Quality of bystander cardiopulmonary resuscitation during real-life out-of-hospital cardiac arrest
| Autor: | Tore Gyllenborg, Asger Granfeldt, Fredrik Folke, Ingunn S Riddervold, Freddy Lippert |
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| Rok vydání: | 2017 |
| Předmět: |
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Emergency Medical Services Resuscitation Percentile medicine.medical_specialty Time Factors Denmark medicine.medical_treatment Electric Countershock Heart Massage 030204 cardiovascular system & hematology Emergency Nursing Out of hospital cardiac arrest 03 medical and health sciences 0302 clinical medicine Journal Article Humans Bystander cardiopulmonary resuscitation Medicine Cardiopulmonary resuscitation Automated external defibrillator business.industry 030208 emergency & critical care medicine Data compression ratio medicine.disease Cardiopulmonary Resuscitation Practice Guidelines as Topic Emergency medicine Emergency Medicine Female Medical emergency Cardiology and Cardiovascular Medicine business Out-of-Hospital Cardiac Arrest Clinical death Defibrillators |
| Zdroj: | Gyllenborg, T, Granfeldt, A, Lippert, F, Riddervold, I S & Folke, F 2017, ' Quality of bystander cardiopulmonary resuscitation during real-life out-of-hospital cardiac arrest ', Resuscitation, vol. 120, pp. 63-70 . https://doi.org/10.1016/j.resuscitation.2017.09.006 |
| ISSN: | 0300-9572 |
| DOI: | 10.1016/j.resuscitation.2017.09.006 |
| Popis: | Background Cardiopulmonary resuscitation (CPR) can increase survival in out-of-hospital cardiac arrest (OHCA). However, little is known about bystander CPR quality in real-life OHCA. Aim To describe bystander CPR quality based on automated external defibrillator (AED) CPR process data during OHCA and compare it with the European Resuscitation Council 2010 and 2015 Guidelines. Methods We included OHCA cases from the Capital Region, Denmark, (2012–2016) where a Zoll AED was used before ambulance arrival. For cases with at least one minute of continuous data, the initial 10 min of CPR data were analysed for compression rate, depth, fraction and compressions delivered for each minute of CPR. Data are presented as median [25th;75th percentile]. Results We included 136 cases. Bystander median compression rate was 101 min−1 [94;113], compression depth was 4.8 cm [3.9;5.8] and compressions per minute were 62 [48;73]. Of all cases, the median compression rate was 100–120 min−1 in 42%, compression depth was 5–6 cm in 26%, compression fraction ≥ 60% in 51% and compressions delivered per minute exceeded 60 in 54%. In a minute-to-minute analysis, we found no evidence of deterioration in CPR quality over time. The median peri-shock pause was 27 s [23;31] and the pre-shock pause was 19 s [17;22]. Conclusions The median CPR performed by bystanders using AEDs with audio-feedback in OHCA was within guideline recommendations without deterioration over time. Compression depth had poorer quality compared with other parameters. To improve bystander CPR quality, focus should be on proper compression depth and minimizing pauses. |
| Databáze: | OpenAIRE |
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