Cardiac arrest & resuscitation

Barriers to dispatcher-assisted CPR are associated with delayed bystander CPR and worse outcomes in out-of-hospital cardiac arrest: a retrospective cohort study

ResuscitationPublished Retrospective cohort study

Authors' conclusion

Barriers to DA-CPR after dispatcher recognition of cardiac arrest were common and associated with delayed bystander CPR and worse outcomes.

Study context

Population
Out-of-hospital cardiac arrest (OHCA) emergency calls with dispatcher recognition of cardiac arrest, from 5 OHCA studies linked to the Swedish Registry for CPRconfirmed OHCA
Participants
3,263 participants
Exposure
Barrier-present vs Barrier-free
Outcome
Bystander CPR initiation, return of spontaneous circulation (ROSC) and 30-day survival
Methodological detailsBayesian modelling, registry-linked
  • Bayesian modelling
  • Registry-linked

Main finding

As reported in the abstract

Barrier-present vs Barrier-freeAdjusted relative risk (95% CrI)
ROSC; CrI
0.89(0.81–0.98)
30-day survival; CrI
0.57(0.46–0.71)
Calls with ≥1 barrier
43.7%
Cumulative bystander CPR initiation, barrier-free calls
85%

Observational data: associations, not effects.

Further findings

Most common barrier: inability to move the patient (of barrier-present calls)

Inability to move the patient
55.8%

Original publication

Barriers to dispatcher-assisted CPR are associated with delayed bystander CPR and worse outcomes in out-of-hospital cardiac arrest: a retrospective cohort study. Resuscitation. Published 11 September 2026. doi:10.1016/j.resuscitation.2026.111305

Composed by AI from the published abstract and checked against it. How Briefs are made →

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