Open research questions in Cardiac Arrest and Resuscitation
230 unresolved questions extracted from the limitations and future-work sections of 958 Cardiac Arrest and Resuscitation papers in our library. Each links back to the study that raised it.
What the literature leaves open
The available evidence is limited by small, case-based reports, - The predominance of case series and reports may result in an overestimation of survival rates relative to those observed in real-world settings, - Substantial heterogeneity in reported follow-up time points across studies
The available evidence is limited by small, case-based reports. There is a need for large registries and multicenter studies to define the optimal use and sequencing of RD and ECPR. The current literature lacks a comprehensive descriptive overview of maternal and neonatal outcomes across different resuscitation strategies.
Lack of robust clinical data on the use of levosimendan for PAMD. Need for a randomized controlled trial to explore the effects of early levosimendan infusion.
Early use of levosimendan to improve survival and neurological outcomes after cardiac arrest with myocardial dysfunction: a protocol for a randomized controlled trial · 2026 · DOIThe analysis was limited to FB from Days 1 to 4 due to substantial missing data on Days 5-7. Samples with more than 10% missing data were excluded. The study only included patients from the MIMIC-IV database.
The association between fluid balance trajectories and prognosis in ICU patients with cardiac arrest, a group-based trajectory model analysis · 2025 · DOIFurther studies could investigate the underlying mechanisms of the association between FB trajectory and mortality risk. Research could focus on developing strategies to improve fluid management in CA patients. Studies could explore the application of GBTM in other clinical contexts.
The association between fluid balance trajectories and prognosis in ICU patients with cardiac arrest, a group-based trajectory model analysis · 2025 · DOIFurther studies could investigate the long-term effects of CPR training, - Research could explore the barriers to performing bystander CPR, - Studies could examine the impact of different CPR training methods on knowledge and willingness to perform CPR
The knowledge, training, and willingness of first year students in Xuzhou, China to perform bystander cardiopulmonary resuscitation: a cross-sectional study · 2024 · DOIHowever, randomized trials of immunomodulators and other vasoactive strategies have yielded mixed results, reflecting biological heterogeneity and limited phenotypic stratification.
However, the minimum EtCO 2 monitoring duration needed to discriminate return of spontaneous circulation (ROSC) from non-ROSC remains unknown.
Resuscitation From Out-of-Hospital Cardiac Arrest: When Is EtCO 2 Reliably Associated With ROSC? · 2026 · DOIBACKGROUND: Few studies have focused on factors contributing to decreased rates of bystander cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED) use after out-of-hospital cardiac arrest in underserved and underrepresented communities, particularly those with Asian populations.
Barriers and Facilitators for Bystander Cardiopulmonary Resuscitation and Automated External Defibrillator Use in Diverse and Underserved Cities in Los Angeles County, California · 2026 · DOISwine were randomly assigned to a conservative group (n=7), in which fluid loading was limited to a maximum of 20 mL/kg per hour of Ringer’s lactate, or a liberal group (n=7), in which fluid loading was allowed as long as right atrial pressure remained <18 mm Hg.
Deleterious Effects of Liberal Fluid Therapy During Extracorporeal Cardiopulmonary Resuscitation in a Porcine Model of Prolonged Cardiac Arrest · 2026 · DOICONCLUSION: The general population had limited knowledge about CPR but was highly interested in acquiring CPR skills.
A new community-based cardiopulmonary resuscitation training program for primary care: needs assessment, development, and pilot testing · 2025 · DOINumerous techniques for teaching cardiopulmonary resuscitation (CPR) are being used, yet there is insufficient data on the effectiveness of using virtual reality (VR).
Effectiveness of teaching basic life support resuscitation using virtual reality – a randomized controlled trial · 2025 · DOIBACKGROUND AND OBJECTIVES: The prognostic significance and the benefits of antiseizure treatment for definite and possible status epilepticus (SE) after cardiac arrest (CA) remain debated.
The dying process from circulatory arrest is an underexplored domain in humans and has transdisciplinary pertinence.
Importance: There is limited evidence on whether higher-energy defibrillation is preferred in patients experiencing out-of-hospital cardiac arrest (OHCA) with shockable rhythms.
Escalating vs Fixed Energy Defibrillation in Out-of-Hospital Cardiac Arrest Ventricular Fibrillation · 2025 · DOIBACKGROUND AND AIMS: Anticholinergic burden has been linked to cardiovascular events and mortality, but its association with out-of-hospital cardiac arrest (OHCA) remains unclear.
Transient anticholinergic burden and out-of-hospital cardiac arrest: a case-crossover study · 2025 · DOILimited data exists on factors impacting critical care nurses’ IOR decisions, particularly in Iran.
Factors influencing Iranian critical care nurses’ initiation of resuscitation decisions: a qualitative study · 2025 · DOIBackground The causes underlying out‐of‐hospital cardiac arrest (OHCA) are rarely investigated.
