Cardiac arrest & resuscitation
Association between bystander physical limitations, delays in chest compression during telecommunicator-assisted cardiopulmonary resuscitation, and outcome after out-of-hospital cardiac arrest
Authors' conclusion
Bystander physical limitations are a common barrier to repositioning patients to begin CPR and are associated with lower likelihood of receiving CPR, longer times to begin CC, and lower survival.
Study context
- Population
- Adults with out-of-hospital cardiac arrest (OHCA) eligible for telecommunicator-assisted cardiopulmonary resuscitation (CPR) (T-CPR), 9–1–1 dispatch recordings, 2013–2021
- Participants
- 3,482 adults
- Exposure
- No delay vs Physical limitation delay vs Other delay
- No delayn = 1,223reference
- Physical limitation delayn = 1,413
- Other delayn = 846
- Outcome
- Repositioning interval (start of positioning instructions to CC onset)
Methodological detailsquality improvement registry
- Quality improvement registry
Main finding
As reported in the abstract
Repositioning interval
Observational data: associations, not effects.
Further findings
Survival · unadjusted survival
- Survival — Lower survival with physical limitation delay persisted after adjustment
- p = 0.009
Original publication
Association between bystander physical limitations, delays in chest compression during telecommunicator-assisted cardiopulmonary resuscitation, and outcome after out-of-hospital cardiac arrest. Resuscitation. Published 3 May 2023. doi:10. 1016/ j. resuscitation. 2023. 109816
Composed by AI from the published abstract and checked against it. How Briefs are made →