Cardiac arrest & resuscitation
Prompt dispatcher-initiated tele-CPR and facilitation of bystander’s CPR to improve out-of-hospital cardiac arrest outcomes: A prospective cohort study from Finland
Authors' conclusion
Quick tele-CPR guidance may be related to/ associated with improving the chances for shockable initial rhythm, thus further improving the chances for long-term survival.
Study context
- Population
- Patients with OHCA recognisable during the emergency call, Pirkanmaa, Finland, 2022451 recordings received
- Participants
- 246 patients
- Exposure
- Shockable rhythm vs Non-shockable rhythm
- Outcome
- Dispatcher recognition of OHCA and patient outcomes
Main finding
As reported in the abstract
Time to tele-CPR guidance and bystander CPR, by rhythm on EMS arrival
- OHCA recognised by dispatcher
- 217 (88 %)
- Each minute of delay in tele-CPR guidance decreased probability of shockable initial rhythm by 23 %: OR 0.76 [0.61;0.95]
- p = 0.018
Observational data: associations, not effects.
Further findings
Shockable initial rhythm among patients alive vs not alive at 3 months · three months
- 83 % vs 21 %
- P < 0.001
- Multivariable: shockable initial rhythm favoured 3-month survival, OR 16.67 [5.41;52.63]
- P < 0.001
Overall survival · three months
%
- Overall survival 29/246
- 12
- Survivors with Cerebral Performance Category 1-2, 26/29
- 90
Original publication
Prompt dispatcher-initiated tele-CPR and facilitation of bystander’s CPR to improve out-of-hospital cardiac arrest outcomes: A prospective cohort study from Finland. Resuscitation. Published 6 August 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →