A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children

Νικολάου, Νικόλαος; Dainty, Katie N.; Couper, Keith; Morley, Peter; Tijssen, Janice A.; Vaillancourt, Christian; Olasveegen, Theresa; Mancini, Mary Beth; Travers, Andrew H.; Løfgren, Bo; Nishiyama, Chika; Stanton, David; Ristagno, Giuseppe; Considine, Julie; Castrèn, Maaret; Smyth, Michael A.; Kudenchuk, Peter J.; Escalante, Raffo; Gazmuri, Raúl J.; Brooks, Steven C.; Chung, Sung Phil; Hatanaka, Tetsuo; Perkins, Gavin D.; Maconachie, Ian; Aickin, Richard; Caen, Allan de; Atkins, Dianne L.; Bingham, Robert; Couto, Thomaz Bittencourt; Guerguerian, Anne‐Marie; Meaney, Peter A.; Nadkarni, Vinay; Ng, Kee-Chong; Nuthall, Gabrielle; Ong, Yong-Kwang Gene; Reis, Amélia G.; Schexnayder, Steve; Shimizu, Naoki; Voorde, Patrick Van de

doi:10.1016/j.resuscitation.2019.02.035

Cited by 85 publications

(69 citation statements)

References 48 publications

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“…ILCOR commissioned an SR to address the effect of DA-CPR on outcomes for patients in out-of-hospital cardiac arrest (OHCA). 3 A draft CoSTR was posted for public comment on the ILCOR website 15 ; the draft was viewed 1516 times during the public comment period. The task force reviewed the 1 comment posted during this public commenting period.…”

Section: Basic Life Supportmentioning

confidence: 99%

“…The similarity in outcomes when CPR is initiated spontaneously without the need for dispatch assistance (perhaps performed by a more skilled or trained bystander) and when DA-CPR is performed (perhaps with a less skilled or untrained bystander) exemplifies the potential positive impact of such point-ofcare instruction. At a minimum, DA-CPR increases the likelihood that bystander CPR will be performed, 3 itself an important predictor of favorable outcome from OHCA. 47 The SR also found that DA-CPR favored not only bystander CPR but also time to CPR, ROSC, and initial shockable rhythm.…”

Section: Justification and Evidence To Decision Framework Highlightsmentioning

confidence: 99%

“…47 The SR also found that DA-CPR favored not only bystander CPR but also time to CPR, ROSC, and initial shockable rhythm. 3 These considerations, along with the recognition that randomized clinical trials addressing this question are unlikely to be forthcoming, led to the task force's consensus that DA-CPR should be strongly recommended.…”

Section: Justification and Evidence To Decision Framework Highlightsmentioning

confidence: 99%

“…ILCOR commissioned an SR to identify and analyze all published evidence reporting outcomes of offering DA-CPR for OHCA in infants and children. 3 The Pediatric Life Support Task Force analyzed and discussed the SR and all of the studies identified by the SR, developed a draft CoSTR, and posted it online for public comment. 102 The draft CoSTR was visited 1736 times during the 2-week comment period.…”

Section: Da-cpr-pediatricsmentioning

confidence: 99%

“…This failure to demonstrate contributions of DA-CPR to improvement in likelihood of shockable initial rhythm aligns with the adult meta-analysis. 3 In abstaining from recommending for or against DA-CPR when bystander CPR is already in progress, the task force noted the verylow-certainty evidence available, the consistency of inferior and neutral results for all of the critical outcomes, and the lack of any adjusted analyses for this group. The negative results associated with DA-CPR compared with unassisted bystander CPR may have several potential explanations: Bystander CPR was initiated earlier than DA-CPR because the bystander did not experience the delay resulting from calling a dispatcher and receiving instruction, or the bystanders who performed CPR and refused dispatch assistance were likely trained in CPR and may have provided a higher quality of CPR than that provided by the untrained bystander who required remote dispatch assistance.…”

Section: Justification and Evidence To Decision [ 4 0 _ T D $ D I F Fmentioning

confidence: 99%

See 4 more Smart Citations

2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Soar¹,

Maconochie²,

Wyckoff³

et al. 2019

Resuscitation

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128

114

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The International Liaison Committee on Resuscitation has initiated a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation science. This is the third annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. It addresses the most recent published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. This summary addresses the role of cardiac arrest centers and dispatcher-assisted cardiopulmonary resuscitation, the role of extracorporeal cardiopulmonary resuscitation in adults and children, vasopressors in adults, advanced airway interventions in adults and children, targeted temperature management in children after cardiac arrest, initial oxygen concentration during resuscitation of newborns, and interventions for presyncope by first aid providers. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the certainty of the evidence on the basis of the Grading of Recommendations, Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence to Decision Framework Highlights sections. The task forces also listed priority knowledge gaps for further research.

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Section: Basic Life Supportmentioning

confidence: 99%

Section: Justification and Evidence To Decision Framework Highlightsmentioning

confidence: 99%

Section: Justification and Evidence To Decision Framework Highlightsmentioning

confidence: 99%

Section: Da-cpr-pediatricsmentioning

confidence: 99%

Section: Justification and Evidence To Decision [ 4 0 _ T D $ D I F Fmentioning

confidence: 99%

See 3 more Smart Citations

2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Soar¹,

Maconochie²,

Wyckoff³

et al. 2019

Resuscitation

Self Cite

128

114

View full text Add to dashboard Cite

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Push Hard, Push Fast, Do Not Stop—Optimal Chest Compression Rate and Depth

Cone

2019

JAMA Cardiol

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Effects of cardiopulmonary resuscitation instructions on the outcomes of out‐of‐hospital cardiac arrest: An analysis of the JAAM‐OHCA registry

Inoue,

Kaneda,

Ise

et al. 2023

Acute Medicine & Surgery

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AimTo determine whether dispatcher‐provided cardiopulmonary resuscitation (CPR) instructions improve the outcomes of out‐of‐hospital cardiac arrest (OHCA).MethodsCases registered in the Japanese Association for Acute Medicine Out‐of‐Hospital Cardiac Arrest (JAAM‐OHCA) Registry between June 2014 and December 2019 were included. Cases in which the dispatcher provided CPR instructions to the bystander were included in the “Instructions” group”, and cases without CPR instructions were included in the “No Instructions” group. The primary outcome was the proportion of patients with a favorable neurological outcome, defined as a Glasgow–Pittsburgh cerebral performance category scale of 1 to 2 at 1 month after OHCA.ResultsOverall, 51,199 patients with OHCA were registered in the JAAM‐OHCA Registry during the study period. Of these, 33,745 were eligible for the study, with 16,509 in the Instructions group and 17,236 in the No Instructions group. The proportion of patients with a favorable neurological outcome at 1 month after OHCA was inferior in the Instructions group than in the No Instructions group (2.3% versus 3.0%, p < 0.001). After adjustment for patient background characteristics, no association was found between CPR instructions provided by a dispatcher and favorable neurological outcomes at 1 month after OHCA (adjusted odds ratio, 1.000; 95% confidence interval, 0.869–1.151, p = 0.996).ConclusionThe present study found no clear clinical benefit of dispatcher‐provided CPR instructions on the neurological outcomes of cases with OHCA.

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A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children

Abstract: Please refer to published version for the most recent bibliographic citation information. If a published version is known of, the repository item page linked to above, will contain details on accessing it.

Cited by 85 publications

References 48 publications

2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Push Hard, Push Fast, Do Not Stop—Optimal Chest Compression Rate and Depth

Effects of cardiopulmonary resuscitation instructions on the outcomes of out‐of‐hospital cardiac arrest: An analysis of the JAAM‐OHCA registry

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