{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T03:48:33Z","timestamp":1776743313421,"version":"3.51.2"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,9,14]],"date-time":"2017-09-14T00:00:00Z","timestamp":1505347200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Competitive Research Funding of Tampere University Hospital","award":["Grant 9S009"],"award-info":[{"award-number":["Grant 9S009"]}]},{"name":"FinnHEMS Research and Development Unit"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Our aim was to evaluate the impact of futile resuscitation attempts to the outcome calculations of attempted resuscitation in out\u2010of\u2010hospital cardiac arrest (OHCA). Defined as partial resuscitations, we focused on a subgroup of patients in whom cardiopulmonary resuscitation (CPR) was initiated, but further efforts were soon abandoned due to evidence of futility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted this study using the Utstein template during a 12\u2010month study period. We compared the event characteristics between full and partial resuscitation attempts and determined the incidence, survival and neurological outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Emergency Medical Services (EMS) attended a total of 314 OHCA cases. In 34 cases, resuscitation was not attempted due to futility. Seventy\u2010four cases were partial resuscitation attempts where resuscitation was soon discontinued due to dismal prognostic factors. Partial attempts were associated with an unwitnessed OHCA, prolonged downtime, end\u2010stage malignant disease, multiple trauma, asystole or pulseless electrical activity as the initial rhythm, and a first responding unit being the first unit on the scene (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.05, respectively). The calculation of survival to hospital discharge rate was 14% and increased 5% when partial resuscitation attempts were excluded from the analysis. Seventy\u2010four percentage had a Cerebral Performance Category 1\u20132 at hospital discharge. Shockable initial rhythm, public location and bystander CPR had a positive impact on survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Resuscitative efforts were considered futile in 11% of cases and resuscitation was discontinued due to evidence of futility in additional 24% cases based on additional information. Terminating resuscitation should be identified as a separate subgroup of OHCA cases to better reflect the outcome.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.12966","type":"journal-article","created":{"date-parts":[[2017,9,14]],"date-time":"2017-09-14T10:06:38Z","timestamp":1505383598000},"page":"1334-1344","source":"Crossref","is-referenced-by-count":9,"title":["Assessment of futility in out\u2010of\u2010hospital cardiac arrest"],"prefix":"10.1111","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0850-8485","authenticated-orcid":false,"given":"P.","family":"Set\u00e4l\u00e4","sequence":"first","affiliation":[{"name":"Emergency Medical Service Tampere University Hospital Tampere Finland"},{"name":"FinnHEMS Research and Development Unit FinnHEMS Ltd Vantaa Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Hoppu","sequence":"additional","affiliation":[{"name":"Emergency Medical Service Tampere University Hospital Tampere Finland"},{"name":"Department of Intensive Care Tampere University Hospital Tampere Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Virkkunen","sequence":"additional","affiliation":[{"name":"Emergency Medical Service Tampere University Hospital Tampere Finland"},{"name":"FinnHEMS Research and Development Unit FinnHEMS Ltd Vantaa Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Yli\u2010Hankala","sequence":"additional","affiliation":[{"name":"Medical School University of Tampere Tampere Finland"},{"name":"Department of Anaesthesia Tampere University Hospital Tampere Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"K\u00e4m\u00e4r\u00e4inen","sequence":"additional","affiliation":[{"name":"Emergency Medical Service Tampere University Hospital Tampere Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,14]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2015.07.038"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpa.2013.07.009"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2004.09.008"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2014.11.002"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2007.04.011"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2010.08.017"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e31827ca975"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2010.08.006"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2011.02.047"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2005.03.021"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2011.06.016"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2009.12.020"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2014.05.032"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1757-7241-20-80"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2013.12.028"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.109.913665"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2014.08.025"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.03.036"},{"key":"e_1_2_8_20_1","unstructured":"Committee on Bioethics (DH\u2010BIO) of the Council of Europe.Guide on the decision\u2010making process regarding medical treatment in end\u2010of\u2010life situations. Strasbourg: Council of Europe 2014."},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2004.05.005"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2013.10.033"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2014.05.020"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2013.12.013"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2015.07.033"}],"container-title":["Acta Anaesthesiologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Faas.12966","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aas.12966","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T06:59:31Z","timestamp":1695538771000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/aas.12966"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,14]]},"references-count":24,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2017,11]]}},"alternative-id":["10.1111\/aas.12966"],"URL":"https:\/\/doi.org\/10.1111\/aas.12966","archive":["Portico"],"relation":{},"ISSN":["0001-5172","1399-6576"],"issn-type":[{"value":"0001-5172","type":"print"},{"value":"1399-6576","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,14]]}}}