Modifiable Factors Associated With Survival After Out-of-Hospital Cardiac Arrest in the Pan-Asian Resuscitation Outcomes Study

Tanaka, Hideharu; Ong, Marcus Eng Hock; Siddiqui, Fahad Javaid; Huei‐Ming, Matthew; Kaneko, Hiroshi; Lee, Kyung-won; Kajino, Kentaro; Lin, Chih‐Hao; Gan, Han Nee; Khruekarnchana, Pairoj; Rahman, Nik Hisamuddin Nik Ab; Doctor, Nausheen Edwin; Assam, Pryseley Nkouibert; Shin, Sang Do; Sarah, Abdul Karim; Julina, M.N.; Naroo, Ghulam Yasin; Alsakaf, Omer; Yagdir, T.; Khunkhlai, Nalinas; Monsomboon, Apichaya; Piyasuwankul, Thammapad; Nishiuchi, Tatsuya; Ko, Patrick Chow In; Kyoung, J.S.; Wong, Kwanhathai Darin; Mao, Desmond Renhao; Goh, E. Shaun; Tham, Lai Peng; Cheah, Si Oon; Chia, Michael Yih Chong; Tiah, Ling; Leong, Benjamin Sieu Hon; Ng, Yih Yng

doi:10.1016/j.annemergmed.2017.07.484

Cited by 71 publications

(52 citation statements)

References 30 publications

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“…These studies were published from 1985 to 2017. Firstly, there are 16 articles studied BCPR for all OHCAs, which include eight studies were conducted in Europe [ 17 – 24 ], 3 in Asia [ 25 – 27 ], 4 in America [ 28 – 31 ], 1 in Oceania [ 32 ]. The sizes of the cohorts ranged from 722 to 66,780.…”

Section: Resultsmentioning

confidence: 99%

The effect of bystander cardiopulmonary resuscitation on the survival of out-of-hospital cardiac arrests: a systematic review and meta-analysis

Song

Guo

et al. 2018

Scand J Trauma Resusc Emerg Med

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BackgroundFor many years, bystander cardiopulmonary resuscitation (BCPR) has been considered as a favorable factor to improve survival of out-of-hospital cardiac arrests (OHCAs). To examine the effect of BCPR on the survival of OHCAs and whether BCPR might also improve survival when the initial rhythm of OHCAs is limited, we performed a meta-analysis on published observational studies.MethodsWe did a systematic review to identify all studies published up to March, 2018, in any language, that reported the relation between BCPR and the survival of OHCAs. Using standard forms, two authors independently identified studies for inclusion and extracted information. The outcome was survival. Meta-regression was done to ascertain weighted factors for the outcomes.ResultsData were extracted from 19 studies involving 232,703 patients. Firstly, pooled odds ratio (OR) from 16 cohort studies showed that BCPR was associated with improved chance of survival of OHCAs compared with NO-BCPR (OR 1.95, 95% confidence interval [CI]: 1.66–2.30). Secondly, from 8 cohort studies of OHCAs whose initial rhythm is limited, the pooled OR was 2.10 (95% CI, 1.68–2.63) of 6 articles for shockable rhythm and 1.07 (95% CI, 0.37–3.13) of 2 articles for non-shockable rhythm. Meta-regression showed a relation between the survival of OHCAs and BCPR was influenced by area (p < 0.05).ConclusionsBased on currently available evidence, the findings of this meta-analysis suggest that BCPR increases the survival of OHCAs, and it also help OHCAs whose initial rhythm is shockable. That is to say BCPR is also helpful when emergency department response time is short. Therefore global priority should be given to increasing the incidence of BCPR by evidence-based best practice.

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Section: Resultsmentioning

confidence: 99%

The effect of bystander cardiopulmonary resuscitation on the survival of out-of-hospital cardiac arrests: a systematic review and meta-analysis

Song

Guo

et al. 2018

Scand J Trauma Resusc Emerg Med

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“…Recent evidence reinforces the importance of bystander CPR to improve survival from cardiac arrest [17][18][19][20][21]. The ERC recognises the critical role that the EMS dispatcher and dispatch protocols play in supporting bystander initiated CPR [22][23][24][25][26].…”

Section: Dispatcher Assisted Cpr [13]mentioning

confidence: 94%

European Resuscitation Council Guidelines for Resuscitation: 2017 update

et al. 2018

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“…In a rural environment where distances and access to ambulance resources in people's immediate area are limited, other responders like firefighters, police and home healthcare nurses are available to reduce suffering and save lives when a life-threatening condition occurs (1)(2)(3)(4). Important for survival is response time, that is the interval between an emergency call to the emergency medical communication centre (EMCC) and the arrival of help at the site (5)(6)(7)(8). When emergency medical dispatchers (EMDs) have access to send other responders to perform first aid before the ambulance staff arrives, an opportunity to influence the course of the situation of the affected person arises.…”

Section: Introductionmentioning

confidence: 99%

Lone and lonely in a double ambivalence situation as experienced by callers while waiting for the ambulance in a rural environment

Nord-Ljungquist

Engström

Fridlund

et al. 2019

Scandinavian Caring Sciences

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Background In a rural environment where distances and access to ambulance resources in people’s immediate area are limited, other responders like firefighters dispatched to perform a first aid before ambulance arrives in areas where a longer response time exists; an assignment called ‘While Waiting for the Ambulance’ (WWFA). Knowledge is limited about the experience from a caller’s perspective when a person has a life‐threatening condition needing emergency help and both firefighters in a WWFA assignment and ambulance staff are involved. Aim The aim of the study is to describe the emergency situation involving a WWFA assignment in a rural environment from the caller's perspective. Method A descriptive design using qualitative methodology with a reflective lifeworld research (RLR) approach was used for this study, including in‐depth interviews with eight callers. Results An emergency situation involving WWFA assignment in a rural environment mean a sense of being lone and lonely with a vulnerability in while waiting to hand over responsibility for the affected person. Ambivalence in several dimensions arises with simultaneous and conflicting emotions. A tension between powerlessness and power of action where the throw between doubt and hope are abrupt with a simultaneous pendulum between being in a chaos and in a calm. Conclusion A double ambivalence emerges between, on one hand feeling alone in the situation and having full control, on the other hand, with trust handing over the responsibility, thereby losing control. Contact with the emergency medical dispatcher becomes a saving lifeline to hold onto, and access to emergency help in the immediate area of WWFA is valuable and important. Trust and confidence are experienced when callers are met with empathy, regardless of personal acquaintance with arriving responders.

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Modifiable Factors Associated With Survival After Out-of-Hospital Cardiac Arrest in the Pan-Asian Resuscitation Outcomes Study

Cited by 71 publications

References 30 publications

The effect of bystander cardiopulmonary resuscitation on the survival of out-of-hospital cardiac arrests: a systematic review and meta-analysis

The effect of bystander cardiopulmonary resuscitation on the survival of out-of-hospital cardiac arrests: a systematic review and meta-analysis

European Resuscitation Council Guidelines for Resuscitation: 2017 update

Lone and lonely in a double ambivalence situation as experienced by callers while waiting for the ambulance in a rural environment

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