Early prehospital mechanical cardiopulmonary resuscitation use for out-of-hospital cardiac arrest: an observational study.

Autor: Liu YK; Department of Emergency Medicine, Wan Fang Hospital, Taipei Medical University, Taipei City, Taiwan.; Department of Medicine, Taipei Medical University, Taipei City, Taiwan.; New Taipei City Fire Department, New Taipei City, Taiwan.; Department of Public Health, National Taiwan University, No. 17, Xuzhou Rd., Zhongzheng Dist., Taipei City (100), Taiwan., Chen LF; Department of Emergency Medicine, Wan Fang Hospital, Taipei Medical University, Taipei City, Taiwan.; New Taipei City Fire Department, New Taipei City, Taiwan., Huang SW; Department of Pediatrics, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan., Hsu SC; Department of Emergency Medicine, Wan Fang Hospital, Taipei Medical University, Taipei City, Taiwan.; Department of Medicine, Taipei Medical University, Taipei City, Taiwan., Hsu CW; Department of Emergency Medicine, Wan Fang Hospital, Taipei Medical University, Taipei City, Taiwan.; Department of Medicine, Taipei Medical University, Taipei City, Taiwan.; New Taipei City Fire Department, New Taipei City, Taiwan., Sun JT; New Taipei City Fire Department, New Taipei City, Taiwan.; Department of Emergency Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan., Chang SH; Department of Public Health, National Taiwan University, No. 17, Xuzhou Rd., Zhongzheng Dist., Taipei City (100), Taiwan. 103325@w.tmu.edu.tw.
Jazyk: angličtina
Zdroj: BMC emergency medicine [BMC Emerg Med] 2024 Oct 19; Vol. 24 (1), pp. 198. Date of Electronic Publication: 2024 Oct 19.
DOI: 10.1186/s12873-024-01115-6
Abstrakt: Background: The use of mechanical cardiopulmonary resuscitation device has been very prevalent in out-of-hospital cardiac arrest rescue. This study aimed to investigate whether the timing of mechanical cardiopulmonary resuscitation device set-up correlated with the the outcome of cardiac arrest patients.
Methods: We retrospectively reviewed adult nontrauma cardiac arrest cases in New Taipei City, Taiwan, from January to December 2022. Demographic data, intervention-related factors, and the time variables of mechanical cardiopulmonary resuscitation were collected. The outcomes included the return of spontaneous circulation and 24-hour survival. We compared patients who achieved spontaneous circulation and those who did not with univariate and multivariable regression analyses.
Results: In total, 1680 patients who received mechanical cardiopulmonary resuscitation were included in the analysis. Reducing the time interval from manual chest compression initiation to device setup was independently associated with the return of spontaneous circulation and 24-hour survival, especially in the subgroup of patients of initial shockable rhythm. Receiver operating characteristic analysis revealed that the outcome of patients with an initial shockable rhythm could be predicted by the mechanical cardiopulmonary resuscitation setup time, with areas under the curve of 60.8% and 63.9% for ROSC and 24-hour survival, respectively. The cutoff point was 395.5 s for patients with an initial shockable rhythm.
Conclusion: A positive correlation was found between early mechanical cardiopulmonary resuscitation intervention and the outcomes of out-of-hospital cardiac arrest patients. The time between manual chest compression and device setup could predict the return of spontaneous circulation and 24-hour survival in the subgroup of patients with initially shockable rhythm with the optimal cutoff point at 395.5 s.
(© 2024. The Author(s).)
Databáze: MEDLINE
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