دورية أكاديمية
أعرض في EDS

Dispatcher assisted cardiopulmonary resuscitation implementation in Kuwait: A before and after study examining the impact on outcomes of out of hospital cardiac arrest victims.

التفاصيل البيبلوغرافية
العنوان: Dispatcher assisted cardiopulmonary resuscitation implementation in Kuwait: A before and after study examining the impact on outcomes of out of hospital cardiac arrest victims.
المؤلفون: Hasan DA; Department of Applied Medical Sciences, Health Sciences College, Public Authority of Applied Education and Training, State of Kuwait., Drennan J; Department of Nursing and Health Services Research, University College Cork, Cork, Ireland., Monger E; Department of Critical Care Nursing, University of Southampton, Southampton, United Kingdom., Mahmid SA; Operation Department., Ahmad H; Audit Department, Emergency Medicals Services, State of Kuwait., Ameen M; Audit Department, Emergency Medicals Services, State of Kuwait., Sayed ME; Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
المصدر: Medicine [Medicine (Baltimore)] 2019 Nov; Vol. 98 (44), pp. e17752.
نوع المنشور: Evaluation Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
مواضيع طبية MeSH: Cardiopulmonary Resuscitation/*education , Emergency Medical Dispatcher/*education , Emergency Medical Services/*methods , Out-of-Hospital Cardiac Arrest/*therapy, Aged ; Cardiopulmonary Resuscitation/methods ; Female ; Health Plan Implementation ; Humans ; Kuwait ; Male ; Middle Aged ; Patient Discharge/statistics & numerical data ; Pilot Projects ; Program Evaluation ; Prospective Studies ; Treatment Outcome
مستخلص: Dispatcher assisted cardiopulmonary resuscitation (DACPR) by Emergency medical services has been shown to improve rates of early out of hospital cardiac arrest (OHCA) recognition and early cardiopulmonary resuscitation (CPR) for OHCA. This study measures the impact of introducing DACPR on OHCA recognition, CPR rates and on patient outcomes in a pilot region in Kuwait.EMS treated OHCA data over 10 months period (February 21-December 31, 2017) before and after the intervention was prospectively collected and analyzed.Comprehensive DACPR in the form of: a standardized dispatch protocol, 1-day training package and quality assurance and improvement measures were applied to Kuwait EMS central Dispatch unit only for pilot region. Primary outcomes: OHCA recognition rate, CPR instruction rate, and Bystander CPR rate. Secondary outcome: survival to hospital discharge.A total of 332 OHCA cases from the EMS archived data were extracted and after exclusion 176 total OHCA cases remain. After DACPR implementation OHCA recognition rate increased from 2% to 12.9% (P = .037), CPR instruction rate increased from 0% to 10.4% (P = .022); however, no significant change was noted for bystander CPR rates or prehospital return of spontaneous circulation. Also, survival to hospital discharge rate did not change significantly (0% before, and 0.8% after, P = .53)In summary, DACPR implementation had positive impacts on Kuwait EMS system operational outcomes; early OHCA recognition and CPR instruction rates in a pilot region of Kuwait. Expanding this initiative to other regions in Kuwait and coupling it with other OHCA system of care interventions are needed to improve OHCA survival rates.
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تواريخ الأحداث: Date Created: 20191107 Date Completed: 20191114 Latest Revision: 20221005
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC6946391
DOI: 10.1097/MD.0000000000017752
PMID: 31689831
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-5964
DOI:10.1097/MD.0000000000017752