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

ResuscitationPublished Retrospective cohort study

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 →

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