TOR Rules for Out-Of-Hospital Cardiac Arrest in Asia
The Validation and Development of Termination-of-Resuscitation (TOR) Rules in OHCA Patients in Asia Countries
Recruiting
Observational Study
Out-Of-Hospital Cardiac Arrest
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
No Study Drug
Researchers observe your health over time — no experimental treatment is given.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 and older
Sex
Any
Study type
Observational
Participants needed
140,000 (estimated)
Sponsor
National Taiwan University Hospital · Other
Who this trial is looking for
This trial is looking for patients who have experienced an out-of-hospital cardiac arrest. Taking part involves researching existing medical rules and potentially developing new ones to help improve care for similar patients in the future.
Are You a Good Fit for This Trial?
You may be able to join if
I have experienced an out-of-hospital cardiac arrest
You may not be able to join if
I am under 18 years old
I was transported to the emergency department not by EMS
I have clear signs of death
I have a do-not-resuscitate order
I have missing information that is needed to join
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
Objectives/Hypotheses
1. Prehospital termination-of-resuscitation (TOR) rules were developed in North American and European sites. Whether they remained valid in different geographic, ethnic, and cultural background areas is still under debate.
2. Differences in characteristics of out-of-hospital cardiac arrests (OHCAs) and configurations of emergency medical service (EMS) between the Western and…
Objectives/Hypotheses
1. Prehospital termination-of-resuscitation (TOR) rules were developed in North American and European sites. Whether they remained valid in different geographic, ethnic, and cultural background areas is still under debate.
2. Differences in characteristics of out-of-hospital cardiac arrests (OHCAs) and configurations of emergency medical service (EMS) between the Western and Asian countries, including relatively lower rate of presenting shockable rhythm (i.e. ventricular fibrillation / ventricular tachycardia; VF/VT), lower rates of bystander CPR, less advanced life support (ALS) implementation, and less public access defibrillators, might create potential threats to the prediction accuracy of TOR rules.
3. We aim to conduct a study to validate the performance of ever published TOR rules in Asian OHCA population, including non-traumatic, traumatic, and pediatric OHCA patients. Furthermore, assess the possible variables that may impact the performance of TOR rules.
4. We also aim to develop new TOR rules based on PAROS registry for Asia population, focusing on non-traumatic, traumatic, and pediatric OHCA patients, respectively.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* out of hospital cardiac arrest (OHCA) patients
Exclusion Criteria:
* age \<18 years
* non-EMS transport to the emergency department
* obvious signs of death (e.g. decapitation, rigor mortis, lividity, and decapitation) or having do-not-resuscitate (DNR) orders
* missing data…
Inclusion Criteria:
* out of hospital cardiac arrest (OHCA) patients
Exclusion Criteria:
* age \<18 years
* non-EMS transport to the emergency department
* obvious signs of death (e.g. decapitation, rigor mortis, lividity, and decapitation) or having do-not-resuscitate (DNR) orders
* missing data despite meeting the inclusion criteria.
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