Mortality after out-of-hospital cardiac arrest in a Spanish Region

Requena-Morales, Rosa; Palazón‐Bru, Antonio; Baeza, María Mercedes Rizo; Adsuar-Quesada, José Manuel; Gil-Guillén, Vicente Francisco; Cortés‐Castell, Ernesto

doi:10.1371/journal.pone.0175818

Cited by 17 publications

(14 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Since many factors play a role in survival of a cardiac arrest (e.g. gender, pre-existing medical condition, underlying cause, witnessed collapse) larger studies are needed to proof the clinical relevance of these findings [33].…”

Section: Limitationsmentioning

confidence: 99%

Real-time feedback improves chest compression quality in out-of-hospital cardiac arrest: A prospective cohort study

et al. 2020

View full text Add to dashboard Cite

Background Current guidelines underline the importance of high-quality chest compression during cardiopulmonary resuscitation (CPR), to improve outcomes. Contrary to this many studies show that chest compression is often carried out poorly in clinical practice, and long interruptions in compression are observed. This prospective cohort study aimed to analyse whether chest compression quality changes when a real-time feedback system is used to provide simultaneous audiovisual feedback on chest compression quality. For this purpose, pauses in compression, compression frequency and compression depth were compared. Methods The study included 292 out-of-hospital cardiac arrests in three consecutive study groups: first group, conventional resuscitation (no-sensor CPR); second group, using a feedback sensor to collect compression depth data without real-time feedback (sensor-only CPR); and third group, with real-time feedback on compression quality (sensor-feedback CPR). Pauses and frequency were analysed using compression artefacts on electrocardiography, and compression depth was measured using the feedback sensor. With this data, various parameters were determined in order to be able to compare the chest compression quality between the three consecutive groups. Results The compression fraction increased with sensor-only CPR (group 2) in comparison with nosensor CPR (group 1) (80.1% vs. 87.49%; P < 0.001), but there were no further differences belonging compression fraction after activation of sensor-feedback CPR (group 3) (P = 1.00). Compression frequency declined over the three study groups, reaching the guideline

show abstract

Section: Limitationsmentioning

confidence: 99%

Real-time feedback improves chest compression quality in out-of-hospital cardiac arrest: A prospective cohort study

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The perfusion of the heart, brain, and other vital organs impair after heart and respiratory arrest, and irreversible damage occurs in vital organs in every minute that passes without interruption 4 5, 6, 7. Thus, starting basic life support (BLS) quickly by passers-by is of the utmost importance until emergency medical teams arrive.…”

Section: Introductionmentioning

confidence: 99%

The evaluation of laypersons awareness of basic life support at the university in Izmir

Pehlivan

Mercan

ÇİNAR>

et al. 2019

Turkish Journal of Emergency Medicine

View full text Add to dashboard Cite

ObjectivesBasic Life Support (BLS) is the application of cardiopulmonary resuscitation (CPR) in order to save the lives of cardiac arrest victims by members of the public pending the arrival of the Emergency Medical Service (EMS). The aim of this study was to evaluate the effectiveness of training in order to ensure society understands the importance of early initiation of BLS, and to provide information concerning BLS and automated external defibrillators (AED).MethodsThis study consisted of 150 participants, of whom none were healthcare professionals. The research data were collected from 150 pre-tests and 100 post-tests. A Comparison of nominal data was analyzed by both McNemar's test and Pearson's chi-square exact test.ResultsOf the participants, 39% had received the BLS training prior to the study. It was observed that the participants’ desire for applying BLS increased from 43% to 78% post training, and the ratio of ability to distinguish the need for BLS increased from 54% to 79%. Our results also indicated that the knowledge level of the CPR application increased after the study. The proportion of participants who knew the purpose of using AED increased from 79.8% to 95.7%.ConclusionsIt was concluded that the BLS Awareness training increased in relation to the application of BLS, improved the BLS knowledge and increased awareness of the use of AED.

show abstract

“…According to the Spanish registry for out-of-hospital cardiorespiratory arrest, in more than half of the cases (56.7%), basic life support was carried out before the arrival of the Prehospital Emergency Medical Services (PhEMS) [ 1 ]. The immediate performance of cardiopulmonary resuscitation (CPR) protocols become a crucial intervention for the survival of the affected patient [ 1 , 3 ]. Survival rates after out-of-hospital cardiorespiratory arrest range from 5.0% to 30.0% in different European countries, increasing considerably in those cases where early CPR is performed [ 2 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Physiological Response of Quality Cardiopulmonary Resuscitation, Crossover Trial on Mannequin in Extreme Temperature Conditions

Conty

Polonio-López

Maestre-Miquel

et al. 2020

IJERPH

View full text Add to dashboard Cite

Background: To determine the relationship between physiological fatigue and the quality of cardiopulmonary resuscitation (CPR) in trained resuscitators in hostile thermal environments (extreme cold and heat) simulating the different conditions found in an out-of-hospital cardiorespiratory arrest. Methods: Prospective observational study involving 60 students of the health sciences with training in resuscitation, who simulated CPR on a mannequin for 10 min in different thermal environments: thermo-neutral environment (21 °C and 60% humidity), heat environment (41 °C and 98% humidity) and cold environment (−35 °C and 80% humidity). Physiological parameters (heart rate and lactic acid) and CPR quality were monitored. Results: We detected a significant increase in the number of compressions per minute in the “heat environment” group after three minutes and in the mean rate after one minute. We observed a negative correlation between the total number of compressions and mean rate with respect to mean depth. The fraction of compressions (proportion of time in which chest compressions are carried out) was significant over time and the mean rate was higher in the “heat environment”. Physiological parameters revealed no differences in heart rate depending on the resuscitation scenario; however, there was a greater and faster increase in lactate in the “heat environment” (significant at minute 3). The total proportion of participants reaching metabolic fatigue was also higher in the “heat environment”. Conclusions: A warm climate modifies metabolic parameters, reducing the quality of the CPR maneuver.

show abstract

Mortality after out-of-hospital cardiac arrest in a Spanish Region

Cited by 17 publications

References 26 publications

Real-time feedback improves chest compression quality in out-of-hospital cardiac arrest: A prospective cohort study

Real-time feedback improves chest compression quality in out-of-hospital cardiac arrest: A prospective cohort study

The evaluation of laypersons awareness of basic life support at the university in Izmir

Physiological Response of Quality Cardiopulmonary Resuscitation, Crossover Trial on Mannequin in Extreme Temperature Conditions

Contact Info

Product

Resources

About