Dispatcher instructions for bystander cardiopulmonary resuscitation and neurologically intact survival after bystander-witnessed out-of-hospital cardiac arrests: a nationwide, population-based observational study

Abstract Background The International Liaison Committee on Resuscitation recommends that dispatchers provide instructions to perform compression-only cardiopulmonary resuscitation (CPR) to callers responding to adults with out-of-hospital cardiac arrest (OHCA). This study aimed to determine the opti...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Yoshikazu Goto, Akira Funada, Tetsuo Maeda, Yumiko Goto
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Out-of-hospital cardiac arrest Dispatcher-assisted cardiopulmonary resuscitation Instruction Outcome Epidemiology Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/324c0693a4cf402c96d058a90a01463b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:324c0693a4cf402c96d058a90a01463b
record_format	dspace
spelling	oai:doaj.org-article:324c0693a4cf402c96d058a90a01463b2021-11-28T12:03:47ZDispatcher instructions for bystander cardiopulmonary resuscitation and neurologically intact survival after bystander-witnessed out-of-hospital cardiac arrests: a nationwide, population-based observational study10.1186/s13054-021-03825-w1364-8535https://doaj.org/article/324c0693a4cf402c96d058a90a01463b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13054-021-03825-whttps://doaj.org/toc/1364-8535Abstract Background The International Liaison Committee on Resuscitation recommends that dispatchers provide instructions to perform compression-only cardiopulmonary resuscitation (CPR) to callers responding to adults with out-of-hospital cardiac arrest (OHCA). This study aimed to determine the optimal dispatcher-assisted CPR (DA-CPR) instructions for OHCA. Methods We analysed the records of 24,947 adult patients (aged ≥ 18 years) who received bystander DA-CPR after bystander-witnessed OHCA. Data were obtained from a prospectively recorded Japanese nationwide Utstein-style database for a 2-year period (2016–2017). Patients were divided into compression-only DA-CPR (n = 22,778) and conventional DA-CPR (with a compression-to-ventilation ratio of 30:2, n = 2169) groups. The primary outcome measure was 1-month neurological intact survival, defined as a cerebral performance category score of 1–2 (CPC 1–2). Results The 1-month CPC 1–2 rate was significantly higher in the conventional DA-CPR group than in the compression-only DA-CPR group (before propensity score (PS) matching, 7.5% [162/2169] versus 5.8% [1309/22778], p < 0.01; after PS matching, 7.5% (162/2169) versus 5.7% (123/2169), p < 0.05). Compared with compression-only DA-CPR, conventional DA-CPR was associated with increased odds of 1-month CPC 1–2 (before PS matching, adjusted odds ratio 1.39, 95% confidence interval [CI] 1.14–1.70, p < 0.01; after PS matching, adjusted odds ratio 1.34, 95% CI 1.00–1.79, p < 0.05). Conclusion Within the limitations of this retrospective observational study, conventional DA-CPR with a compression-to-ventilation ratio of 30:2 was preferable to compression-only DA-CPR as an optimal DA-CPR instruction for coaching callers to perform bystander CPR for adult patients with bystander-witnessed OHCAs.Yoshikazu GotoAkira FunadaTetsuo MaedaYumiko GotoBMCarticleOut-of-hospital cardiac arrestDispatcher-assisted cardiopulmonary resuscitationInstructionOutcomeEpidemiologyMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENCritical Care, Vol 25, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Out-of-hospital cardiac arrest Dispatcher-assisted cardiopulmonary resuscitation Instruction Outcome Epidemiology Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Out-of-hospital cardiac arrest Dispatcher-assisted cardiopulmonary resuscitation Instruction Outcome Epidemiology Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Yoshikazu Goto Akira Funada Tetsuo Maeda Yumiko Goto Dispatcher instructions for bystander cardiopulmonary resuscitation and neurologically intact survival after bystander-witnessed out-of-hospital cardiac arrests: a nationwide, population-based observational study
