Journal
RESUSCITATION
Volume 171, Issue -, Pages 80-89Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.resuscitation.2021.12.032
Keywords
Telephone CPR; Cardiopulmonary resuscitation; Dispatcher-assisted CPR; Bystander CPR; Emergency medical services; dispatch; Registry; Asia-Pacific; Out-of-hospital cardiac arrest
Categories
Funding
- National Medical Research Council [NMRC/CSA/0049/2013]
- Laerdal Foundation [20040]
Ask authors/readers for more resources
This study evaluated the impact of a DA-CPR program on BCPR rates and survival. The results showed that a comprehensive DA-CPR program had the most impact on BCPR and favorable neurological outcome.
Background: Dispatcher-assisted CPR (DA-CPR) has the potential to deliver early bystander CPR (BCPR) and improve out-of-hospital cardiac arrest (OHCA) survival. This study in the Asia-Pacific evaluated the impact of a DA-CPR program on BCPR rates and survival. Methods: This was a three-arm, prospective, multi-national, population-based, community-level, implementation trial. Cases between January 2009 and June 2018 from the Pan-Asian Resuscitation Outcomes Study were included. Sites either implemented a comprehensive (with quality improvement tool) or a basic DA-CPR package, or served as controls. Primary outcome was survival-to-discharge/30th day post-arrest. Secondary outcomes were BCPR and favorable neurological outcome. A before-after comparison was made within each country; this before-after change was then compared across the three groups using logistic regression. Results: 170,687 cases were analyzed. Before-after comparison showed that survival to discharge was higher in the 'implementation' period in all three groups: comprehensive odds ratio (OR) 1.09, 95% confidence interval (CI; [1.0-1.19]); basic OR 1.14, 95% CI (1.08-1.2); and control OR 1.25, 95% CI (1.02-1.53). Comparing between groups, the comprehensive group had significantly higher change in BCPR (comprehensive vs control ratio of OR 1.86, 95% CI [1.66-2.09]; basic vs control ratio of OR 0.94, 95% CI [0.85-1.05]; and comprehensive vs basic ratio of OR 1.97, 95% CI [1.87- 2.08]) and survival with favorable neurological outcome (comprehensive vs basic ratio of OR 1.2, 95% CI [1.04-1.39]). Conclusion: We evaluated the impact of a DA-CPR program across heterogeneous EMS systems and demonstrated that a comprehensive DA CPR program had the most impact on BCPR and favorable neurological outcome.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available