Dispatchers trained in persuasive communication techniques improved the effectiveness of dispatcher-assisted cardiopulmonary resuscitation
Authors' conclusion
The new communication model has enhanced the effectiveness of DACPR in terms of the ROSC rate, particularly when the caller was a family member or female, leading to improved rates of ROSC and favorable neurological outcomes.
Study context
- Population
- Non-trauma out-of-hospital cardiac arrest (OHCA) cases, Taichung dispatch center, May–Sep 2021 and Nov 2021–Mar 2022
- Participants
- 640 vs 580
- Comparison
- Post-intervention vs pre-intervention dispatcher-assisted cardiopulmonary resuscitation (DACPR)
- Preinterventionn = 640reference
- Postinterventionn = 580
- Outcome
- ROSC, time to first chest compression and good neurological outcome
Methodological detailssingle dispatch centre
- Single dispatch centre
Main finding
As reported in the abstract
ROSC
P < 0.001
Good neurological outcome
P = 0.024
Seconds
| Outcome | Preintervention | Postintervention | P value |
|---|---|---|---|
| Time to first chest compression | 168 | 151 | P = 0.004 |
Further findings
| Outcome | Adjusted OR (95% CI) | P value |
|---|---|---|
| ROSC, caller a family member (subgroup)Multivariable regression model | 1.78 (0.59–1.25) | P < 0.001 |
- Return of spontaneous circulation (ROSC), caller a family member (subgroup) — ROSC, family caller: pre vs post intervention
- 18.7% vs. 31.4%, p < 0.001
ROSC and good neurological outcome, female caller (subgroup)
- ROSC, female caller: before vs after intervention
- 19.8% vs. 36.6%, p < 0.001
- Good neurological outcome, female caller: before vs after intervention
- 2.7% vs. 7.5%, p = 0.006
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Dispatchers trained in persuasive communication techniques improved the effectiveness of dispatcher-assisted cardiopulmonary resuscitation. Resuscitation. Published 22 January 2024. doi:10. 1016/ j. resuscitation. 2024. 110120
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