دورية أكاديمية
أعرض في EDS

Technology activated community first responders in Singapore: Real-world care delivery & outcome trends.

التفاصيل البيبلوغرافية
العنوان: Technology activated community first responders in Singapore: Real-world care delivery & outcome trends.
المؤلفون: Siddiqui FJ; Health Services & Systems Research, Duke-NUS Medical School, Singapore., Fook-Chong S; Pre-hospital & Emergency Research Centre, Duke-NUS Medical School, Singapore., Shahidah N; Pre-hospital & Emergency Research Centre, Duke-NUS Medical School, Singapore.; Department of Emergency Medicine, Singapore General Hospital, Singapore., Tan CK; Emergency Medical Services Department, Singapore Civil Defence Force, Singapore., Poh JY; Volunteer & Community Partnership Department, Singapore Civil Defence Force, Singapore., Ng WM; Emergency Medicine Department, Ng Teng Fong General Hospital, Singapore., Quah D; Operations Department, Singapore Civil Defence Force, Singapore., Ng YY; Digital and Smart Health Office, Ng Teng Fong Centre for Healthcare Innovation, Tan Tock Seng Hospital, Singapore.; Department of Preventive and Population Medicine, Tan Tock Seng Hospital, Singapore., Leong BS; Emergency Medicine Department, National University Hospital, Singapore., Ong ME; Health Services & Systems Research, Duke-NUS Medical School, Singapore.; Department of Emergency Medicine, Singapore General Hospital, Singapore.
المصدر: Resuscitation plus [Resusc Plus] 2023 Oct 13; Vol. 16, pp. 100486. Date of Electronic Publication: 2023 Oct 13 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101774410 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-5204 (Electronic) Linking ISSN: 26665204 NLM ISO Abbreviation: Resusc Plus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Amsterdam] : Elsevier B.V., [2020]-
مستخلص: Background: Community first responders (CFRs) strengthen the Chain of Survival for out-of-hospital cardiac arrest (OHCA) care. Considerable efforts have been invested in Singapore's CFR program, during the years 2016-2020, by developing an app-based activation system called myResponder. This paper reports on national CFR response indicators to evaluate the real-world impact of these efforts.
Methods: We matched data from the Singapore Civil Defence Force's CFR registry with the Pan Asian Resuscitation Outcomes Study (PAROS) registry data to calculate performance indicators. These included the number of CFRs receiving and accepting an issued alert per OHCA event. Also calculated were the fraction of OHCA events where CFRs received an issued alert, or accepted the alert, and arrived at the scene either before or after EMS. We also present trends of these indicators and compare the prevalence of these fractions between the CFR-attended and CFR-unattended OHCA events.
Results: Of 6577 alerted OHCA events, 42.7% accepted an alert, 50% of these arrived at the scene and 71% of them arrived before EMS. Almost all CFR response indicators improved over time even for the pandemic year (2020). The fraction of OHCA events where >2 CFRs received an alert increased from 62% to 96%; the same figure for accepting an alert did not change much but >2 CFRs arriving at the scene increased from 0% to 7.5%. The fraction of OHCA events with an automated external defibrillator applied and defibrillation performed by CFR increased from 4.2% to 10.3% and 1.6% to 3%, respectively. Statistically significant differences were observed in these indicators when CFR-attended and CFR-unattended OHCA events were compared.
Conclusion: This real-world study shows that activating CFRs using mobile technology can improve community response to OHCA and are bearing fruit in Singapore at a national level. Some targets for improvement and future research are highlighted in this report.
Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: MEH Ong reports grants from the Laerdal Foundation, Laerdal Medical, and Ramsey Social Justice Foundation for funding of the Pan-Asian Resuscitation Outcomes Study; an advisory relationship with Global Healthcare SG, a commercial entity that manufactures cooling devices. MEH Ong has a licensing agreement with ZOLL Medical Corporation and patent filed (Application no: 13/047,348) for a “Method of predicting acute cardiopulmonary events and survivability of a patient”. He is also the co-founder and scientific advisor of TIIM Healthcare, a commercial entity which develops real-time prediction and risk stratification solutions for triage. All other authors have no conflict of interest to declare.
(© 2023 The Author(s).)
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فهرسة مساهمة: Keywords: AED; CPR; Community First Responder; Defibrillation; OHCA; Out-of-hospital cardiac arrest; Pre-hospital Emergency Care; Trends; myResponder
تواريخ الأحداث: Date Created: 20231020 Latest Revision: 20231021
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10582741
DOI: 10.1016/j.resplu.2023.100486
PMID: 37859630
قاعدة البيانات: MEDLINE
الوصف
تدمد:2666-5204
DOI:10.1016/j.resplu.2023.100486