Swedish dispatchers’ compliance with the American Heart Association performance goals for dispatch-assisted cardiopulmonary resuscitation and its association with survival in out-of-hospital cardiac arrest: A retrospective study

Byrsell, Fredrik; Claesson, Andreas; Jonsson, Martin; Svensson, Leif; Nordberg, Per; Forsberg, Sune; Hollenberg, Jacob; Nord, Anette

doi:10.1016/j.resplu.2021.100190

Cited by 8 publications

(5 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…32 Time delays to CPR instructions were long but comparable to previously reported results and to OHCAs not randomized during the study period. 33,34 In summary, we found no indication of time delays to EMS dispatch or CPR instructions caused by the trial itself.…”

Section: Safety Measures and Intermediate Clinical Outcomesmentioning

confidence: 59%

Compression-Only or Standard Cardiopulmonary Resuscitation for Trained Laypersons in Out-of-Hospital Cardiac Arrest: A Nationwide Randomized Trial in Sweden

Riva,

Boberg,

Ringh

et al. 2024

Circ: Cardiovascular Quality and Outcomes

View full text Add to dashboard Cite

BACKGROUND: The ongoing TANGO2 (Telephone Assisted CPR. AN evaluation of efficacy amonGst cOmpression only and standard CPR) trial is designed to evaluate whether compression-only cardiopulmonary resuscitation (CPR) by trained laypersons is noninferior to standard CPR in adult out-of-hospital cardiac arrest. This pilot study assesses feasibility, safety, and intermediate clinical outcomes as part of the larger TANGO2 survival trial. METHODS: Emergency medical dispatch calls of suspected out-of-hospital cardiac arrest were screened for inclusion at 18 dispatch centers in Sweden between January 1, 2017, and March 12, 2020. Inclusion criteria were witnessed event, bystander on the scene with previous CPR training, age above 18 years of age, and no signs of trauma, pregnancy, or intoxication. Cases were randomized 1:1 at the dispatch center to either instructions to perform compression-only CPR (intervention) or instructions to perform standard CPR (control). Feasibility included evaluation of inclusion, randomization, and adherence to protocol. Safety measures were time to emergency medical service dispatch CPR instructions, and to start of CPR, intermediate clinical outcome was defined as 1-day survival. RESULTS: Of 11 838 calls of suspected out-of-hospital cardiac arrest screened for inclusion, 2168 were randomized and 1250 (57.7%) were out-of-hospital cardiac arrests treated by the emergency medical service. Of these, 640 were assigned to intervention and 610 to control. Crossover from intervention to control occurred in 16.3% and from control to intervention in 18.5%. The median time from emergency call to ambulance dispatch was 1 minute and 36 s (interquartile range, 1.1–2.2) in the intervention group and 1 minute and 30 s (interquartile range, 1.1–2.2) in the control group. Survival to 1 day was 28.6% versus 28.4% ( P =0.984) for intervention and control, respectively. CONCLUSIONS: In this national randomized pilot trial, compression-only CPR versus standard CPR by trained laypersons was feasible. No differences in safety measures or short-term survival were found between the 2 strategies. Efforts to reduce crossover are important and may strengthen the ongoing main trial that will assess differences in long-term survival. REGISTRATION: URL: https://www.clinicaltrials.gov ; Unique identifier: NCT02401633.

show abstract

Section: Safety Measures and Intermediate Clinical Outcomesmentioning

confidence: 59%

Compression-Only or Standard Cardiopulmonary Resuscitation for Trained Laypersons in Out-of-Hospital Cardiac Arrest: A Nationwide Randomized Trial in Sweden

Riva,

Boberg,

Ringh

et al. 2024

Circ: Cardiovascular Quality and Outcomes

View full text Add to dashboard Cite

show abstract

“…Several previous studies suggest that there are delays in initiation of chest compression and low CPR quality with DA-CPR. 21 , 22 However, it is not clear whether these issues with DA-CPR may be more prominent in women.…”

Section: Discussionmentioning

confidence: 99%

Sex difference in the association between type of bystander CPR and clinical outcomes in patients with out of hospital cardiac arrest

2023

View full text Add to dashboard Cite

“…Recognition of OHCA during an emergency call is a challenging task, and dispatcher recognition of OHCA during emergency calls varies between 46% and 98%. 3 , 4 , 5 , 6 , 7 Kurz et al 2 indicate that thousands of additional lives could be saved annually worldwide if the American Heart Association’s (AHA) goals for DA-CPR were met. A study by Byrsell et al 6 suggests that if the EMDC further optimizes the handling of OHCA calls in accordance with the AHA high-performance goals for DA-CPR, more than 400 additional lives could be saved annually in Sweden.…”

Section: Introductionmentioning

confidence: 99%

“… 3 , 4 , 5 , 6 , 7 Kurz et al 2 indicate that thousands of additional lives could be saved annually worldwide if the American Heart Association’s (AHA) goals for DA-CPR were met. A study by Byrsell et al 6 suggests that if the EMDC further optimizes the handling of OHCA calls in accordance with the AHA high-performance goals for DA-CPR, more than 400 additional lives could be saved annually in Sweden. A combination of medical science, educational efficacy and local implementation are required and essential for improved survival.…”

Section: Introductionmentioning

confidence: 99%

Outline and validation of a new dispatcher-assisted cardiopulmonary resuscitation educational bundle using the Delphi method

Claesson,

Hult,

Riva

et al. 2024

Resuscitation Plus

Self Cite

View full text Add to dashboard Cite

Swedish dispatchers’ compliance with the American Heart Association performance goals for dispatch-assisted cardiopulmonary resuscitation and its association with survival in out-of-hospital cardiac arrest: A retrospective study

Cited by 8 publications

References 36 publications

Compression-Only or Standard Cardiopulmonary Resuscitation for Trained Laypersons in Out-of-Hospital Cardiac Arrest: A Nationwide Randomized Trial in Sweden

Compression-Only or Standard Cardiopulmonary Resuscitation for Trained Laypersons in Out-of-Hospital Cardiac Arrest: A Nationwide Randomized Trial in Sweden

Sex difference in the association between type of bystander CPR and clinical outcomes in patients with out of hospital cardiac arrest

Outline and validation of a new dispatcher-assisted cardiopulmonary resuscitation educational bundle using the Delphi method

Contact Info

Product

Resources

About