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
Main finding · Chest compressions administeredResult — go to the resultAdjusted odds ratio 0.48 CI 0.31–0.75Authors' 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
| Outcome | aOR (CI) | |
|---|---|---|
| Chest compressions, family vs non-family members in private homes (subgroup) | 1.81 (1.15–2.83) | |
| 0.20.5125Adjusted odds ratio (log scale) |
| Outcome | Adjusted 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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