ArticleResuscitation plus2025
Factors associated with recurrent out-of-hospital cardiac arrest after hospital discharge: a population-based study.
Article in Resuscitation plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
Background: Survivors of out-of-hospital cardiac arrest (OHCA) remain at significant risk of recurrence; however, the factors associated with a subsequent OHCA episode requiring hospitalisation are not well characterised. Dependence on indwelling devices may indicate a state of chronic vulnerability. This study aimed to identify risk factors for recurrent OHCA using a nationwide cohort. Methods: We conducted a retrospective cohort study using Taiwan's National Health Insurance Research Database from 2010 to 2020. Adult non-traumatic OHCA survivors discharged alive were included and followed for up to five years. Demographics, comorbidities, healthcare utilisation, and long-term indwelling device use (nasogastric tube, Foley catheter, tracheostomy with ventilator) were analysed. The primary outcome was a second OHCA requiring hospitalisation. Multivariable logistic regression identified independent risk factors, with adjusted odds ratios (aORs) and 95 % confidence intervals (CIs) reported. Results: Among 15,617 OHCA survivors, 1,123 (7.2 %) experienced a second OHCA requiring hospitalisation within five years. Patients with recurrence were older (62.6 vs. 61.0 years, Conclusion: Functional dependence and healthcare utilisation were associated with recurrent OHCA among survivors hospitalised for a recurrent event. Device dependence may serve as a marker of vulnerability, highlighting the need for ongoing monitoring and follow-up.
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