Cardiac arrest & resuscitation

Effect of bystander cardiopulmonary resuscitation type on 1-month survival in drowning following out-of-hospital cardiac arrest in natural water bodies: a nationwide retrospective cohort study

ResuscitationPublished Retrospective cohort study

Authors' conclusion

In cases of drowning following OHCA in natural water bodies, both conventional CPR and hands-only CPR indicated a beneficial causal effect on 1-month survival compared to no-BCPR, with conventional CPR showing greater causal effect.

Study context

Population
Drowning following out-of-hospital cardiac arrest (OHCA) in natural water bodies (e.g., sea, river/pond), Japan, 2016–2022eligible for analysis
Participants
3,914 participants
Exposure
Hands-only CPR or conventional CPR vs no bystander CPR
  • no-BCPRn = 2,633reference
  • Hands-only CPRn = 1,049
  • Conventional CPRn = 232
Outcome
1-month survival
Follow-up
1 month
Methodological detailsnationwide registry, multivariable logistic regression
  • Nationwide registry
  • Multivariable logistic regression

Main finding

As reported in the abstract

AOR for 1-month survival (95% CI)
Conventional CPR vs no-BCPR
3.70(2.31–5.93)
Hands-only CPR vs no-BCPR
1.74(1.19–2.54)
Hands-only CPR and conventional CPRcomparison as printed: "hands-only CPR and conventional CPR was positively associated with 1-month survival"
2.13(1.41–3.23)

Observational data: associations, not effects.

Original publication

Effect of bystander cardiopulmonary resuscitation type on 1-month survival in drowning following out-of-hospital cardiac arrest in natural water bodies: a nationwide retrospective cohort study. Resuscitation. Published 1 April 2026. doi:10.1016/j.resuscitation.2026.111079

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

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