Table 1.
Author/Publication | Study Period | Study Design | Inclusion Criteria | Exclusion Criteria | Initial Rhythms | Outcomes Available | Comparison |
---|---|---|---|---|---|---|---|
Stueven 19835 | 1980 | Retrospective Observational Cohort | OHCA patients with non-shockable rhythms | Traumatic arrest and poisoning |
Asystole and PEA | ROSC, survival to discharge |
Calcium versus standard care |
Stueven 1985 (Asystole)8 | 1982–1983 | Blinded Randomized Clinical Trial | OHCA patients in asystole after epinephrine, bicarbonate and atropine | Clinical indications for calcium, traumatic arrest, poisoning and pediatric patients | All | ROSC, survival to discharge |
Calcium versus placebo |
Stueven 1985 (PEA)7 | 1982–1983 | Blinded Randomized Clinical Trial | OHCA patients in PEA after epinephrine and bicarbonate | Clinical indications for calcium, traumatic arrest, poisoning and pediatric patients | All | ROSC, survival to discharge | Calcium versus placebo |
Stempien 198625 | 1983–1984 | Retrospective Observational Cohort | OHCA patients only |
No exclusion criteria available | Asystole and PEA | “Survival” (presumed ROSC) | Calcium versus standard care |
George 198722 | 1985 | Prospective Observational Cohort | IHCA |
No exclusion criteria available | Asystole and PEA | ROSC and survival to discharge | Calcium versus standard care |
Stiell 199524 | 1989–1992 | Post-hoc analysis of previous Randomized Clinical Trial | IHCA and OHCA patients with time to CPR available | <16-years-old, terminal illness, more than 15 minutes to initiate CPR and trauma | All |
ROSC, survival to discharge |
Calcium and multiple other drugs during cardiac arrest |
van Walraven 199823 | 1989–1992 | Post-hoc analysis of previous Randomized Clinical Trial | IHCA | < 16-year-old, terminal illness, > 15 min to CPR, trauma, sternotomy, arrest in the OR, delivery or recovery rooms and all OHCA | All Rhythms | ROSC | Calcium and multiple other drugs during cardiac arrest |
Snipilesky 201621 | 2008–2014 | Retrospective Observational Cohort | Index IHCA | Patients who received uncommon combination of medications during the arrest | All Rhythms | ROSC | Calcium and multiple other drugs during cardiac arrest |
Wang 201610 | 2006–2012 | Retrospective Observational Cohort | Index IHCA adult patients with hyperkalemia > 6.5 mEq/L collected during cardiac arrest | Traumatic cardiac arrest | All Rhythms | ROSC, survival to discharge, neurologic outcome at discharge | Calcium, sodium bicarbonate and none |
Vallentin 202111 | 2020–2021 | Double Blinded Randomized Clinical Trial | OHCA, older than 18 years-old who received at least one dose of epinephrine | Traumatic cardiac arrest, pregnancy, clinical indication for calcium, enrollment in other trial, received epinephrine outside of the trial | All Rhythms | ROSC, survival 30 days and 90 days, neurologic outcomes in 30 and 90 days | Calcium versus placebo |
OHCA = out-of-hospital cardiac arrest; PEA = pulseless electrical activity; ROSC = return of spontaneous circulation; IHCA = intra-hospital cardiac arrest; CPR = cardiopulmonary resuscitation; OR = Operation room.