Augmented survival of out-of-hospital cardiac arrest victims with the use of mobile phones for emergency communication under the DA-CPR protocol getting information from callers beside the victim
| Autor: | Akira Yamashita, Hideo Inaba, Yukihiro Wato, Tetsuo Maeda, Yasuhiro Myojo |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Emergency Medical Services Time Factors Dispatcher-assisted cardiopulmonary resuscitation Acceptance rate medicine.medical_treatment 030204 cardiovascular system & hematology Emergency Nursing Out of hospital cardiac arrest Time-to-Treatment 03 medical and health sciences 0302 clinical medicine Japan Phone Humans Medicine Landline Cardiopulmonary resuscitation Aged Aged 80 and over Out-of-hospital cardiac arrest business.industry Emergency call 030208 emergency & critical care medicine Middle Aged medicine.disease Survival Analysis Predictive value Emergency Medical Dispatcher Outcome and Process Assessment Health Care Mobile phone Emergency Medicine Bystander cpr Female Medical emergency Cardiology and Cardiovascular Medicine business Cell Phone |
| Zdroj: | Resuscitation. 107:80-87 |
| ISSN: | 0300-9572 |
| Popis: | Purpose To investigate the impacts of emergency calls made using mobile phones on the quality of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) and survival from out-of-hospital cardiac arrests (OHCAs) that were not witnessed by emergency medical service (EMS). Methods In this prospective study, we collected data for 2530 DA-CPR-attempted medical emergency cases (517 using mobile phones and 2013 using landline phones) and 2980 non-EMS-witnessed OHCAs (600 using mobile phones and 2380 using landline phones). Time factors and quality of DA-CPR, backgrounds of callers and outcomes of OHCAs were compared between mobile and landline phone groups. Results Emergency calls are much more frequently placed beside the arrest victim in mobile phone group (52.7% vs. 17.2%). The positive predictive value and acceptance rate of DA-CPR in mobile phone group (84.7% and 80.6%, respectively) were significantly higher than those in landline group (79.2% and 70.9%). The proportion of good-quality bystander CPR in mobile phone group was significantly higher than that in landline group (53.5% vs. 45.0%). When analysed for all non-EMS-witnessed OHCAs, rates of 1-month survival and 1-year neurologically favourable survival in mobile phone group (7.8% and 3.5%, respectively) were higher than those in landline phone group (4.6% and 1.9%; p Embargo Period 12 months |
| Databáze: | OpenAIRE |
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