description	Abstract Background The International Liaison Committee on Resuscitation recommends that dispatchers provide instructions to perform compression-only cardiopulmonary resuscitation (CPR) to callers responding to adults with out-of-hospital cardiac arrest (OHCA). This study aimed to determine the optimal dispatcher-assisted CPR (DA-CPR) instructions for OHCA. Methods We analysed the records of 24,947 adult patients (aged ≥ 18 years) who received bystander DA-CPR after bystander-witnessed OHCA. Data were obtained from a prospectively recorded Japanese nationwide Utstein-style database for a 2-year period (2016–2017). Patients were divided into compression-only DA-CPR (n = 22,778) and conventional DA-CPR (with a compression-to-ventilation ratio of 30:2, n = 2169) groups. The primary outcome measure was 1-month neurological intact survival, defined as a cerebral performance category score of 1–2 (CPC 1–2). Results The 1-month CPC 1–2 rate was significantly higher in the conventional DA-CPR group than in the compression-only DA-CPR group (before propensity score (PS) matching, 7.5% [162/2169] versus 5.8% [1309/22778], p < 0.01; after PS matching, 7.5% (162/2169) versus 5.7% (123/2169), p < 0.05). Compared with compression-only DA-CPR, conventional DA-CPR was associated with increased odds of 1-month CPC 1–2 (before PS matching, adjusted odds ratio 1.39, 95% confidence interval [CI] 1.14–1.70, p < 0.01; after PS matching, adjusted odds ratio 1.34, 95% CI 1.00–1.79, p < 0.05). Conclusion Within the limitations of this retrospective observational study, conventional DA-CPR with a compression-to-ventilation ratio of 30:2 was preferable to compression-only DA-CPR as an optimal DA-CPR instruction for coaching callers to perform bystander CPR for adult patients with bystander-witnessed OHCAs.
format	article
author	Yoshikazu Goto Akira Funada Tetsuo Maeda Yumiko Goto
author_facet	Yoshikazu Goto Akira Funada Tetsuo Maeda Yumiko Goto
author_sort	Yoshikazu Goto
title	Dispatcher instructions for bystander cardiopulmonary resuscitation and neurologically intact survival after bystander-witnessed out-of-hospital cardiac arrests: a nationwide, population-based observational study
title_short	Dispatcher instructions for bystander cardiopulmonary resuscitation and neurologically intact survival after bystander-witnessed out-of-hospital cardiac arrests: a nationwide, population-based observational study
title_full	Dispatcher instructions for bystander cardiopulmonary resuscitation and neurologically intact survival after bystander-witnessed out-of-hospital cardiac arrests: a nationwide, population-based observational study
title_fullStr	Dispatcher instructions for bystander cardiopulmonary resuscitation and neurologically intact survival after bystander-witnessed out-of-hospital cardiac arrests: a nationwide, population-based observational study
title_full_unstemmed	Dispatcher instructions for bystander cardiopulmonary resuscitation and neurologically intact survival after bystander-witnessed out-of-hospital cardiac arrests: a nationwide, population-based observational study
title_sort	dispatcher instructions for bystander cardiopulmonary resuscitation and neurologically intact survival after bystander-witnessed out-of-hospital cardiac arrests: a nationwide, population-based observational study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/324c0693a4cf402c96d058a90a01463b
work_keys_str_mv	AT yoshikazugoto dispatcherinstructionsforbystandercardiopulmonaryresuscitationandneurologicallyintactsurvivalafterbystanderwitnessedoutofhospitalcardiacarrestsanationwidepopulationbasedobservationalstudy AT akirafunada dispatcherinstructionsforbystandercardiopulmonaryresuscitationandneurologicallyintactsurvivalafterbystanderwitnessedoutofhospitalcardiacarrestsanationwidepopulationbasedobservationalstudy AT tetsuomaeda dispatcherinstructionsforbystandercardiopulmonaryresuscitationandneurologicallyintactsurvivalafterbystanderwitnessedoutofhospitalcardiacarrestsanationwidepopulationbasedobservationalstudy AT yumikogoto dispatcherinstructionsforbystandercardiopulmonaryresuscitationandneurologicallyintactsurvivalafterbystanderwitnessedoutofhospitalcardiacarrestsanationwidepopulationbasedobservationalstudy
_version_	1718408191319998464

Dispatcher instructions for bystander cardiopulmonary resuscitation and neurologically intact survival after bystander-witnessed out-of-hospital cardiac arrests: a nationwide, population-based observational study

Ejemplares similares