Who Gets Bystander Cardiopulmonary Resuscitation in a Witnessed Arrest?

Jackson, Raymond; Swor, Robert A.

doi:10.1111/j.1553-2712.1997.tb03574.x

Cited by 67 publications

(32 citation statements)

References 27 publications

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“…Our data document a much higher rate of cardiac arrest at home with age, which has been shown to be associated with a poorer prognosis. [33][34][35] We also noted a lower rate of witnessed arrest but did not identify in our multivariate analysis a decreased frequency of bystander CPR with increasing age. Despite these potential negative factors, we identified similar rates of hospital admission between all age groups.…”

Section: Discussioncontrasting

confidence: 69%

Does Advanced Age Matter in Outcomes after Out‐of‐hospital Cardiac Arrest in Community‐dwelling Adults ?

Swor

Jackson

Tintinalli

et al. 2000

Academic Emergency Medicine

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Abstract. Objective: To assess whether advanced age is an independent predictor of survival to hospital discharge in community-dwelling adult patients who sustained an out-of-hospital cardiac arrest in a suburban county. Methods: A prospective cohort study was conducted in a suburban county emergency medical services system of community-dwelling adults who had an arrest from a presumed cardiac cause and who received out-of-hospital resuscitative efforts from July 1989 to December 1993. The cohorts were defined by grouping ages by decade: 19-39, 40-49, 50-59, 60-69, 70-79, and 80 or more. The variables measured included age, gender, witnessed arrest, response intervals, location of arrest, documented bystander cardiopulmonary resuscitation, and initial rhythms. The primary outcome was survival to hospital discharge. Results are reported using analysis of variance, chi square, and adjusted odds ratios from a logistic regression model. Age group 50-59 served as the reference group for the regression model. Results: Of the 2,608 total presumed cardiac arrests, the overall survival rate to hospital discharge was 7.25%. Patients in age groups 40-49 and 50-59 experienced the best rate of successful resuscitation (10%). Each subsequent decade had a steady decline in successful outcome: 8.1% for ages 60-69; 7.1% for ages 70-79; and 3.3% for age 80ϩ. In a post-hoc analysis, further separation of the older age group revealed a successful outcome in 3.9% of patients ages 80-89 and 1% in patients 90 and older. Patients aged 80 years or more were more likely to arrest at home, were more likely to have an initial bradyasystolic rhythm, yet had a similar rate of resuscitation to hospital admission. In the regression model, age 80 or older was associated with a significantly worse survival to hospital discharge (OR = 0.4, 95% CI = 0.20 to 0.82). Conclusions: There was a twofold decrease in survival following out-of-hospital cardiac arrest to discharge in patients aged 80 or more when compared with the reference group in this suburban county setting. However, resuscitation for community-dwelling elders aged 65-89 is not futile. These data support that out-of-hospital resuscitation of elders up to age 90 years is not associated with a universal dismal outcome.

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Section: Discussioncontrasting

confidence: 69%

Does Advanced Age Matter in Outcomes after Out‐of‐hospital Cardiac Arrest in Community‐dwelling Adults ?

Swor

Jackson

Tintinalli

et al. 2000

Academic Emergency Medicine

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“…According to the results of studies in other countries, the initial and final success (discharge time) of resuscitation was reported 61/2% and 32/2% respectively (Travers et al, 2010). Although the most cardiac attacks happen in out of hospitals or houses, but it is less possibile that performing of CPR could be standard for victims (Keim et al, 2001;Jackson & Swor, 1997).…”

Section: Introductionmentioning

confidence: 99%

Study of Pre-Hospital Cardio Pulmonary Resuscitation (CPR) Outcomes and Relevant Factors in Ardabil City between 2012 and 2013

Javadi¹,

Mohammadi²,

Javadi³

et al. 2016

GJHS

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Background & Objectives: Cardio Pulmonary Resuscitation (CPR) is a procedure which was done both in hospital or pre-hospital in order to return life after clinical death. Although the most cardiac attacks happen out of hospital, but there are lack of existing studies related to CPR assessment in pre-hospital conditions. Then this study carried out in order to show the outcome of pre-hospital CPR procedures and its related factors in Medical Emergency Centers of Ardebil city. Method:This descriptive cross-sectional study was conducted on 272 CPR cases in the Emergency Medical Center (EMS) in Ardabil, between 2012 and 2013. The researcher-made questionnaire was used. For data analyzing the descriptive and analytical statistical method such as the Chi-square test and the Chi-square details test were used with SPSS 16 software. The values of P<0.05 were considered significant. Results:The overall rate of successful CPR reported only 19.1%. The mean (SD) of patient's age was 74.19±79.60 years and the most of them (66.2%) were men. The most patients (64.3%), had heart problems as a chief complaint. From all CPRs, 83.1% and 11.5% were done in patient homes and public place respectively. There was no statistically significant relationship between the successful CPR with age (p=0.15), sex (p=0.44), the arrival time of emergency personnel to the scene (p=0.98) and patient's pulse rate (p=0.52). But there was statistically significant relationship between the successful CPR with underlying diseases (p=0.003), Location of CPR (P=0.002), patient blood pressure (p=0.00) and patient respiratory rate (p=0.04). Conclusion:According to the findings, the rate of successful CPR was at a low level in the pre-hospital that need to be investigated further about its cause and its related factors.

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“…13 It is particularly important that older adults be targeted for training because this population is at a higher risk of sudden death and most likely to witness a cardiac arrest of a family member or spouse in the home. [16][17][18] The low rates of CPR training might be improved by recruiting adults with television and print media advertisements because our survey indicates that most respondents receive their information from these sources. Community centers and churches could be used to foster CPR training and recertification among adults as well as provide venues for the discussion of psychosocial factors that impede implementing CPR during a cardiac arrest.…”

Section: Discussionmentioning

confidence: 99%

Awareness of Heart Attack Symptoms and Lifesaving Actions Among New York City Area Residents

Barnhart

Cohen

Kramer

et al. 2005

Journal of Urban Health: Bulletin of the New York Academy of Me

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Who Gets Bystander Cardiopulmonary Resuscitation in a Witnessed Arrest?

Cited by 67 publications

References 27 publications

Does Advanced Age Matter in Outcomes after Out‐of‐hospital Cardiac Arrest in Community‐dwelling Adults ?

Does Advanced Age Matter in Outcomes after Out‐of‐hospital Cardiac Arrest in Community‐dwelling Adults ?

Study of Pre-Hospital Cardio Pulmonary Resuscitation (CPR) Outcomes and Relevant Factors in Ardabil City between 2012 and 2013

Awareness of Heart Attack Symptoms and Lifesaving Actions Among New York City Area Residents

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