Impact of smartphone activated first responders on provision of bystander CPR, bystander AED and outcomes for out-of-hospital cardiac arrest (OHCA)
Authors' conclusion
We found that the implementation of technology-activated first responders was associated with an improvement in the performance of bystander CPR, bystander AED application, and OHCA outcomes in an urban area.
Study context
- Population
- Adults with non-traumatic OHCA, Singapore Pan-Asian Resuscitation Outcomes Study, 2016–2019
- Participants
- 9,167 adults
- Exposure
- myResponder activated vs non-activated
- Activatedn = 5,499
- Outcome
- Bystander CPR and bystander AED
Methodological detailsregistry-based, multivariable logistic regression
- Registry-based
- Multivariable logistic regression
Main finding
As reported in the abstract
Activated vs Non-activatedAdjusted odds ratio (95% CI)
Bystander CPR
5.69(4.89–6.62)
Bystander AED
2.23(1.82–2.74)
Observational data: associations, not effects.
Secondary outcomes
| Outcome | aOR of 30-day survival with favourable neurological outcome (95% CI) | |
|---|---|---|
| Survival at 30 days with favourable neurological outcome (cerebral performance category 1-2)Higher in activated (better survival) · multivariable logistic regression | 1.54 (1.11–2.15) | |
| 0.512AOR of 30-day survival with favourable neurological outcome (log scale) |
Original publication
Impact of smartphone activated first responders on provision of bystander CPR, bystander AED and outcomes for out-of-hospital cardiac arrest (OHCA). Resuscitation. Published 16 May 2025. doi:10. 1016/ j. resuscitation. 2025. 110645
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