Effects of Dispatcher-assisted Cardiopulmonary Resuscitation on Survival Outcomes in Infants, Children, and Adolescents with Out-of-hospital Cardiac Arrests

Ro, Young Sun; Shin, Sang Do; Song, Kyoung Jun; Hong, Ki Jeong; Ahn, Ki Ok; Kim, Do Kyun; Kwak, Young Ho

doi:10.1016/j.resuscitation.2016.08.026

Cited by 36 publications

(31 citation statements)

References 23 publications

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“…Consequently, the authors emphasized the importance of CPR education for lay rescuers. Sun Ro et al have shown that in cases of cardiac arrest at home, in orphanages, and in dormitories, CPR with assistance from a dispatcher was associated with better neurologic outcomes for patients (10). We also think that CPR applied after CPR education is of higher quality than CPR administered with the assistance of a dispatcher.…”

Section: Methodsmentioning

confidence: 88%

Kardiyopulmoner resüsitasyon eğitimi eğitimsiz kurtarıcıların acil yanıt sistemi görevlisi kılavuzluğunda uyguladığı temel yaşam desteğinin kalitesini arttırmaktadır

Kayıpmaz¹,

Akpinar²,

Altıparmak³

et al. 2017

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi

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Objective: The people who aid patients in cardiac arrest in daily life are those who witness the event in the immediate environment. In cases of cardiac arrest, which anyone can encounter at any time and place, the application of correct and efficient basic life support by bystanders contributes significantly to the patient's survival. In this study, our aim was to compare the efficiency of cardiopulmonary resuscitation (CPR) by untrained lay rescuers assisted by a dispatcher with CPR by the same persons without assistance from a dispatcher after they are provided with CPR training. Material and Methods: We planned the study prospectively on 5th year students of the Baskent University Faculty of Dentistry. We placed each study participant one by one in a room where there was a model of basic life support (BLS) and a CPR feedback device. We provided participants with a scenario of BLS taking place in a public space. At that time, we contacted a dispatcher who was standing in another room. We asked participants to apply one 2-min cycle of CPR consisting only of chest compression with the dispatcher's assistance. After we recorded data on all participants, we provided them BLS training. We re-evaluated all participants' CPR abilities immediately after this. Results: Thirty-seven 5th year Faculty of Dentistry students participated in our study. The median age of participants was 23.22±1.31. The gender distribution was 16.2% male and 83.7% female. There was a statistically significant difference between the number of chest compressions applied before (89.27±24.53) and after training (110.59±21.92) (p <0.001). There was a statistically significant difference between the measurements of compression times, the ratio of proper compressions to all compressions, and the compression percentages before and after training (p <0.005; <0.005 and <0.001 respectively). Conclusion: The results of our study clearly reveal that the CPR applied by trained laypersons is distinctly superior to CPR with the assistance of a dispatcher.

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Section: Methodsmentioning

confidence: 88%

Kardiyopulmoner resüsitasyon eğitimi eğitimsiz kurtarıcıların acil yanıt sistemi görevlisi kılavuzluğunda uyguladığı temel yaşam desteğinin kalitesini arttırmaktadır

Kayıpmaz¹,

Akpinar²,

Altıparmak³

et al. 2017

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi

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“…Improvements in survival with favorable neurological function at hospital discharge 31,33,34 and at 1 month 26 were reported among patients with OHCA who received bystander DA-CPR compared with those who received no bystander CPR. In addition, improved survival (regardless of neurological status) was reported at hospital discharge 31,33,34,37,38 and at 1 month. 26 Recipients of DA-CPR were also more likely to achieve sustained ROSC than those who received no bystander CPR.…”

Section: Short-term Survival: Rosc Hospital Admissionmentioning

confidence: 95%

“…26 Three studies examined the delivery of bystander CPR in systems that offered DA-CPR compared with those that did not. In addition to the All-Japan study reported by Goto et al, 26 2 studies 25,31 included unadjusted analysis of 3309 children with OHCA. These studies reported a significantly higher rate of CPR in the cohorts offered DA-CPR in both unadjusted and adjusted analyses.…”

