Dispatcher instruction of chest compression-only CPR increases actual provision of bystander CPR
Dispatcher instruction of chest compression-only CPR increases actual provision of bystander CPR
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DOI：
10.1016/j.resuscitation.2015.07.009
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发表时间：
2015-11-01
期刊：
影响因子：
6.5
通讯作者：
Kawamura, Takashi
中科院分区：
文献类型：
--
作者：
Shimamoto, Tomonari;Iwami, Taku;Kawamura, Takashi
背景资料：先前的一项随机对照试验表明，由调度员进行的仅胸部按压心肺复苏（CPR）指导比传统CPR指导更有效地增加旁观者CPR。然而，每种类型的调度器指令的执行的实际情况（仅胸外按压CPR [CCCPR]或常规CPR与人工呼吸）和在真实的院前环境中提供旁观者CPR的研究还不够。该登记研究前瞻性招募了年龄≥ 18岁的非创伤性院外心脏骤停（OHCA）患者，EMS）到达，被视为调度员指令的目标对象，由EMS人员复苏，并于2005年1月至2012年12月运送到日本大坂的医疗机构。主要结果测量是由旁观者提供CPR。多元Logistic回归分析被用来评估因素，可能与提供旁观者CPR。结果：在37,283目标对象的调度指令，5743接受CCCPR指令和13,926接受传统的CPR指令。CCCPR教学的比例从2005年的5.7%增加到2012年的25.6%（p表示趋势
Background: A preceding randomized controlled trial demonstrated that chest compression-only cardiopulmonary resuscitation (CPR) instruction by dispatcher was more effective to increase bystander CPR than conventional CPR instruction. However, the actual condition of implementation of each type of dispatcher instruction (chest compression-only CPR [CCCPR] or conventional CPR with rescue breathing) and provision of bystander CPR in real prehospital settings has not been sufficiently investigated.Methods: This registry prospectively enrolled patients aged => 18 years suffering an out-of-hospital cardiac arrest (OHCA) of non-traumatic causes before emergency-medical-service (EMS) arrival, who were considered as target subjects of dispatcher instruction, resuscitated by EMS personnel, and transported to medical institutions in Osaka, Japan from January 2005 through December 2012. The primary outcome measure was provision of CPR by a bystander. Multiple logistic regression analysis was used to assess factors that were potentially associated with provision of bystander CPR.Results: Among 37,283 target subjects of dispatcher instruction, 5743 received CCCPR instruction and 13,926 received conventional CPR instruction. The proportion of CCCPR instruction increased from 5.7% in 2005 to 25.6% in 2012 (p for trend