Acute cardiac care & resuscitation
Effectiveness of dispatcher-assisted cardiopulmonary resuscitation in private home versus public locations for out-of-hospital cardiac arrest patients − A retrospective cohort study
Main finding · Chest compressions administeredResult — go to the resultAdjusted odds ratio 0.48 CI 0.31–0.75Authors' conclusion
This study demonstrated reduced DACPR effectiveness in public places compared to private homes, potentially influenced by caller factors, environmental conditions, and the caller-patient relationship.
Study context
- Population
- Out-of-hospital cardiac arrest (OHCA) incidents with emergency medical service (EMS) activation, Taichung City, Taiwan, May 2021–April 2022
- Participants
- 1,160 participants
- Exposure
- Dispatcher-assisted cardiopulmonary resuscitation (DACPR) in public places vs private homes
- Public placesn = 151
- Private homesn = 1,009reference
- Outcome
- Number of successful chest compressions performed
Main finding
Chest compressions administered
Adjusted odds ratio
0.48
CI 0.31–0.75
By group
Public placesvs Private homes
aOR 0.48 (CI 0.31–0.75)
As reported in the abstract
Observational data: associations, not effects.
Secondary outcomes
OHCA recognition
Barriers: hazardous environment/physical barriers; refusal to execute instructions; emotional/psychological obstacles
Hazardous environment or physical barriers
Refused instructions
Emotional or psychological obstacles
Call-to-OHCA recognition time
| Outcome | aOR (CI) | |
|---|---|---|
| Chest compressions, family members in private homesvs non-family members (subgroup) | 1.81 (1.15–2.83) | |
| 0.20.5125Adjusted odds ratio (log scale) |
| Outcome | Adjusted beta (s) (CI) |
|---|---|
| Time to chest compression, family members in private homes vs non-family members (subgroup) | −30 (−55.6 to −6.3) |
- Chest compressions, family members in private homes vs non-family members (subgroup): Family members in private homes 67.1 %
- Chest compressions, family members in private homes vs non-family members (subgroup): Non-family members 53.8 %
- Time to chest compression, family members in private homes vs non-family members (subgroup): Family members in private homes 160 s
- Time to chest compression, family members in private homes vs non-family members (subgroup): Non-family members 171 s
Original publication
Effectiveness of dispatcher-assisted cardiopulmonary resuscitation in private home versus public locations for out-of-hospital cardiac arrest patients − A retrospective cohort study. Resuscitation. Published 29 October 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →