The Effect of SPecialty cAre on Recovery From Cardiac Arrest Trial (the SPARC Trial)
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Pittsburgh
About this trial
This randomized clinical trial will determine if adult participants who are in the emergency department after being resuscitated from a cardiac arrest outside of the hospital benefit from care delivered at specialized centers.
The main question that it will answer is whether transferring participants to a hospital with a specialized cardiac arrest service improves recovery of function after 90 days.
Participants will receive all usual medical care, but some participants will be offered transfer to a regional cardiac arrest center and others will be offered care at the closest appropriate hospital. Investigators will interview participants after 90 days to assess their recovery.
Eligibility criteria
Qualifiers
Out-of-hospital cardiac arrest
Resuscitated from cardiac arrest with palpable pulse in the emergency department
Treated at one of participating hospital emergency departments
Age ≥18 years
Disqualifiers
Known prior advanced directives or decision to limit critical care
Known pre-arrest dependent functional status (e.g., living in a skilled nursing facility, hospice or bedbound)
Arrest in the emergency department >4 hours after arrival
Traumatic etiology of arrest
Trial design
Treatments tested in this trial
- Transfer to specialty care
- Usual care
Treatment groups
1,618 Participants
are divided into 2 treatment groupsSponsors and collaborators
University of Pittsburgh
Lead sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator
Source ClinicalTrials.gov