Bystander CPR – EuReCa_ Serbia 2014 -2019
Abstract
ABSTRACT
The aim
of this study is to determinate a chance of surviving in bystander CPR in out-of-hospital cardiac arrest (OHCA) in Serbia.
Methodology:
The study was conducted as a prospective and observational study of the collection of data in the period 2014 -2019 via the National OHCA Registry Serbia. EuReCa program is registered Clinical Trial ID:NCT03130088. Data analysis was done by IBM SPSS Statistics 20.
Results:
A total of 6312 OHCA is registered. A witness was present in 3655/6312 or 57,9% OHCA, but CPR is done in 365/3655, or 10,2% witness presented OHCA. ROSC is achieved in 9,7% patients, 6,6% patients which CPR by bystander were not done and 28,1% patients in which CPR by bystander were done, which is statistically significant (χ2 = 122,792; df = 1; p = 0.000). A chance for ROSC is 5,4 higher when CPR by bystander is done before EMS arrival (OR = 5,4; 95% C.I. 3,967-7.377). ROSC has commonly occurred in older males with shorter EMS time to arrival but most important is bystander CPR.
Conclusion:
People who experienced out-of-hospital cardiac arrest have a 5,4 higher chance for ROSC which means, finally observing, a higher chance for survival when bystander CPR is performed.
References
Atwood C, Eisenberg MS, Herlitz J, Rea TD. Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation 2005;67:75–80. 10.1016/j.resuscitation. 2005.03.021
Tijanic, J., Raffay, V., Budimski, M., 2017. EuReCa 2017: Follow up in Republic of Serbia: Six months report. Journal Resuscitatio Balcanica 3, 37–40. doi:10.5937/jrb1707013t
Fiser, Z., Budimski, M., Jaksic-Horvat, K., 2016. EURECA 2015: Serbia. Journal Resuscitatio Balcanica 2, 5–8. doi:10.5937/jrb1605005f
Gyllenborg, T., Granfeldt, A., ... Folke, F., 2017. Quality of bystander cardiopulmonary resuscitation during real-life out-of-hospital cardiac arrest. Resuscitation 120, 63–70. doi:10.1016/j.resuscitation. 2017.09.006
Wik, L., Kramer-Johansen, Jo, ... Steen, P.A., 2005. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. Journal of the American Medical Association 293, 299– 304. doi:10.1001/jama.293.3.299
Bohn A, Weber TP, Wecker S, Harding U, Osada N, Van Aken H, et al. The addition of voice prompts to audiovisual feedback and debriefing does not modify CPR quality or outcomes in out of hospital cardiac arrest—a prospective, randomized trial. Resuscitation 2011;82:257–62. 10.1016/j.resuscitation.2010.11.006
Stiell IG, Brown SP, Nichol G, Cheskes S, Vaillancourt C, Callaway CW, et al. What is the optimal chest compression depth during out-of-hospital cardiac arrest resuscitation of adult patients? Circulation 2014;130:1962–70. 10.1161/CIRCULATIONAHA.114.008671
Vadeboncoeur T, Stolz U, Panchal A, Silver A, Venuti M, Tobin J, et al. Chest compression depth and survival in out-of-hospital cardiac arrest. Resuscitation 2014;85:182–8. 10.1016/j.resuscitation. 2013.10.002
Yang, C.W., Wang, H.C., ... Chang, S.C., 2009. Interactive video instruction improves the quality of dispatcher-assisted chest compression-only cardiopulmonary resuscitation in simulated cardiac arrests. Critical Care Medicine 37, 490–495. doi:10.1097/CCM.0b013e31819573a5
Gallagher, E.J., Lombardi, G., Gennis, P., 1995. Effectiveness of Bystander Cardiopulmonary Resuscitation and Survival Following Out-of-Hospital Cardiac Arrest. JAMA: The Journal of the American Medical Association 274, 1922–1925. doi:10.1001/jama.1995.03530240032036
Fernando, S.M., Vaillancourt, C., ... Stiell, I.G., 2018. Analysis of bystander CPR quality during out-of-hospital cardiac arrest using data derived from automated external defibrillators. Resuscitation 128, 138–143. doi:10.1016/j.resuscitation. 2018.05.012
Takei, Y., Nishi, T., ... Inaba, H., 2014. Factors associated with quality of bystander CPR: The presence of multiple rescuers and bystander-initiated CPR without instruction. Resuscitation 85, 492–498. doi:10.1016/j.resuscitation.2013.12.019
Bouland, A.J., Risko, N., ... Levy, M.J., 2015. The Price of a Helping Hand: Modeling the Outcomes and Costs of Bystander CPR. Prehospital Emergency Care 19, 524–534. doi:10.3109/1090 3127.2014.995844
Gyllenborg, T., Granfeldt, A., ... Folke, F., 2017. Quality of bystander cardiopulmonary resuscitation during real-life out-of-hospital cardiac arrest. Resuscitation 120, 63–70. doi:10.1016/j.resuscitation. 2017.09.006
Chen, K.Y., 2019. Interventions to improve the quality of bystander cardiopulmonary resuscitation: A systematic review. PLoS ONE. doi:10.1371/journal.pone.0211792
Vaillancourt, C., Stiell, I.G., Wells, G.A., 2008. Understanding and improving low bystander CPR rates: A systematic review of the literature. Canadian Journal of Emergency Medicine. doi:10.1017/S1481803500010010
Kellermann, A.L., Hackman, B.B., Somes, G., 1989. Dispatcher- assisted cardiopulmonary resusctitation. Validation of efficacy. Circulation 80, 1231–1239. doi:10.1161/01.CIR.80.5.1231
Teo, M.H.N., 2019. The use of dispatcher assistance in improving the quality of cardiopulmonary resuscitation: A randomised controlled trial. Resuscitation 138, 153–159. doi:10.1016/j. resuscitation.2019.03.003