Section: Consensus On Sciencementioning

confidence: 99%

“…In making a strong recommendation for dispatch centers to offer DA-CPR despite very-low-certainty evidence, the Pediatric Life Support Task Force considered the benefit for the critical outcome of survival in the adjusted analyses and the large positive effect of increased bystander CPR and reduced time to initiation of CPR when DA-CPR was offered. Implementation of DA-CPR appears to be Arrest to CPR initiation (important) 4306 (1 cohort study) 26 Very low Shorter time with DA-CPR: median, 1 (IQR, 0À5) vs 11 (IQR, 7À15) min 1265 (1 cohort study) 31 Shorter time with DA-CPR: median, 4 (IQR, 0À13) vs 10 (IQR, 6À18) min; P = 0.01 Arrest to CPR initiation 2722 (1 cohort study) 26 Very low Longer time with DA-CPR: median, 4 (IQR, 0À13) vs 1 (IQR, 0À5) min 766 (1 cohort study) 31 Very low Longer time with DA-CPR: median, 4 (IQR, 0À13) vs 2 (IQR, 0À10) min acceptable and feasible, as many EMS systems have demonstrated. However, its cost-effectiveness and impact on health equity have not been evaluated and, until documented, may present barriers to implementation in underresourced regions.…”

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

confidence: 99%

See 1 more Smart Citation

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

Soar¹,

Maconochie²,

Wyckoff³

et al. 2019

Resuscitation

128

113

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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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“…Compared to the no BCPR group, both independent BCPR (Adjusted OR 1.62; 95% CI 1.23 to 2.11) group and DACPR group (Adjusted OR 1.63; 95% CI 1.32 to 2.02) had higher survival rates. Ro et al [30] performed a cross-sectional study using a nationwide, prospective registry of OHCAs in South Korea with all emergency medical services (EMS) treated paediatric OHCAs enrolled between 2012 and 2014. Out of a total of 1529 patients, 32.8% had bystander CPR with dispatcher assistance, 17.3% without dispatcher assistance, and 54.6% cases did not receive BCPR.…”

Section: Influence On Survivalmentioning

confidence: 99%

The Impact of Dispatcher Assistance in the Rates and Efficacy of Bystander CPR: A Meta-analysis

Akter¹,

Hasan²,

Sana³

et al. 2017

Emerg Med

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Objective: To perform a meta-analysis of observational studies addressing whether Dispatcher Assisted Cardiopulmonary Resuscitation (DACPR), compared with independent Bystander Cardiopulmonary Resuscitation (BCPR), increases the rates of BCPR, and whether they alter survival outcomes in out-of-hospital cardiac arrests (OHCA). Methods:Relevant published articles from PubMed and Cochrane databases were studied. The baseline information and outcome data (BCPR rates, survival to hospital discharge, 1-month survival) were extracted from the out-of-hospital cardiac arrest subgroup. Meta-analyses were performed by using STATA 11.0 software. Results Conclusion:This study found that DACPR resulted in greater survival rate as compared to independent BCPR and no BCPR in OHCAs. Considering that DACPR also resulted in significantly higher rates of BCPR, DACPR should be a standard protocol for EMS systems worldwide.

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Effects of Dispatcher-assisted Cardiopulmonary Resuscitation on Survival Outcomes in Infants, Children, and Adolescents with Out-of-hospital Cardiac Arrests

Cited by 36 publications

References 23 publications

Kardiyopulmoner resüsitasyon eğitimi eğitimsiz kurtarıcıların acil yanıt sistemi görevlisi kılavuzluğunda uyguladığı temel yaşam desteğinin kalitesini arttırmaktadır

Kardiyopulmoner resüsitasyon eğitimi eğitimsiz kurtarıcıların acil yanıt sistemi görevlisi kılavuzluğunda uyguladığı temel yaşam desteğinin kalitesini arttırmaktadır

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

The Impact of Dispatcher Assistance in the Rates and Efficacy of Bystander CPR: A Meta-analysis

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