], <em>p</em> = 0.52).</div></div><div><h3>Conclusions</h3><div>VA-ECMO remains a feasible option in patients with pregnancy-associated diagnoses requiring mechanical circulatory support. Infection control is required to decrease the associated in-hospital mortality.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"24 ","pages":"Article 100983"},"PeriodicalIF":2.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Demographics, management, and outcomes of out-of-hospital traumatic cardiac arrest: a retrospective cohort study comparing children and adults","authors":"Baptiste Morcel ,&nbsp;Eric Mercier ,&nbsp;Guillaume Debaty ,&nbsp;Jean-Stéphane David ,&nbsp;Etienne Javouhey ,&nbsp;Valentine Baert ,&nbsp;Amaury Gossiome ,&nbsp;Francis Desmeules ,&nbsp;Alexis Cournoyer ,&nbsp;Karim Tazarourte ,&nbsp;Axel Benhamed ,&nbsp;the RéAC investigators","doi":"10.1016/j.resplu.2025.100981","DOIUrl":"10.1016/j.resplu.2025.100981","url":null,"abstract":"<div><h3>Aim</h3><div>Out-of-hospital traumatic cardiac arrests (TCA) are associated with a poor prognosis, yet limited research focuses on paediatric TCA. This study aimed to compare outcomes following TCA between children and adults.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study using data from the French cardiac arrest registry (RéAC) between July 2011 and March 2023. We included all patients under 65 years who suffered a TCA managed by a mobile medical team. Patients were categorized as children (&lt;18 years) and adults (18–65 years). The primary endpoint was the 30-day survival, and secondary endpoints were: return of spontaneous circulation (ROSC), survival at hospital admission and survival with a favourable neurological outcome (Cerebral Performance Categories 1–2) at 30 days.</div></div><div><h3>Results</h3><div>Among 5,030 included patients, 396 were children (median age 13 [IQR 4–16] years; 73.2% male) and 4,634 were adults (median age 39 [IQR 27–51] years; 80.4% male). Paediatric patients had significantly higher rates of ROSC (25.5% vs. 20.6%, <em>p</em> = 0.02), survival to hospital admission (21.2% vs. 14.7%, <em>p</em> &lt; 0.001), and 30-day survival (3.5% vs. 1.6%, <em>p</em> &lt; 0.01). However, the proportion of patients achieving a favourable neurological outcome at 30 days did not differ significantly between groups (0.8% vs. 0.9%, <em>p</em> = 0.80).</div></div><div><h3>Conclusions</h3><div>Paediatric patients with out-of-hospital TCA demonstrate higher rates of ROSC and survival compared to adults, although neurological outcomes remain poor in both populations. These findings underscore age-related disparities in TCA prognosis and highlight the need for age-specific research in TCA patients.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"24 ","pages":"Article 100981"},"PeriodicalIF":2.1,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Dutch nationwide pediatric cardiac arrest registry with long-term follow-up – towards an international prognostication guideline","authors":"Marijn Albrecht ,&nbsp;Maayke Hunfeld ,&nbsp;Annemieke Arkesteijn-Muit ,&nbsp;Karolijn Dulfer ,&nbsp;Matthijs de Hoog ,&nbsp;Gabry de Jong ,&nbsp;Rogier de Jonge ,&nbsp;Aldert Lamoré ,&nbsp;Vinay Nadkarni ,&nbsp;Corinne Buysse","doi":"10.1016/j.resplu.2025.100976","DOIUrl":"10.1016/j.resplu.2025.100976","url":null,"abstract":"<div><h3>Aims</h3><div>Pediatric cardiac arrest is associated with high mortality and significant morbidity among survivors. International guidelines for prognostication remain limited due to small heterogeneous patient populations, variable post-return of circulation diagnostics, and insufficient long-term follow-up. Pediatric Resuscitation Prognostication and Outcomes Registry (PROGNOSE) is a Dutch nationwide, multicenter registry aiming to standardize data collection, establish uniform neuromonitoring reporting, and implement structured follow-up protocols.</div></div><div><h3>Methods</h3><div>The Pediatric Resuscitation Prognostication and Outcomes Registry (<span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> ID: NCT06938009) collects data on pediatric cardiac arrest across Dutch pediatric intensive care units, extending the pediRES-Q collaborative. It includes patients &lt;18 years with out-of-hospital cardiac arrest requiring emergency services and in-hospital cardiac arrest patients admitted to academic hospitals. Return of circulation is defined as sustained spontaneous circulation or via extracorporeal support. Exclusions include pre-existing Do Not Resuscitate orders or neonates &lt; 24 h. The registry captures pre-hospital factors, resuscitation characteristics, post-return of circulation care, neuroprognostication markers (biomarkers, electroencephalography, imaging), and long-term outcomes. Structured follow-up occurs at 3–6 months, 12 months, and evaluations through age 17 for neurodevelopmental, psychosocial, and functional outcomes.</div></div><div><h3>Conclusion</h3><div>The Pediatric Resuscitation Prognostication and Outcomes Registry (PROGNOSE) represents the first nationwide initiative to standardize data collection on pediatric cardiac arrest, post-return of circulation care and implement structured follow-up protocols in the Netherlands. This registry aims to address critical knowledge gaps, providing foundation for evidence-based prognostication, clinical decision-making, and long-term care policy recommendations. Future expansion efforts will focus on integrating pre-hospital data, extending follow-up into young adulthood, and strengthening international collaboration through the pediRES-Q network.