دورية أكاديمية
Bystander CPR, ventricular fibrillation, and survival in witnessed, unmonitored out-of-hospital cardiac arrest.
| العنوان: | Bystander CPR, ventricular fibrillation, and survival in witnessed, unmonitored out-of-hospital cardiac arrest. |
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| المؤلفون: | Swor RA; Oakland County, Michigan Emergency Medical Service System: William Beaumont Hospital, Royal Oak, USA., Jackson RE, Cynar M, Sadler E, Basse E, Boji B, Rivera-Rivera EJ, Maher A, Grubb W, Jacobson R, et. al. |
| المصدر: | Annals of emergency medicine [Ann Emerg Med] 1995 Jun; Vol. 25 (6), pp. 780-4. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mosby Country of Publication: United States NLM ID: 8002646 Publication Model: Print Cited Medium: Print ISSN: 0196-0644 (Print) Linking ISSN: 01960644 NLM ISO Abbreviation: Ann Emerg Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: St. Louis, MO : Mosby Original Publication: [Lansing, Mich., American College of Emergency Physicians] |
| مواضيع طبية MeSH: | Resuscitation*, Heart Arrest/*therapy , Ventricular Fibrillation/*therapy, Adult ; Aged ; Chi-Square Distribution ; Cohort Studies ; Emergency Medical Services ; Heart Arrest/mortality ; Humans ; Logistic Models ; Middle Aged ; Prospective Studies ; Treatment Outcome |
| مستخلص: | Study Objective: To assess whether bystander CPR (BCPR) on collapse affects initial rhythm and outcome in patients with witnessed, unmonitored out-of-hospital cardiac arrest (OHCA). Design: Prospective cohort study. Student's t test, the chi 2 test, and logistic regression were used for analysis. Setting: Suburban emergency medical service (EMS) system. Participants: Patients 19 years or older with witnessed OHCA of presumed cardiac origin who experienced cardiac arrest before EMS arrival between July 1989 and July 1993. Results: Of 722 patients who met the entry criteria, 153 received BCPR. Patients who received BCPR were younger than those who did not: 62.5 +/- 15.4 years versus 66.8 +/- 15.1 years (P < .01). We found no differences in basic or advanced life support response intervals or in frequency of AED use. More patients initially had ventricular fibrillation (VF) in the BCPR group: 80.9% versus 61.4% (P < .01). The interval to definitive care for ventricular tachycardia (VT)/VF was longer for the BCPR group (8.59 +/- 5.3 versus 7.45 +/- 4.7 minutes; P < .05). The percentage of patients discharged alive who were initially in VT/VF was higher in the BCPR group: 18.3% versus 8.4% (P < .001). In a multivariate model, BCPR is a significant predictor for VT/VF and live discharge with adjusted ORs of 2.7 (95% CI, 1.7 to 4.4) and 2.4 (95% CI, 1.5 to 4.0), respectively. For those patients in VT/VF, BCPR predicted live discharge from hospital with an adjusted OR of 2.1 (95% CI, 1.2 to 3.6). Conclusion: Patients who receive BCPR are more often found in VT/VF and have an increased rate of live discharge, with controls for age and response and definitive care intervals. For VT/VF patients, BCPR is associated with an increased rate of live discharge. |
| تواريخ الأحداث: | Date Created: 19950601 Date Completed: 19950622 Latest Revision: 20190717 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/s0196-0644(95)70207-5 |
| PMID: | 7755200 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0196-0644 |
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| DOI: | 10.1016/s0196-0644(95)70207-5 |