Are superior outcomes of early coronary angiography versus a conservative approach in survivors after out-of-hospital cardiac arrest driven by subsets of patients with ST-elevations?
A recently published meta-analysis in patients presenting with out of hospital cardiac arrest (OHCA) demonstrated a survival benefit in favour of early coronary angiography (CAG) versus a conservative approach. Currently, uncertainty exists regarding the value and timing of early CAG in OHCA survivo...
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| Published in: | Resuscitation Vol. 103; pp. e11 - e12 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Ireland
Elsevier B.V
01-06-2016
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| Subjects: | |
| Online Access: | Get full text |
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| Summary: | A recently published meta-analysis in patients presenting with out of hospital cardiac arrest (OHCA) demonstrated a survival benefit in favour of early coronary angiography (CAG) versus a conservative approach. Currently, uncertainty exists regarding the value and timing of early CAG in OHCA survivors not having ST-elevations. As studies included in this meta-analysis contained a mixture of patients with and without ST-elevations, it could be questioned whether superior outcomes were driven by subsets of patients with ST-elevations. To explore this question, this Letter to the Editor describes results from meta-regression analyses associating the proportion and distribution of patients with ST-elevations with study specific effect estimates. |
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| Bibliography: | SourceType-Other Sources-1 ObjectType-Article-2 content type line 63 ObjectType-Feature-1 ObjectType-Correspondence-3 |
| ISSN: | 0300-9572 1873-1570 |
| DOI: | 10.1016/j.resuscitation.2016.02.016 |