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      Cardiac arrest: An interdisciplinary scoping review of the literature from 2019

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          Abstract

          Objectives

          The Interdisciplinary Cardiac Arrest Research Review (ICARE) group was formed in 2018 to conduct a systematic annual search of peer-reviewed literature relevant to cardiac arrest. Now in its second year, the goals of the review are to illustrate best practices in research and help reduce compartmentalization of knowledge by disseminating clinically relevant advances in the field of cardiac arrest across disciplines.

          Methods

          An electronic search of PubMed using keywords related to cardiac arrest was conducted. Title and abstracts retrieved by these searches were screened for relevance, classified by article type (original research or review), and sorted into 7 categories. Screened manuscripts underwent standardized scoring of overall methodological quality and impact on the categorized fields of study by reviewer teams lead by a subject-matter expert editor. Articles scoring higher than 99 percentiles by category-type were selected for full critique. Systematic differences between editors’ and reviewers’ scores were assessed using Wilcoxon signed-rank test.

          Results

          A total of 3348 articles were identified on initial search; of these, 1364 were scored after screening for relevance and deduplication, and forty-five underwent full critique. Epidemiology & Public Health represented 24% of fully reviewed articles with Prehospital Resuscitation, Technology & Care, and In-Hospital Resuscitation & Post-Arrest Care Categories both representing 20% of fully reviewed articles. There were no significant differences between editor and reviewer scoring.

          Conclusions

          The sheer number of articles screened is a testament to the need for an accessible source calling attention to high-quality and impactful research and serving as a high-yield reference for clinicians and scientists seeking to follow the ever-growing body of cardiac arrest-related literature. This will promote further development of the unique and interdisciplinary field of cardiac arrest medicine.

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          Most cited references56

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          Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies.

          The aim of this investigation was to estimate and contrast the global incidence and outcome of out-of-hospital cardiac arrest (OHCA) to provide a better understanding of the variability in risk and survival of OHCA. We conducted a review of published English-language articles about incidence of OHCA, available through MEDLINE and EmBase. For studies including adult patients and both adult and paediatric patients, we used Utstein data reporting guidelines to calculate, summarize and compare incidences per 100,000 person-years of attended OHCAs, treated OHCAs, treated OHCAs with a cardiac cause, treated OHCA with ventricular fibrillation (VF), and survival-to-hospital discharge rates following OHCA. Sixty-seven studies from Europe, North America, Asia or Australia met inclusion criteria. The weighted incidence estimate was significantly higher in studies including adults than in those including adults and paediatrics for treated OHCAs (62.3 vs 34.7; P<0.001); and for treated OHCAs with a cardiac cause (54.6 vs 40.8; P=0.004). Neither survival to discharge rates nor VF survival to discharge rates differed statistically significant among studies. The incidence of treated OHCAs was higher in North America (54.6) than in Europe (35.0), Asia (28.3), and Australia (44.0) (P<0.001). In Asia, the percentage of VF and survival to discharge rates were lower (11% and 2%, respectively) than those in Europe (35% and 9%, respectively), North America (28% and 6%, respectively), or Australia (40% and 11%, respectively) (P<0.001, P<0.001). OHCA incidence and outcome varies greatly around the globe. A better understanding of the variability is fundamental to improving OHCA prevention and resuscitation. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
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            Targeted Temperature Management for Cardiac Arrest with Nonshockable Rhythm

            Moderate therapeutic hypothermia is currently recommended to improve neurologic outcomes in adults with persistent coma after resuscitated out-of-hospital cardiac arrest. However, the effectiveness of moderate therapeutic hypothermia in patients with nonshockable rhythms (asystole or pulseless electrical activity) is debated.
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              Cardiogenic Shock Classification to Predict Mortality in the Cardiac Intensive Care Unit

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                Author and article information

                Contributors
                Journal
                Resusc Plus
                Resusc Plus
                Resuscitation Plus
                Elsevier
                2666-5204
                04 November 2020
                December 2020
                04 November 2020
                : 4
                : 100037
                Affiliations
                [a ]Division of Critical Care Medicine, Department of Emergency Medicine, University of Florida, Gainesville, FL, USA
                [b ]Department of Emergency Medicine, University of Florida, Gainesville, FL, USA
                [c ]Division of Pediatric Critical Care, Department of Pediatrics, University of Florida, Gainesville, FL, USA
                [d ]Division of Neurocritical Care, Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA
                [e ]Department of Neurology, Yale University, New Haven, CT, USA
                [f ]Division of Neurocritical Care, Department of Neurology, University of Florida, Gainesville, FL, USA
                [g ]Department of Surgery, Yale University, New Haven, CT, USA
                Author notes
                [* ]Corresponding author at: Emergency Medicine, P.O. Box 100186, Gainesville FL, USA. tbeckermd@ 123456gmail.com
                [1]

                Dr. Murphy and Mr. Cohen contributed equally to this manuscript.

                Article
                S2666-5204(20)30037-0 100037
                10.1016/j.resplu.2020.100037
                8244427
                34223314
                06dab8d0-6d7d-43f2-aa48-a2125da0401b
                © 2020 The Author(s)

                This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

                History
                : 5 August 2020
                : 29 September 2020
                : 4 October 2020
                Categories
                Review

                heart arrest,out-of-hospital cardiac arrest,cardiopulmonary resuscitation,epidemiology,emergency medical services,sudden cardiac death

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