Mobile Smartphone Technology Is Associated With Out-of-hospital Cardiac Arrest Survival Improvement: The First Year 'Greater Paris Fire Brigade' Experience
| Autor: | Alexandre Mignon, Xavier Demaison, Paul Dardel, Laurent Prieux, Frédérique Briche, Félicité de Charry, Romain Kedzierewicz, Eric Faraon, Frédéric Lemoine, Daniel Jost, Xavier Lesaffre, Eric Gauyat, Benoit Frattini, Olga Maurin, John Gaudet, Olivier Stibbe, Clément Derkenne, Florian Roquet, Emmanuel Rozenberg, Bertrand Prunet, Sabine Lemoine, Stéphane Travers |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Emergency Medical Services Paris medicine.medical_treatment Intervention group Out of hospital cardiac arrest Time-to-Treatment Cohort Studies 03 medical and health sciences 0302 clinical medicine medicine Hospital discharge Odds Ratio Humans Cardiopulmonary resuscitation Fire brigade Aged business.industry High mortality 030208 emergency & critical care medicine General Medicine Middle Aged Large urban area Mobile Applications Cardiopulmonary Resuscitation Case-Control Studies Emergency medicine Emergency Medicine Female Smartphone business Out-of-Hospital Cardiac Arrest Cohort study |
| Zdroj: | Academic emergency medicine : official journal of the Society for Academic Emergency MedicineReferences. 27(10) |
| ISSN: | 1553-2712 |
| Popis: | BACKGROUND Out-of-hospital cardiac arrest (OHCA) remains associated with very high mortality. Accelerating the initiation of efficient cardiopulmonary resuscitation (CPR) is widely perceived as key to improving outcomes. The main goal was to determine whether identification and activation of nearby first responders through a smartphone application named Staying Alive (SA) can improve survival following OHCA in a large urban area (Paris). METHODS We conducted a nonrandomized cohort study of all adults with OHCA managed by the Greater Paris Fire Brigade during 2018, irrespective of mobile application usage. We compared survival data in cases where SA did or did not lead to the activation of nearby first responders. During dispatch, calls for OHCA were managed with or without SA. The intervention group included all cases where nearby first responders were successfully identified by SA and actively contributed to CPR. The control group included all other cases. We compared survival at hospital discharge between the intervention and control groups. We analyzed patient data, CPR metrics, and first responders' characteristics. RESULTS Approximately 4,107 OHCA cases were recorded in 2018. Among those, 320 patients were in the control group, whereas 46 patients, in the intervention group, received first responder-initiated CPR. After adjustment for confounders, survival at hospital discharge was significantly improved for patients in the intervention group (35% vs. 16%, adjusted odds ratio = 5.9, 95% confidence interval = 2.1 to 16.5, p |
| Databáze: | OpenAIRE |
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