Do Prehospital Resuscitations Performed by Medical Emergency Services Make a Difference? A Report on Resuscitations Performed in an University Hospital

Salçin, Emre; Eroğlu, Serkan Emre; Özen, Can; Akoğlu, Haldun; Onur, Özge; Denizbaşı, Arzu; Öztürk, Tuba Cimilli

doi:10.5336/medsci.2015-44070

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…The ROSC rates varied considerably, from 0% 16 to 62%. 18 Fifteen studies, 14,19À26,28,30À34 reported on longer-term outcomes (survival to hospital discharge or favourable neurological outcome shown as Cerebral Performance Category scores 1 or 2) (Table 2). ROSC rates and size of the study cohort sizes of the included studies were compared (Fig.…”

Section: Resultsmentioning

confidence: 99%

Clinical outcomes from out-of-hospital cardiac arrest in low-resource settings — A scoping review

Schnaubelt

Monsieurs

Semeraro³

et al. 2020

Resuscitation

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Aim of the scoping review: Scientific recommendations on resuscitation are typically formulated from the perspective of an ideal resource environment, with little consideration of applicability in lower-income countries. We aimed to determine clinical outcomes from out-of-hospital cardiac arrest (OHCA) in low-resource countries, to identify shortcomings related to resuscitation in these areas and possible solutions, and to suggest future research priorities.Data sources: This scoping review was part of the continuous evidence evaluation process of the International Liaison Committee on Resuscitation (ILCOR), and was performed following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. We identified low-resource countries as countries with a low-or middle gross national income per capita (World Bank data). We performed a literature search on outcomes after OHCA in these countries, and we extracted data on the outcome. We applied descriptive statistics and conducted a post-hoc correlation analysis of cohort size and ROSC rates.Results: We defined 24 eligible studies originating from middle-income countries, but none from low-income regions, suggesting a reporting bias. The number of reported patients in these studies ranged from 54 to 3214. Utstein-style reporting was rarely used. Return of spontaneous circulation varied from 0% to 62%. Fifteen studies reported on survival to hospital discharge (between 1.0 and 16.7%) or favourable neurological outcome (between 1.0 and 9.3%). An inverse correlation was found for study cohort size and the rate of return of spontaneous circulation (r = À0.48, p = 0.034). Conclusion:Studies of OHCA outcomes in low-resource countries are heterogeneous and may be compromised by reporting bias. Minimum cardiopulmonary resuscitation standards for low-resource settings should be developed collaboratively involving local experts, respecting culture and context while balancing competing health priorities.

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Section: Resultsmentioning

confidence: 99%

Clinical outcomes from out-of-hospital cardiac arrest in low-resource settings — A scoping review

Schnaubelt

Monsieurs

Semeraro³

et al. 2020

Resuscitation

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Education, Implementation, and Teams

Greif¹,

Bhanji²,

Bigham³

et al. 2020

Resuscitation

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Education, Implementation, and Teams: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Greif¹,

Bhanji²,

Bigham³

et al. 2020

Circulation

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For this 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations , the Education, Implementation, and Teams Task Force applied the population, intervention, comparator, outcome, study design, time frame format and performed 15 systematic reviews, applying the Grading of Recommendations, Assessment, Development, and Evaluation guidance. Furthermore, 4 scoping reviews and 7 evidence updates assessed any new evidence to determine if a change in any existing treatment recommendation was required. The topics covered included training for the treatment of opioid overdose; basic life support, including automated external defibrillator training; measuring implementation and performance in communities, and cardiac arrest centers; advanced life support training, including team and leadership training and rapid response teams; measuring cardiopulmonary resuscitation performance, feedback devices, and debriefing; and the use of social media to improve cardiopulmonary resuscitation application.

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Do Prehospital Resuscitations Performed by Medical Emergency Services Make a Difference? A Report on Resuscitations Performed in an University Hospital

Cited by 3 publications

References 10 publications

Clinical outcomes from out-of-hospital cardiac arrest in low-resource settings — A scoping review

Clinical outcomes from out-of-hospital cardiac arrest in low-resource settings — A scoping review

Education, Implementation, and Teams

Education, Implementation, and Teams: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

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