Bystander CPR in copenhagen – An increasing figure

Krogh, Charlotte Loumann; Nielsen, Søren R.K.; Lippert, Freddy

doi:10.1016/j.resuscitation.2010.09.174

Cited by 1 publication

(1 citation statement)

References 4 publications

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“…In tackling the issue of poor survival outcomes in residential areas, the areas in which attention should be focused are EMS response time and bystander CPR. In particular, bystander CPR rates refl ected in this study (20.8% overall) are poor compared to international standards (for example, 31% in the United States, 25 34% in London, 26 41% in Copenhagen, 27 and 55% in Sweden 28 ). Efforts should be made to improve bystander CPR rates in Singapore.…”

Section: Agecontrasting

confidence: 53%

Effect of Location of Out-of-Hospital Cardiac Arrest on Survival Outcomes

Liang²,

Fook‐Chong³

et al. 2013

Ann Acad Med Singap

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Introduction: This study aims to study how the effect of the location of patient collapses from cardiac arrest, in the residential and non-residential areas within Singapore, relates to certain survival outcomes. Materials and Methods: A retrospective cohort study of data were done from the Cardiac Arrest and Resuscitation Epidemiology (CARE) project. Out-of-hospital cardiac arrest (OHCA) data from October 2001 to October 2004 (CARE) were used. All patients with OHCA as confirmed by the absence of a pulse, unresponsiveness and apnoea were included. All events had occurred in Singapore. Analysis was performed and expressed in terms of the odds ratio (OR) and the corresponding 95% confidence interval (CI). Results: A total of 2375 cases were used for this analysis. Outcomes for OHCA in residential areas were poorer than in non-residential areas—1638 (68.9%) patients collapsed in residential areas, and 14 (0.9%) survived to discharge. This was significantly less than the 2.7% of patients who survived after collapsing in a non-residential area (OR 0.31 [0.16 – 0.62]). Multivariate logistic regression analysis showed that location alone had no independent effect on survival (adjusted OR 1.13 [0.32 – 4.05]); instead, underlying factors such as bystander CPR (OR 3.67 [1.13 – 11.97]) and initial shockable rhythms (OR 6.78 [1.95 – 23.53]) gave rise to better outcomes. Conclusion: Efforts to improve survival from OHCA in residential areas should include increasing CPR by family members, and reducing ambulance response times. Key words: Emergency Medical Services, Non-residential, Prehospital, Residential

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Section: Agecontrasting

confidence: 53%