Underlying Cause of Out‐of‐Hospital Cardiac Arrests in Japan in Survivors Versus Nonsurvivors · 2025 · DOIHowever, whether the management of adult patients with out-of-hospital cardiac arrest (OHCA), performed in accordance with the International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations (CoSTR) 2015, is associated with favorable neurological outcomes remains unknown.
Outcomes of Patients From All‐Japan Utstein Registry Managed by 2015 Cardiopulmonary Resuscitation Guidelines for Nonshockable Out‐of‐Hospital Cardiac Arrest · 2025 · DOIBACKGROUND: Social determinants of health such as residential segregation have been identified as drivers of disparities in health outcomes; however, this has been understudied for out-of-hospital cardiac arrest (OHCA).
Association of Racial Residential Segregation and Survival After Out‐of‐Hospital Cardiac Arrest in the United States · 2025 · DOIBACKGROUND: There is a lack of data regarding outcomes of therapeutic hypothermia in patients with acute myocardial infarction (AMI) complicated by out-of-hospital cardiac arrest (OHCA).
Therapeutic hypothermia in patients with acute myocardial infarction complicated by out-of-hospital cardiac arrest · 2025 · DOIHowever, studies have reported conflicting results regarding survival outcomes or in-hospital interventions between sexes.
Association of sex with post-arrest care and outcomes after out-of-hospital cardiac arrest of initial shockable rhythm: a nationwide cohort study · 2024 · DOIHowever, the knowledge and attitudes of the Jordanian population towards first aid are lacking.
An Online-Based Survey to Assess Knowledge, Attitudes, and Barriers to Perform First Aid after Road Accidents Conducted among Adult Jordanians · 2024 · DOIHowever, further validation through further prospective large-scale studies is warranted to confirm the appropriate post-resuscitation DBP of pediatric patients.
The association between initial post-resuscitation diastolic blood pressure and survival after pediatric cardiac arrest: a retrospective study · 2024 · DOIBACKGROUND: Limited research has analyzed the association between diastolic blood pressure (DBP) and survival after pediatric cardiopulmonary resuscitation (CPR).
The association between initial post-resuscitation diastolic blood pressure and survival after pediatric cardiac arrest: a retrospective study · 2024 · DOI
Most-cited papers in Cardiac Arrest and Resuscitation
- Treatment of Comatose Survivors of Out-of-Hospital Cardiac Arrest with Induced Hypothermia · New England Journal of Medicine · 2002 · 4,455 citations
- Mild Therapeutic Hypothermia to Improve the Neurologic Outcome after Cardiac Arrest · New England Journal of Medicine · 2002 · 4,433 citations
- A Controlled Trial to Improve Care for Seriously III Hospitalized Patients · JAMA · 1995 · 3,357 citations
- The Effectiveness of Right Heart Catheterization in the Initial Care of Critically III Patients · JAMA · 1996 · 2,483 citations
- A Definition of Irreversible Coma · JAMA · 1968 · 2,160 citations
- Regional Variation in Out-of-Hospital Cardiac Arrest Incidence and Outcome · JAMA · 2008 · 1,645 citations
- CLOSED-CHEST CARDIAC MASSAGE · JAMA · 1960 · 1,513 citations
- Quality of Cardiopulmonary Resuscitation During Out-of-Hospital Cardiac Arrest · JAMA · 2005 · 1,083 citations
- Quality of Cardiopulmonary Resuscitation During In-Hospital Cardiac Arrest · JAMA · 2005 · 1,070 citations
- Association of National Initiatives to Improve Cardiac Arrest Management With Rates of Bystander Intervention and Patient Survival After Out-of-Hospital Cardiac Arrest · JAMA · 2013 · 1,034 citations
Most recent work
- Barriers and Facilitators for Bystander Cardiopulmonary Resuscitation and Automated External Defibrillator Use in Diverse and Underserved Cities in Los Angeles County, California · Journal of the American Heart Association · 2026
- Prehospital spinal immobilization and motion restriction strategies: A scoping review of the literature · Injury · 2026
- EEG-guided early cessation of sedation and TTM in patients after cardiac arrest: a feasibility and safety study · Resuscitation · 2026
- Deleterious Effects of Liberal Fluid Therapy During Extracorporeal Cardiopulmonary Resuscitation in a Porcine Model of Prolonged Cardiac Arrest · Journal of the American Heart Association · 2026
- Neurological outcomes and survival after prehospital ECPR: the impact of low-flow time · Frontiers in Cardiovascular Medicine · 2026
- Deep language model-based early recognition of out-of-hospital cardiac arrest from real-time emergency calls · npj Digital Medicine · 2026
- Digital therapeutics into geriatric cardiovascular emergency care · Frontiers in Digital Health · 2026
- Prediction of in-hospital mortality risk in cardiac arrest patients using machine learning models: a study based on the MIMIC-IV database with external validation from Yunnan University Affiliated Hospital · BMC Medical Informatics and Decision Making · 2026
- Preparation for Pediatric Emergencies in the Office: Technical Report · Pediatrics · 2026
- Quantitative pupillometry index to prognosticate neurological outcome in unconscious cardiac arrest patients · Resuscitation · 2026
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