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"24 ","pages":"Article 100976"},"PeriodicalIF":2.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design of the DETECT project: automated cardiac arrest detection and activation of the emergency medical chain integrated into a wristband","authors":"Roos Edgar ,&nbsp;Kambiz Ebrahimkheil ,&nbsp;Niels T.B. Scholte ,&nbsp;Catharina E. Jansen ,&nbsp;Rypko J. Beukema ,&nbsp;Marc A. Brouwer ,&nbsp;Eelko Ronner ,&nbsp;Aysun Cetinyurek-Yavuz ,&nbsp;Marit van Barreveld ,&nbsp;Marcel G.W. Dijkgraaf ,&nbsp;Peter C. Stas ,&nbsp;Eric Boersma ,&nbsp;Niels van Royen ,&nbsp;Judith L. Bonnes","doi":"10.1016/j.resplu.2025.100977","DOIUrl":"10.1016/j.resplu.2025.100977","url":null,"abstract":"<div><h3>Introduction</h3><div>While survival rates for witnessed out-of-hospital cardiac arrest have improved, assistance for unwitnessed cases often arrives too late. Automated cardiac arrest detection and alerting through wearable biosensor technology could catalyse early assistance and improve survival. Recently, an algorithm for automated detection of induced cardiac arrest was developed using wrist-derived photoplethysmography (DETECT-1a study). This paper outlines the next steps in the DETECT program, aimed at developing, validating, and preparing for the future implementation of automated cardiac arrest detection technology.</div></div><div><h3>Methods</h3><div>External validation (sensitivity; false positives) of the PPG-algorithm developed in DETECT-1a will be performed in patients with induced shockable cardiac arrest (DETECT-1b; <em>n</em> = 50), and in cardiac arrest following withdrawal of life-sustaining treatment (DETECT-1c; n=∼50). To optimize cardiac arrest detection, DETECT-2 is set out to develop an algorithm for detection of sudden falls mimicking cardiac arrest-related collapses using accelerometry data (<em>n</em> = 20). In DETECT-3, false positive alarm rates will be studied in daily life settings, with multiple iterations to refine the algorithm: healthy volunteers/patients (<em>n</em> = ∼300) will wear the wristband for approximately two months. Finally, DETECT-4 will validate the cardiac arrest detection technology in healthy volunteers (4a; <em>n</em> = ∼50) and implantable cardioverter defibrillator-patients (4b; <em>n</em> = ∼200), assessing sensitivity and false positives. Early health technology assessment is part of the project.</div></div><div><h3>Discussion</h3><div>The DETECT project aims to develop and validate a wristband-integrated technology for automated cardiac arrest detection and alerting in daily life settings. To support future implementation, early health technology assessment is incorporated from the outset. By providing immediate alerts, this technology has the potential to enhance rescuer response and improve cardiac arrest survival.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"24 ","pages":"Article 100977"},"PeriodicalIF":2.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posttraumatic growth in out-of-hospital cardiac arrest survivors: prevalence and associated factors","authors":"M.K. Wagner ,&nbsp;S.K. Berg ,&nbsp;C. Hassager ,&nbsp;B. Borregaard ,&nbsp;D. Petrova ,&nbsp;S. Agarwal ,&nbsp;D.S. Stenbæk ,&nbsp;M. Blakoe","doi":"10.1016/j.resplu.2025.100980","DOIUrl":"10.1016/j.resplu.2025.100980","url":null,"abstract":"<div><h3>Aims</h3><div>While traumatic experiences can be distressing, they may also foster psychological growth, a phenomenon known as post-traumatic growth (PTG). The aims were to determine 1) the prevalence of PTG, and 2) the influence of survivor characteristics during hospitalization on levels of PTG at follow-up in a Danish cohort of out-of-hospital cardiac arrest (OHCA) survivors.</div></div><div><h3>Methods</h3><div>A multicenter prospective cohort study including OHCA survivors, exploring soci-odemographic, clinical, and psychosocial characteristics using the Montreal Cognitive Assess-ment (MoCA), the Hospital Anxiety and Depression Scale (HADS), the Impact of Event Scale-Revised (IES-R), and the Crisis Support Scale (CSS) during hospitalization. At three-month follow-up, structured interviews were conducted to assess PTG at personal, relational, and institutional levels. The influence of survivor characteristics on PTG was explored using Pearson’s chi-square tests.</div></div><div><h3>Results</h3><div>Overall, 173 survivors were included. At follow-up, 87% of survivors reported hav-ing one or more levels of PTG. The analysis revealed that the absence of cognitive impairment (MoCA ≥ 26 vs. MoCA &lt; 26) was associated with personal growth (<em>p</em> = 0.02), being younger (&lt;58 years vs. ≥ 58 years) with relational growth (<em>p</em> = 0.03) and being female or having symp-toms of depression (HADS ≥ 8 vs. HADS &lt; 8), with institutional growth (<em>p</em> = 0.02 and <em>p</em> = 0.04), respectively.</div></div><div><h3>Conclusion</h3><div>The OHCA survivors reported high levels of PTG at three-month follow-up. The type of PTG level was influenced by the absence of cognitive impairment, younger age, fe-male sex, and symptoms of depression during hospitalisation. Social support, symptoms of anxiety, and traumatic distress did not significantly influence the level of PTG.</div></div>","PeriodicalId":94192,"journal":{"name":"Resuscitation plus","volume":"24 ","pages":"Article 100980"},"PeriodicalIF":2.1,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}