Effect of introduction of a standardized protocol in dispatcher-assisted cardiopulmonary resuscitation

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F16%3A10329089" target="_blank" >RIV/00179906:_____/16:10329089 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11150/16:10329089 RIV/60162694:G44__/16:43875625

Výsledek na webu

<a href="http://dx.doi.org/10.1016/j.resuscitation.2016.05.031" target="_blank" >http://dx.doi.org/10.1016/j.resuscitation.2016.05.031</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.resuscitation.2016.05.031" target="_blank" >10.1016/j.resuscitation.2016.05.031</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Effect of introduction of a standardized protocol in dispatcher-assisted cardiopulmonary resuscitation

Popis výsledku v původním jazyce

Background: The two most commonly used dispatch tools are medical priority dispatch (MPD) and criteria based dispatch (CBD), but there are countries still using non-standardized emergency call processing. We compared selected characteristics of DA-CPR before and after implementation of a standardized protocol in a non-MPD and non-CBD system. Methods: Observational study of DA-CPR recordings during 4-month periods before (PER1) and after (PER2) the standardized protocol had been implemented. Selected performance characteristics included times to event verification, identification of cardiac arrest, DA-CPR instructions, and first chest compression, which were compared between PER1 and PER2. The secondary goal was to compare survival to hospital discharge. Results: A total of 152 call recordings with DA-CPR were evaluated in PER1 and 174 in PER2. Median times to cardiac arrest recognition were 46 s in PER1 and 37 s in PER2 (p = 0.002), to first compression 2 min 35 s in PER1 and 2 min 25 s in PER2 (p = 0.549). Admission to hospital with return of spontaneous circulation (ROSC) was achieved in 39 patients (31.9%) in PER1 and 57 (45.6%) in PER2 (p < 0.05), discharge from hospital (CPC 1-2) in 9.0% and 14.4% patients in PER1 and PER2, respectively. If ventricular fibrillation was the initial rhythm, survival rate (CPC 1-2) was 32.3% in PER1 and 38.7% in PER2 (p = 0.523). Conclusion: Implementation of a standardized DA-CPR protocol resulted in faster identification of cardiac arrest, response team dispatching and arrival at scene. These factors were associated with a trend to better survival.

Název v anglickém jazyce

Effect of introduction of a standardized protocol in dispatcher-assisted cardiopulmonary resuscitation

Popis výsledku anglicky

Background: The two most commonly used dispatch tools are medical priority dispatch (MPD) and criteria based dispatch (CBD), but there are countries still using non-standardized emergency call processing. We compared selected characteristics of DA-CPR before and after implementation of a standardized protocol in a non-MPD and non-CBD system. Methods: Observational study of DA-CPR recordings during 4-month periods before (PER1) and after (PER2) the standardized protocol had been implemented. Selected performance characteristics included times to event verification, identification of cardiac arrest, DA-CPR instructions, and first chest compression, which were compared between PER1 and PER2. The secondary goal was to compare survival to hospital discharge. Results: A total of 152 call recordings with DA-CPR were evaluated in PER1 and 174 in PER2. Median times to cardiac arrest recognition were 46 s in PER1 and 37 s in PER2 (p = 0.002), to first compression 2 min 35 s in PER1 and 2 min 25 s in PER2 (p = 0.549). Admission to hospital with return of spontaneous circulation (ROSC) was achieved in 39 patients (31.9%) in PER1 and 57 (45.6%) in PER2 (p < 0.05), discharge from hospital (CPC 1-2) in 9.0% and 14.4% patients in PER1 and PER2, respectively. If ventricular fibrillation was the initial rhythm, survival rate (CPC 1-2) was 32.3% in PER1 and 38.7% in PER2 (p = 0.523). Conclusion: Implementation of a standardized DA-CPR protocol resulted in faster identification of cardiac arrest, response team dispatching and arrival at scene. These factors were associated with a trend to better survival.

Druh

J_x - Nezařazeno - Článek v odborném periodiku (Jimp, Jsc a Jost)

CEP obor

FE - Ostatní obory vnitřního lékařství

OECD FORD obor

—

Projekt

<a href="/cs/project/NT14460" target="_blank" >NT14460: Efektivita přednemocniční neodkladné péče</a><br>

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2016

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Resuscitation

ISSN

0300-9572

e-ISSN

—

Svazek periodika

106

Číslo periodika v rámci svazku

September

Stát vydavatele periodika

IE - Irsko

Počet stran výsledku

6

Strana od-do

18-23

Kód UT WoS článku

000381648000018

EID výsledku v databázi Scopus

2-s2.0-84979536654