Association of Public Health Initiatives With Outcomes for Out-of-Hospital Cardiac Arrest at Home and in Public Locations

Fordyce, Christopher B.; Hansen, Carolina Malta; Kragholm, Kristian; Dupre, Matthew E.; Jollis, James G.; Roettig, Mayme L.; Becker, Lance B.; Hansen, Steen Møller; Hinohara, Tomoya; Corbett, Claire C.; Monk, Lisa; Nelson, R. Darrell; Pearson, David; Tyson, Clark; Diepen, Sean van; Anderson, Monique; McNally, Bryan; Granger, Christopher B.

doi:10.1001/jamacardio.2017.3471

Cited by 87 publications

(80 citation statements)

References 38 publications

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“…Shorter response time, younger age, OHCA occurring during the daytime, urban areas, and socioeconomic status are usually associated with better prognosis [15,16,24,25]. However, people who have OHCAs in public locations tend to be healthier, are able to move freely, and probably have less comorbidity, and thus have better outcomes [26]. The current study also supported this nding.…”

Section: Discussionsupporting

confidence: 81%

Association Between Modifiable Prehospital Prognostic Factors on Out-Of-Hospital Cardiac Arrest in Different Age Groups

Huang

Lee

et al. 2020

Preprint

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Background The prognosis of out-of-hospital cardiac arrest (OHCA) is very poor. While several prehospital factors are known to be associated with improved survival, the impact of prehospital factors on different age groups is unclear. The objective of the study was to access the impact of prehospital factors and pre-existing comorbidities on OHCA outcomes in different age groupsMethods A retrospective observational analysis was conducted using the emergency medical service (EMS) database from January 2015 to December 2019. We collected information on prehospital factors, underlying diseases, and outcome of OHCAs in different age groups. Kaplan-Meier type survival curves and multivariable logistic regression were used to analyze the association between modifiable pre-hospital factors and outcomes. Results A total of 4188 witnessed adult OHCAs were analyzed. For the younger group (age ≦75 years old), after adjustment for confounding factors, EMS response time (odds ratio [OR]=0.860, 95% confidence interval [CI]: 0.811-0.909, p<0.001), public location (OR=1.843, 95% CI: 1.179-1.761, p<0.001), bystander CPR (OR=1.329, 95% CI: 1.007-1.750, p=0.045), attendance by an EMT-Paramedic (OR=1.666, 95% CI: 1.277-2.168, p<0.001), and prehospital defibrillation by automated external defibrillator (AED)(OR=1.666, 95% CI: 1.277-2.168, p<0.001) were prognostic factors for OHCA. For the older group (age >75 years old), age (OR=0.924, CI: 0.880-0.966, p=0.001), EMS response time (OR=0.833, 95% CI: 0.742-0.928, p=0.001), public location (OR=4.290, 95% CI: 2.450-7.343, p<0.001), and attendance by an EMT-Paramedic (OR=2.702, 95% CI: 1.704-4.279, p<0.001) were independent prognostic factors for OHCA.Conclusions There were variations between younger and older OHCA patients. We found that bystander CPR and prehospital defibrillation by AED were independent prognostic factors for younger OHCA patients but not for the older group.

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Section: Discussionsupporting

confidence: 81%

Association Between Modifiable Prehospital Prognostic Factors on Out-Of-Hospital Cardiac Arrest in Different Age Groups

Huang

Lee

et al. 2020

Preprint

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“…Bystander CPR (adults) [13] Several public health initiatives have successfully increased bystander CPR rates and cardiac arrest survival, [19,[35][36][37][38][39] emphasising the importance of engaging lay rescuers in efforts to improve outcomes for patients who suffer sudden out-of-hospital cardiac arrest. One of the key questions related to bystander CPR is whether lay rescuers should be trained to provide compression-only CPR or compressions and ventilations.…”

Section: Ilcor Costr In Context Of Erc Guidelinesmentioning

confidence: 99%

European Resuscitation Council Guidelines for Resuscitation: 2017 update

et al. 2018

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“…13,14 Increases in a community's training and engagement with CPR have also been reported to be associated with improved survival rates following OHCA. 8,15 A recent review highlighted the efficacy of interventions conducted by health services to improve CPR, 16 such as dispatcher-assisted CPR.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Community Interventions for Bystander Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest

Meng

Munot

et al. 2020

JAMA Netw Open

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Association of Public Health Initiatives With Outcomes for Out-of-Hospital Cardiac Arrest at Home and in Public Locations

Abstract: After coordinated and comprehensive public health initiatives, more patients received bystander CPR and first-responder defibrillation at home and in public, which was associated with improved survival.

Cited by 87 publications

References 38 publications

Association Between Modifiable Prehospital Prognostic Factors on Out-Of-Hospital Cardiac Arrest in Different Age Groups

Association Between Modifiable Prehospital Prognostic Factors on Out-Of-Hospital Cardiac Arrest in Different Age Groups

European Resuscitation Council Guidelines for Resuscitation: 2017 update

Assessment of Community Interventions for Bystander Cardiopulmonary Resuscitation in Out-of-Hospital Cardiac Arrest

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