Positive trend in survival to hospital discharge after out-of-hospital cardiac arrest

Savastano, Simone; Klersy, Catherine; Raimondi, Maurizio; Langord, Karen; Vanni, Vincenzo; Rordorf, Roberto; Vicentini, Alessandro; Petracci, Barbara; Landolina, Maurizio; Visconti, Luigi Oltrona

doi:10.2459/jcm.0000000000000040

Cited by 26 publications

(16 citation statements)

References 57 publications

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“…Survival in out-of-hospital cardiac arrest ranges from 4.3% to 10.7% [1][2][3][4][5]. Effective chest compressions are the mainstay of cardiopulmonary resuscitation (CPR) and increase the likelihood of surviving cardiac arrest [6][7][8][9][10]. Proper hand position, and appropriate rate and depth of compressions are among the most important parameters during chest compressions [11].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the effectiveness of cardiopulmonary resuscitation with standard manual chest compressions and the use of TrueCPR and PocketCPR feedback devices

et al. 2015

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A b s t r a c tBackground: High effectiveness of chest compressions is an important element of cardiopulmonary resuscitation (CPR), improving survival and reducing neurological deficits resulting from sudden cardiac arrest.Aim: Evaluation of the effectiveness of standard manual chest compressions (SMCC) and CPR with the use of two CPR feedback devices: TrueCPR and PocketCPR.Methods: 167 paramedics participated in the study. The participants were randomised to perform SMCC, CPR using the TrueCPR device, and CPR using a smartphone with the PocketCPR application in a crossover fashion. Results:Comparison of SMCC, TrueCPR and PocketCPR showed differences in the effectiveness of chest compressions (40.3%, 85.5% and 28.8%, respectively), compression depth (49.5, 56.5 and 50.3 mm, respectively), and compression rate (118.5, 105.1, and 89.5 min -1 , respectively). Conclusions:During simulated CPR, TrueCPR device significantly increased the effectiveness of chest compressions compared to SMCC and the use of PocketCPR smartphone application. Further studies are required to confirm these findings in clinical practice.

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Section: Introductionmentioning

confidence: 99%

Comparison of the effectiveness of cardiopulmonary resuscitation with standard manual chest compressions and the use of TrueCPR and PocketCPR feedback devices

et al. 2015

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“…Historically, the survival outcomes for out-of-hospital cardiac arrest in both children and adults have been quite poor, though it is improving. 1 Similarly, the incidence of lay rescuer community cardiopulmonary resuscitation has been quite low with previous estimates of 10-15% 2 , though recent estimates show some improvementalthough still poorin the 30% range. 3 Several studies in the last several years have suggested that lay rescuer community cardiopulmonary resuscitation/ambulatory external defibrillation use can be increased by community education initiatives, and a concomitant increase in out-of-hospital cardiac arrest survival can be expected.…”

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confidence: 80%

How to develop and execute a public health agenda: From grass roots to legislation

Berger

2017

Cardiol Young

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Recent experiences with lay public cardiopulmonary resuscitation and use of ambulatory external defibrillators have been demonstrated to improve survival from out-of-hospital cardiac arrests from an abysmal 10% or less to as high as 30%. Though rare, sudden cardiac arrest in presumably healthy young people have been highly publicised over the last 25 years and have motivated the institution of school- and community-based programmes that facilitate first-responder resuscitation, including defibrillation. These efforts often begin at a grass roots level (usually parent-inspired advocacy groups) and through collaborative activities involving the schools, local businesses, and local administrative agencies are now having a meaningful impact in selected communities. The current focus of these activities is on school- and sports venue-based ambulatory external defibrillator programmes and formal cardiopulmonary resuscitation education in high schools. The extension of these programmes to the level of state mandates has been slower, and even when enacted, public funding has usually not been approved.

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“…In Italy the incidence of out of hospital cardiac arrest (OHCA) is estimated to be 1 case over 1000 people per year [2] and the survival is actually low. A quantitative review of the literature by our group [3] showed that survival to hospital discharge has increased worldwide over the years but it is still low amounting to about 10%. It has been widely demonstrated that the survival of cardiac arrest patients depends on early and good quality cardio-pulmonary resuscitation (CPR) and defibrillation, on the time of intervention and on the post-cardiac arrest care.…”

Section: To the Editormentioning

confidence: 98%

The Pavia Cardiac Arrest REgistry — Pavia CARE. It's time for Cardiologists to be engaged in cardiac arrest

Savastano¹,

Servi²,

Visconti³

et al. 2015

International Journal of Cardiology

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Positive trend in survival to hospital discharge after out-of-hospital cardiac arrest

Abstract: Survival to hospital discharge after OHCA has significantly improved. Many aspects may influence survival, but surely, the reduction of time and an early and good quality CPR have positively influenced the outcome.

Cited by 26 publications

References 57 publications

Comparison of the effectiveness of cardiopulmonary resuscitation with standard manual chest compressions and the use of TrueCPR and PocketCPR feedback devices

Comparison of the effectiveness of cardiopulmonary resuscitation with standard manual chest compressions and the use of TrueCPR and PocketCPR feedback devices

How to develop and execute a public health agenda: From grass roots to legislation

The Pavia Cardiac Arrest REgistry — Pavia CARE. It's time for Cardiologists to be engaged in cardiac arrest

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