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Cardiac arrest

Transport destination not linked to OHCA outcomes

Association between destination hospital level and outcomes in out-of-hospital cardiac arrest patients under a dispatch-guided transport system: a population-based study in Nagoya, Japan
Resuscitation Plus · Added 19 September 2026

Population-based cohort of 12,663 OHCA transports in Nagoya under a dispatch-guided destination system — transport to critical care medical centres showed no association with favourable one-month neurological outcomes overall, was linked to lower one-month survival in non-shockable rhythms (OR 0.66), and only refractory shockable rhythms showed a possible survival edge (19.7% vs 3.3%, imprecise estimate).

Study type

Cohort

Design

Retrospective population-based cohort with IPTW analysis

Participants

12,663 OHCA transports in Nagoya City

Main finding

No association between transport to critical care medical centres and favourable one-month neurological outcome overall; lower one-month survival with non-shockable rhythm (OR 0.66, 95% CI 0.46–0.95); exploratory higher survival in refractory shockable rhythm (19.7% vs 3.3%), imprecise estimate.

Caveat

Retrospective, residual confounding despite IPTW; exploratory subgroup estimates imprecise.

Bottom line

Context only

Learning goal

Weigh the benefit of transporting refractory shockable rhythm cardiac arrest patients to critical care centres.

More

• Topic: Cardiac arrest
• Daily scan: 19 September 2026

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