The effect of bystander CPR on neurologic outcome in survivors of prehospital cardiac arrests

Troiano, Philip; Masaryk, John; Stueven, Harlan A; Olson, David; Barthell, Edward N.; Waite, Elizabeth M.

doi:10.1016/0300-9572(89)90082-8

Cited by 35 publications

(6 citation statements)

References 24 publications

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“…Lettieri 21 Longstreth 64 Bertini 67 Bedell 77 Beuret 68 Bottiger 35 Earnest 78 Gottschalk 79 Hillis 80 Martin-Castro 81 Roewer 82 Skogvoll 36 Triano 83 Arrich 33 Dimopoulou 20 Nunes 30 Eisenberger 15 Guerot 84…”

Section: Fairmentioning

confidence: 98%

Systematic review of quality of life and other patient-centred outcomes after cardiac arrest survival

2011

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Section: Fairmentioning

confidence: 98%

Systematic review of quality of life and other patient-centred outcomes after cardiac arrest survival

2011

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“…However, Troiano in a retrospective analysis of 138 prehospital cardiac arrest survivors found no difference in outcome showing no positive correlation to provision of ByCPR with 55%-58% of patients who recovered found in the minimal disability category, 16%-17% with moderate disability, while 4%-8% were discharged in a vegetative state. 8 Education is a prominent component of any prehospital care plan for both professionals and lay rescuers. Dracup prospectively evaluated instruction in ByCPR in 83 families of high risk cardiac patients and found an 81% rate of successful instruction of these family participants.…”

Section: Discussionmentioning

confidence: 99%

Witnessed arrest, but not delayed bystander cardiopulmonary resuscitation improves prehospital cardiac arrest survivial

Vukmir¹

2004

Emergency Medicine Journal

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Introduction: This study correlated the effect of witnessing a cardiac arrest and instituting bystander CPR (ByCPR), as a secondary end point in a study evaluating the effect of bicarbonate on survival. Methods: This prospective, randomised, double blinded clinical intervention trial enrolled 874 prehospital cardiopulmonary arrest patients encountered in a prehospital urban, suburban, and rural regional emergency medical service (EMS) area. This group underwent conventional advanced cardiac life support intervention followed by empiric early administration of sodium bicarbonate (1 mEq/l), monitoring conventional resuscitation parameters. Survival was measured as presence of vital signs on emergency department (ED) arrival. Data were analysed using x 2 with Pearson correlation and odds ratio where appropriate. Results: The overall survival rate was 13.9% (110 of 792) of prehospital cardiac arrest patients. The mean (SD) time until provision of bystander cardiopulmonary resuscitation (ByCPR) by laymen was 2.08 (2.77) minutes, and basic life support (BLS) by emergency medical technicians was 6.62 (5.73) minutes. There was improved survival noted with witnessed cardiac arrest-a 2.2-fold increase in survival, 18.9% (76 of 402) versus 8.6% (27 of 315) compared with unwitnessed arrests (p,0.001) with a decreased risk ratio of mortality of 0.4534 (95% CI, 0.0857 to 0.1891). The presence of ByCPR occurred in 32% (228 of 716) of patients, but interestingly did not correlate with survival. The survival rate was 18.2% (33 of 181) if ByCPR was performed within two minutes and 12.8% (6 of 47), if performed .two minutes (p = 0.3752). Conclusions: Survival after prehospital cardiac arrest is more likely when witnessed, but not necessarily when ByCPR was performed by laymen.

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“…In most previous studies appropriate bystander cardiopulmonary resuscitation has substantially improved patient outcome [18][19][20][21][22] and therefore it is a crucial challenge for us to educate the general population in the correct cardiopulmonary resuscitation techniques.…”

Section: Discussionmentioning

confidence: 99%

Out-of-Hospital Cardiac Arrest and Survival-An Epidemiological Analysis of Emergency Service Reports in a Large City in Japan-

Kida¹,

Kawamura

Fukuoka

et al. 2004

Circ J

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BackgroundThe factors that influence survival of out-of-hospital cardiac arrest in Japan have not been fully investigated. Methods and ResultsThe official emergency service record was used to investigate 1,600 patients for whom cardiopulmonary resuscitation was attempted by the city's emergency personnel. Only 45 (2.8%) patients survived for 1 month. The survival rate was 9.8% in the patients under 20 years of age, with a marked decreasing trend to 0.8% in the patients aged 80 years or older. The rate peaked at 4.8% on Sunday and bottomed out at 0.5% on Thursday, forming a distinct sine curve. The survival rate was 9.9% when an ambulance arrived at the scene within 4 min, with a steep drop to 2.5% when 4-7 min elapsed. However, the rate was not significantly different by the interval to hospital. Although bystander resuscitation did not significantly affect the survival, paramedics on board significantly improved the rate (3.5% vs 1.6%). Multivariate analysis confirmed that age, day of the week, place, interval to ambulance's arrival, and personnel on board were independently associated with the probability of survival. Conclusions Quick arrival of a paramedic team would improve the survival after out-of-hospital cardiac arrest. General education of lifesaving techniques would be another key factor. (Circ J 2004; 68: 603 -609)

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The effect of bystander CPR on neurologic outcome in survivors of prehospital cardiac arrests

Cited by 35 publications

References 24 publications

Systematic review of quality of life and other patient-centred outcomes after cardiac arrest survival

Systematic review of quality of life and other patient-centred outcomes after cardiac arrest survival

Witnessed arrest, but not delayed bystander cardiopulmonary resuscitation improves prehospital cardiac arrest survivial

Out-of-Hospital Cardiac Arrest and Survival-An Epidemiological Analysis of Emergency Service Reports in a Large City in Japan-

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