Telephone cardiopulmonary resuscitation is independently associated with improved survival and improved functional outcome after out-of-hospital cardiac arrest

Wu, Zhixin; Panczyk, Micah; Spaite, Daniel W; Hu, Chengcheng; Fukushima, Hidetada; Langlais, Blake T.; Sutter, John; Bobrow, Bentley J.

doi:10.1016/j.resuscitation.2017.07.016

Cited by 85 publications

(79 citation statements)

References 32 publications

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“…Previous studies showed bystander CPR without DA has a better outcome compared with bystander CPR with DA, [17][18][19] whereas, in other studies, bystander CPR with DA has the same or better effects than bystander CPR without DA. 10,20,21) Thus, the effect of bystander CPR with DA and without DA remains controversial. The reason for the different results may be explained by the quality of DA and/or the dissemination of CPR training in communities.…”

Section: Discussionmentioning

confidence: 99%

Impact of Bystander Cardiopulmonary Resuscitation and Dispatcher Assistance on Survival After Out-of-Hospital Cardiac Arrest Among Adult Patients by Location of Arrest

et al. 2020

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We investigated the impact of bystander-initiated cardiopulmonary resuscitation (CPR), dispatcher assistance (DA), and location of arrest on survival and outcomes after out-of-hospital cardiac arrest (OHCA). From a nationwide population-based registry of OHCA patients in Japan, we enrolled adult patients with bystander-witnessed OHCA of medical origin between 2013 and 2015. The primary outcome measure was a neurologically favorable outcome, defined by cerebral performance category 1 or 2. Multivariable logistic regression analysis was used to assess the effects of bystander CPR and DA by location of arrest. A total of 104,621 cases were included (15,984 bystander CPR without DA [15.3%], 40,087 bystander CPR with DA [38.3%], and 48,550 no bystander CPR [46.4%]). In public locations, both the bystander-CPR-with-DA group (22.9% [1,068/4,665]; adjusted odds ratio (AOR), 1.62; 95% confidence interval (CI), 1.43-1.85) and the bystander-CPR-without-DA group (25.8% [918/3,557]; AOR, 1.43; 95% CI, 1.24-1.65) had neurologically favorable outcomes compared with the no-bystander-CPR group (9.9% [610/6,133]). In residential locations, the AORs were 1.44 (95% CI, 1.22-1.70) in the bystander-CPR-without-DA group and 1.60 (95% CI, 1.45-1.77) in the bystander-CPR-with-DA group. However, in nursing homes, bystander CPR was not associated with improved outcomes of OHCA, regardless of the implementation of DA. Bystander CPR with or without DA had better outcomes after OHCA in residential and public locations but not in nursing homes.

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Section: Discussionmentioning

confidence: 99%

Impact of Bystander Cardiopulmonary Resuscitation and Dispatcher Assistance on Survival After Out-of-Hospital Cardiac Arrest Among Adult Patients by Location of Arrest

et al. 2020

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“…Of the 33 included studies, 15 were conducted in the adult population only 16,20,22,25,27,31,34,37,[41][42][43][44][45]47,49 , five were conducted in the pediatric population ILCOR DA-CPR Systematic Review -Feb 19 2019 10 only 15,18,26,33,40 , and 13 included both adults and children 17,19,21,23,[28][29][30]32,[35][36][37]45,48 . The proportion of males ranged from 52% to 85% (average 66%).…”

Section: Patient Characteristicsmentioning

confidence: 99%

“…Survival with favourable neurologic outcome was reported at 1 month (unadjusted data was available in 2 studies 28,45 , adjusted data from 1 study 31 ) and at ILCOR DA-CPR Systematic Review -Feb 19 2019 13 hospital discharge (unadjusted data from 3 studies 18,37,48 , adjusted data from study 40…”

Section: Survival With Favourable Neurologic Outcomementioning

confidence: 99%

A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children

et al. 2019

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“…Many EMS systems around the world have implemented telephone CPR systems whereby the dispatcher guides the bystander to provide chest compressions while awaiting arrival of EMS personnel. These telephone systems can significantly increase bystander CPR rates, survival to hospital discharge and survival with good neurological outcome [39][40][41]. Use of smartphones, which are generally equipped with global positioning system (GPS) technology, enables trained volunteers within 500-1000 m of a cardiac arrest to be dispatched by short message system messages (Fig.…”

Section: Recent Advances In the Community Responsementioning

confidence: 99%

The present and future of cardiac arrest care: international experts reach out to caregivers and healthcare authorities

et al. 2018

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Telephone cardiopulmonary resuscitation is independently associated with improved survival and improved functional outcome after out-of-hospital cardiac arrest

Cited by 85 publications

References 32 publications

Impact of Bystander Cardiopulmonary Resuscitation and Dispatcher Assistance on Survival After Out-of-Hospital Cardiac Arrest Among Adult Patients by Location of Arrest

Impact of Bystander Cardiopulmonary Resuscitation and Dispatcher Assistance on Survival After Out-of-Hospital Cardiac Arrest Among Adult Patients by Location of Arrest

A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children

The present and future of cardiac arrest care: international experts reach out to caregivers and healthcare authorities

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