Cardiac arrest & resuscitation

Paramedic-assessed quality of bystander CPR is associated with survival in out-of-hospital cardiac arrest

ResuscitationPublished Population-based registry study

Authors' conclusion

Quality of bCPR is of greater importance than the fact that bCPR was performed.

Study context

Population
Out-of-hospital cardiac arrest (OHCA) cases, NSW Ambulance OHCA registry, 2021–2024
Participants
17,715 cases
Exposure
Bystander CPR vs no bystander CPR
Outcome
30-day survival
Follow-up
30 days
Methodological detailsmultivariate models
  • Multivariate models

Main finding

As reported in the abstract

Multivariate model
Each group vs no bCPRAOR for 30-day survival (95% CI)
bCPR
1.70(1.24–2.34)
Good-quality bCPR
2.62(1.86–3.68)
Poor-quality bCPR
0.99(0.68–1.45)

Observational data: associations, not effects.

Further findings

Bystander CPR (bCPR) performance and quality recording

bCPR performed
59.4%
bCPR quality recorded
62.1%

Factors associated with bCPR being performed and its quality

Younger age, witnessed arrest and non-residential location associated with increased odds of bCPR being performed and being of good quality
Male sex and EMS response time <10 min associated with lower odds of bCPR being performed but not with bCPR quality

Original publication

Paramedic-assessed quality of bystander CPR is associated with survival in out-of-hospital cardiac arrest. Resuscitation. Published 26 June 2026. doi:10.1016/j.resuscitation.2026.111187

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

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