Cardiac arrest & resuscitation

Effectiveness of dispatcher-assisted cardiopulmonary resuscitation in private home versus public locations for out-of-hospital cardiac arrest patients − A retrospective cohort study

ResuscitationPublished Retrospective cohort study

Main finding · Chest compressions administeredResult — go to the resultAdjusted odds ratio 0.48 CI 0.31–0.75

Authors' conclusion

This study demonstrated reduced DACPR effectiveness in public places compared to private homes, potentially influenced by caller factors, environmental conditions, and the caller-patient relationship.

Study context

Population
Out-of-hospital cardiac arrest (OHCA) incidents with emergency medical service (EMS) activation in Taichung City, Taiwan, May 1, 2021–April 30, 2022
Participants
1,160 participants
Exposure
Dispatcher-assisted cardiopulmonary resuscitation (DACPR) in public places vs private homes
  • Public placesn = 151
  • Private homesn = 1,009reference
Outcome
Number of successful chest compressions performed

Main finding

Chest compressions administered

Adjusted odds ratio

0.48

CI 0.31–0.75

By group

Public places vs Private homes
aOR 0.48 (CI 0.31–0.75)

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

OHCA recognition

Hazardous environments or physical barriers encountered by callers

Caller refused to execute instructions

Emotional or psychological obstacles

Call-to-OHCA recognition time

OutcomeaOR (CI)
Chest compressions, family vs non-family members in private homes (subgroup)1.81 (1.15–2.83)
OutcomeAdjusted beta (s) (CI)
Time to chest compression, family vs non-family members in private homes (subgroup)−30 (−55.6 to −6.3)
  • Chest compressions, family vs non-family members in private homes (subgroup): Family members 67.1 %
  • Chest compressions, family vs non-family members in private homes (subgroup): Non-family members 53.8 %
  • Time to chest compression, family vs non-family members in private homes (subgroup): Family members 160 s
  • Time to chest compression, family vs non-family members in private homes (subgroup): Non-family members 171 s

Original publication

Effectiveness of dispatcher-assisted cardiopulmonary resuscitation in private home versus public locations for out-of-hospital cardiac arrest patients − A retrospective cohort study. Resuscitation. Published 29 October 2024. doi:10.1016/j.resuscitation.2024.110421

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