| Time-dependent effectiveness of chest compression-only and conventional cardiopulmonary resuscitation for out-of-hospital cardiac arrest of cardiac origin. | |
| | |
MedLine Citation:
|
PMID: 21093974 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Little is known about the effect of the type of bystander-initiated cardiopulmonary resuscitation (CPR) for prolonged out-of-hospital cardiac arrest (OHCA). OBJECTIVES: To evaluate the time-dependent effectiveness of chest compression-only and conventional CPR with rescue breathing for witnessed adult OHCA of cardiac origin. METHODS: A nationwide, prospective, population-based, observational study of the whole population of Japan included consecutive OHCA patients with emergency responder resuscitation attempts from 1 January 2005 to 31 December 2007. Multiple logistic regression analysis was performed to assess the contribution of the bystander-initiated CPR technique to favourable neurological outcomes. RESULTS: Among 55014 bystander-witnessed OHCA of cardiac origin, 12165 (22.1%) received chest compression-only CPR and 10851 (19.7%) received conventional CPR. For short-duration OHCA (0-15min after collapse), compression-only CPR had a higher rate of survival with favourable neurological outcome than no CPR (6.4% vs. 3.8%; adjusted odds ratio (OR), 1.55; 95% confidence interval (CI), 1.38-1.74), and conventional CPR showed similar effectiveness (7.1% vs. 3.8%; adjusted OR, 1.78; 95% CI, 1.58-2.01). For the long-duration arrests (>15min), conventional CPR showed a significantly higher rate of survival with favourable neurological outcome than both no CPR (2.0% vs. 0.7%; adjusted OR, 1.93; 95% CI, 1.27-2.93) and compression-only CPR (2.0% vs. 1.3%; adjusted OR, 1.56; 95% CI, 1.02-2.44). CONCLUSIONS: For prolonged OHCA of cardiac origin, conventional CPR with rescue breathing provided incremental benefit compared with either no CPR or compression-only CPR, but the absolute survival was low regardless of type of CPR. |
| | |
Authors:
|
Tetsuhisa Kitamura; Taku Iwami; Takashi Kawamura; Ken Nagao; Hideharu Tanaka; Robert A Berg; Atsushi Hiraide; |
Related Documents
:
|
20150034 - Case report: nonarrhythmogenic right ventricular dysplasia presenting with severe right... 11263614 - Patients at lower risk of arrhythmia recurrence: a subgroup in whom implantable defibri... 18328334 - Development of more erratic heart rate patterns is associated with mortality post-myoca... 14574024 - Implantable diagnostic monitoring devices for evaluation of syncope, and tachy- and bra... 20439124 - Dkk1 and dkk2 regulate epicardial specification during mouse heart development. 22201804 - Lps-pretreated bone marrow stem cells as potential treatment for myocardial infraction. |
Publication Detail:
|
Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't Date: 2010-11-19 |
Journal Detail:
|
Title: Resuscitation Volume: 82 ISSN: 1873-1570 ISO Abbreviation: Resuscitation Publication Date: 2011 Jan |
Date Detail:
|
Created Date: 2011-01-10 Completed Date: 2011-05-17 Revised Date: 2011-06-09 |
Medline Journal Info:
|
Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
|
Languages: eng Pagination: 3-9 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
|
Kyoto University Health Service, Yoshida-Honmachi, Sakyo-ku, Kyoto 606-8501, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Emergency Medical Services / methods* Female Follow-Up Studies Heart Massage / methods* Humans Japan / epidemiology Male Out-of-Hospital Cardiac Arrest / etiology, mortality, therapy* Population Surveillance Prospective Studies Registries* Survival Rate / trends Time Factors Treatment Outcome |
| Comments/Corrections | |
Comment In:
|
Resuscitation. 2011 May;82(5):633
[PMID:
21334799
]
Resuscitation. 2011 Jan;82(1):1-2 [PMID: 21215377 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Weight variation after reduction mammary surgery: Retrospective study of 100 cases.
Next Document: Effectiveness of highly purified human menopausal gonadotropin in intra-uterine insemination.