Regional approaches to improve survival after out-of-hospital cardiac arrest

RACE-CARS CCC 1/2

NIH-funded research Duke University · NIH-11162279

This project uses community, EMS, and hospital changes across counties to help people who have out-of-hospital cardiac arrest survive with good brain function.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionDuke University NIH-funded
Lab location1 site (Durham, United States)
Project IDNIH-11162279 on NIH RePORTER

What this research studies

If I or someone in my community has a cardiac arrest outside the hospital, this project aims to make it more likely we get prompt bystander CPR, early defibrillation, and coordinated EMS and hospital care. The team is running a cluster-randomized program across 50 counties in North Carolina where some counties receive a customized set of community and systems interventions and others continue usual care. Researchers will track outcomes like survival to hospital discharge with good neurologic function for everyone who experiences an out-of-hospital cardiac arrest in those counties. The goal is to find practical community-level changes that can be spread to help more people survive with their brains intact.

Who could benefit from this research

Good fit: People who experience an out-of-hospital cardiac arrest while located in one of the participating North Carolina counties during the study period would be included and could benefit.

Not a fit: People outside the participating counties, those who have cardiac arrest in the hospital, or individuals with irreversible preexisting severe brain injury may not receive benefit from these community-focused interventions.

Why it matters

Potential benefit: If successful, this could raise survival rates and improve neurologic recovery for people who suffer out-of-hospital cardiac arrest.

How similar studies have performed: Observational regional efforts (including an 11-county North Carolina experience) showed large improvements in bystander CPR, defibrillation, and survival, but large randomized trials of system-wide interventions are rare and this work builds on those promising findings.

Where this research is happening

Durham, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-10 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.