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The Effect of SPecialty cAre on Recovery From Cardiac Arrest Trial (the SPARC Trial)

Recruiting

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* 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

Exclusion Criteria:

* 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
* Known to have opted-out from the SPARC trial

About the study

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.

What is being tested

Sponsor: University of Pittsburgh · Participants: 1,618 · Started: May 11, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07002294

Locations in the U.S.

PennsylvaniaUniversity of Pittsburgh Department of Emergency Medicine, Pittsburgh

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.