Abstract 228: Evaluation of Telephone-Assisted Cardiopulmonary Resuscitation Performance Recommendations for Out-Of-Hospital Sudden Cardiac Arrest
| Autor: | Yih Yng Ng, Marcus Eng Hock Ong, Shalini Arulanandam, Audrey L Blewer, Anjni Joiner, Pin Pin Pek, Nur Shahidah Binte Ahmad, Truls Østbye, Angel Guerrero, Benjamin Sieu-Hon Leong |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Out of hospital
medicine.medical_specialty business.industry medicine.medical_treatment education Sudden cardiac arrest health services administration Physiology (medical) Emergency medicine medicine Bystander cpr cardiovascular diseases Cardiopulmonary resuscitation medicine.symptom Cardiology and Cardiovascular Medicine business therapeutics health care economics and organizations |
| Zdroj: | Circulation. 142 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/circ.142.suppl_4.228 |
| Popis: | Introduction: Telephone-assisted CPR (T-CPR) may improve bystander CPR (B-CPR) rates and survival from sudden cardiac arrest (SCA). The American Heart Association (AHA) has specified performance measures to ensure rapid provision of T-CPR instructions. Few studies have examined whether these individual T-CPR recommendations are associated with SCA outcomes. Objectives: We sought to assess whether the 2012 AHA Scientific Statement’s T-CPR evaluation metrics are associated with increased B-CPR and survival from SCA. We hypothesized that recognition of arrest and compliance with the T-CPR protocol will result in increased likelihood of B-CPR. Methods: We conducted a retrospective assessment of non-traumatic SCAs from the Singapore T-CPR Pan-Asian Resuscitation Outcomes Study. We modeled the likelihood of receipt of B-CPR and survival to hospital discharge controlling for potential confounders. Exposure variables were identified from the Scientific Statement including adherence to T-CPR algorithms, dispatcher recognition of need for CPR, barriers to CPR (yes/no), and time intervals. Results: From 7/2012-2016, the Singapore T-CPR registry contained 3,224 adjudicated SCA events. Mean age was 67±19, 62% of the patients were male, and 87% of the arrests occurred in the home; of these arrests, 75% received T-CPR and 4% survived to hospital discharge. Compliance with the T-CPR protocol algorithm was not associated with an increased likelihood of B-CPR and survival (p=ns, both). Dispatcher recognition of the need for CPR was associated with a 24.9 (12.9-47.9) increased likelihood of B-CPR p Conclusion: Rapid dispatch of EMS ( |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|