Effects of dispatcher-assisted bystander cardiopulmonary resuscitation on neurological recovery in paediatric patients with out-of-hospital cardiac arrest based on the pre-hospital emergency medical service response time interval

A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children

“…Of the 33 included studies, 15 were conducted in the adult population only 16,20,22,25,27,31,34,37,[41][42][43][44][45]47,49 , five were conducted in the pediatric population ILCOR DA-CPR Systematic Review -Feb 19 2019 10 only 15,18,26,33,40 , and 13 included both adults and children 17,19,21,23,[28][29][30]32,[35][36][37]45,48 . The proportion of males ranged from 52% to 85% (average 66%).…”

“…Survival with favourable neurologic outcome was reported at 1 month (unadjusted data was available in 2 studies 28,45 , adjusted data from 1 study 31 ) and at ILCOR DA-CPR Systematic Review -Feb 19 2019 13 hospital discharge (unadjusted data from 3 studies 18,37,48 , adjusted data from study 40…”

“…Survival was reported at three time points: at hospital admission (unadjusted data in 1 study 28 ), at 1 month (unadjusted data from 5 studies 26,27,28,31,47 , adjusted data from 2 studies 31,47 ) and at hospital discharge (unadjusted data from 9 studies 16,18,22,29,36,37,38,41,48 , adjusted data from one study 40…”

“…These studies had very low certainty with serious risk of bias. For survival at hospital discharge both unadjusted 16,18,20,22,29,34,36,37,38,40,41,48 (OR 1.67; [1.39, 2.0]) and adjusted 18,38,40,48 analysis (AOR 1.40; [1.09, 1.78]) indicated benefit with DA-CPR.…”

“…This systematic review added 3 pediatric studies (Ro 2016 33 , Lee 2017 40 , Chang 18 ) to the 2 studies (Akahane 2012 15 , Goto 2014 26 ) from the previous iteration in 2015 and performed additional subgroup analyses comparing these to the adult studies.…”