Specialized cardiac-arrest care after resuscitation
Official title: The Effect of SPecialty cAre on Recovery From Cardiac Arrest Trial (the SPARC Trial)
Run by University of Pittsburgh · NCT07002294 · Data updated 2026-11-12
We test whether moving adults who survived a cardiac arrest outside the hospital to a regional cardiac arrest center helps them recover better after 90 days.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1618 (estimated) |
| Sponsor | University of Pittsburgh Academic / other |
| Locations | 1 site (Pittsburgh, Pennsylvania) |
| Status | Recruiting |
| Started | May 11, 2026 |
| Main results expected | June 2031 |
| Study ends | January 2032 |
| Registry record updated | August 6, 2026 |
| Trial ID | NCT07002294 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18+) who had an out-of-hospital cardiac arrest, were resuscitated with a pulse in the ED, and were treated at participating hospitals.
✕Probably not a fit
Patients who are not expected to benefit may include those with poor pre-arrest function or who require care not associated with a regional specialty center.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized trial compares transfer to a specialty cardiac arrest center versus usual care at the nearest hospital for adults resuscitated from out-of-hospital cardiac arrest. All participants receive standard treatments, with the key difference being the care setting they are transferred to after the ED visit. Researchers will follow up at 90 days to assess functional recovery and overall status. The study leverages a regional network of 18 hospitals to evaluate if specialized center resources and protocols improve outcomes.
Why it matters
Potential benefit: If successful, patients may achieve better recovery and function after cardiac arrest by receiving care at a center with focused expertise.
How similar studies have gone: Observational data suggest better outcomes at specialized or high-volume centers, but randomized evidence is needed for definitive benefit.
Who can join: the full rules
Show full inclusion / exclusion 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
Where it's running
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University of Pittsburgh Department of Emergency Medicine
Pittsburgh, Pennsylvania, United States Recruiting
Study contacts
- Principal investigator: Jonathan Elmer, MD, MS — University of Pittsburgh
- Study coordinator: Sara DiFiore-Sprouse
- Email: difioresm@upmc.edu
- Phone: 4128642284
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.