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Out-Of-Hospital Cardiac ArrestREBECCANCT05784480

Relevance of Reversible Causes During OHCA (Rebecca Study)

A study testing Checklist for evaluation of reversible causes in people with Out-Of-Hospital Cardiac Arrest and Cardiopulmonary Arrest, run by Medical University of Vienna at 2 sites in Austria.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Management of the reversible causes in cardiac arrest is fundamental for successful treatment of out-of-hospital cardiac arrests. Point-of-care diagnostics as prehospital emergency ultrasound, blood gas analysis and toxicological screening support the diagnostic process of evaluating potential reversible causes. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Checklist for evaluation of reversible causes
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
2 sitesAustria
Study dates
1 Apr 2023to 31 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with prehospital cardiac arrest, where POCUS, blood gas analysis as well as screening for intoxication can integrated in ALS rhythm without delay of life-saving treatment or transportation will be included.

Who cannot join

  • Patients will be excluded under the age of 18, or if POCUS, blood gas analysis will lead to a delay of live-saving treatment or transportation. Furthermore, pregnant patients will be excluded.

Trial locations and contacts

2 sites in 1 country.

Austria2 sites
  • Anesthesiology and Intensive Care Medicine Department - Medical University of Vienna

    Vienna, 1090

  • Department of Anesthesia, General Intensive Care and Pain Management,Medical University of Vienna

    Vienna, 1090

Other trials in Austria

About this study

Management of the reversible causes in cardiac arrest is fundamental for successful treatment of out-of-hospital cardiac arrests. Point-of-care diagnostics as prehospital emergency ultrasound, blood gas analysis and toxicological screening support the diagnostic process of evaluating potential reversible causes. Digital tools provide support of a structured approach. This study aims to evaluate the frequency of reversible causes during OHCA as well as specific interventions due to these findings. Furthermore, CPR performance (hands-off, ROSC, 30-day mortality) and cognitive load of the prehospital emergency physician will be investigated. In total 100 patients with OHCA will be included in this study. Identification of reversible causes will be performed upon a structured protocol using an interactive checklist. Cognitive load of emergency physician as well as CPR parameter (frequency of reversible causes, hands-off, ROSC, 30-day mortality) will be analysed.

Being tested
Checklist for evaluation of reversible causes
Keywords
Intoxication, Prehospital POCUS, CPR, Sonography, Blood gas analysis, Cardiac arrest, OHCA, Reversible causes, Tele-support, Checklist, Prehospital emergency physician, Emergency medicine
Medical subject headings
Out-of-Hospital Cardiac Arrest, Heart Arrest

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Checklist for evaluation of reversible causesDiagnostic test

    Also called Venipuncture for toxicological screening, Point-of-Care blood gas analysis, Point-of-Care saliva toxicological screen, Point-of-care ultrasound

    Prehospital evaluation by checklist and diagnostic testing for reversible causes of OHCA using point-of-care blood gas analysis, saliva toxicological screen and ultrasound and post-hoc toxicological analysis of blood using mass spectrometry

Study groups in NCT05784480
Study groupRoleWhat they receive
Evaluation of reversible causes using digital checklist and diagnostic supportOtherNot described
Receives: Diagnostic Test: Checklist for evaluation of reversible causes

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Frequency of reversible causes in OHCA and alterations of treatment

    The primary outcome of this study evaluates the frequency of reversible causes during OHCA.

    Measured: up to 30 days

Secondary outcomes (4)
  1. Frequency of ROSC

    Any prehospital ROSC/sustained ROSC/in-hospital ROSC

    Measured: up to 30 days

  2. 30-day mortality

    rate of mortality within 30 days in case of hospital admission

    Measured: up to 30 days

  3. Hands-off time

    Hands-off time during process of identification of reversible causes

    Measured: During study completion, up to 120 min

  4. Cognitive load

    NASA Task Load Index evaluated by the prehospital emergency physician after rescue mission

    Measured: 1 year (evaluation in documentation phase after CPR)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Mar 2023
  2. Study start1 Apr 2023
  3. Primary completion31 Dec 2025
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05784480
Sponsor's protocol ID
Rebecca Vienna
Acronym
REBECCA
Status last verified
Apr 2026
First submitted
6 Jan 2023
Last updated
20 Apr 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Checklist for evaluation of reversible causes in people with Out-Of-Hospital Cardiac Arrest and Cardiopulmonary Arrest, run by Medical University of Vienna at 2 sites in Austria.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 20 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Austria. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Frequency of reversible causes in OHCA and alterations of treatment (time frame: up to 30 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Apr 2026.

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