Outcomes for out-of-hospital cardiac arrests across 7 countries in Asia: The Pan Asian Resuscitation Outcomes Study (PAROS)

Epidemiology and outcomes from out-of-hospital cardiac arrests in England

“…56 in North America 23 and 62 per 100,000 in Denmark. 10 Survival to hospital discharge of all EMS treated cases was 7.9% and while comparable to some other reported rates (CARES USA 9.6, 24 , Korea 8.5% 25 ) the best performing EMS report a survival rate of 21% (King County, USA 2013) 26 and in Norway, based only on cases where the aetiology is presumed cardiac, 25%. 11 The potential for doubling survival rate in England remains.…”

Public knowledge of how to use an automatic external defibrillator in out-of-hospital cardiac arrest in Hong Kong

“…[9][10][11] This survival rate is among the lowest compared with other Asian cities. 12 ORIGINAL ARTICLE had ever been trained in both first aid and use of an automatic external defibrillator were more likely to respond to and help a victim of cardiac arrest, and to use an automatic external defibrillator. …”

The Impact of Dispatcher Assistance in the Rates and Efficacy of Bystander CPR: A Meta-analysis

“…Regional registries like Pan-Asian Resuscitation Out-comes Registry (PAROS) [16] in Asia, and the Resuscitation Outcomes Consortium (ROC) [17] registry in North America have given us an in-depth perspective into the magnitude of difference in survival for OHCAs. North America and Europe have a well-established EMS system as well as greater awareness among in the general public in addition to knowledge among communities regarding cardiac arrest and cardio-pulmonary resuscitation (CPR).…”

“…A 2010 systematic review [18] found that the percentage of Ventricular Fibrillation and survival to discharge rates in Asia were lower (11% and 2% respectively) than those in Europe (35% and 9% respectively), North America (28% and 6% respectively), or Australia (40% and 11% respectively) (P<0.001, P<0.001). A recent more inclusive study of OHCA outcomes in Asia, the PAROS [16] study, found that the overall survival to hospital discharge varied from 0.5% to 8.5% in the 7 Asian countries included in the study. This finding emphasizes the need for further development of EMS in Asia.…”