This Article Free upon publication Full Text Full Text (PDF) CME: Take the course for this article: Circulation: December 18/25, 2007, Volume 116, Number 25 All Versions of this Article: 116/25/2908    most recent CIRCULATIONAHA.107.710194v1 Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions patientINFORMation Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Bohm, K. Articles by Svensson, L. Search for Related Content PubMed PubMed Citation Articles by Bohm, K. Articles by Svensson, L. Related Collections CPR and emergency cardiac care

(Circulation. 2007;116:2908-2912.)
© 2007 American Heart Association, Inc.

Arrhythmia/Electrophysiology

Survival Is Similar After Standard Treatment and Chest Compression Only in Out-of-Hospital Bystander Cardiopulmonary Resuscitation

Katarina Bohm, RN; Mårten Rosenqvist, MD, PhD; Johan Herlitz, MD, PhD; Jacob Hollenberg, MD; Leif Svensson, MD, PhD

From the Department of Cardiology and Stockholm Prehospital Centre, Karolinska Institute, South General Hospital (K.B.); Department of Cardiology, Karolinska Institute, South General Hospital (M.R., J. Hollenberg); Department of Cardiology, University of Göteborg, Salgrenska Hospital (J. Herlitz); and Stockholm Prehospital Centre, Karolinska Institute, South General Hospital (L.S.), Stockholm, Sweden.

Correspondence to Dr Leif Svensson, Stockholm Prehospital Centre, SE-118 83 Stockholm, Sweden. E-mail leif.svensson{at}sodersjukhuset.se

Received April 20, 2007; accepted October 5, 2007.

Background— We sought to compare the 1-month survival rates among patients after out-of-hospital cardiac arrest who had been given bystander cardiopulmonary resuscitation (CPR) in relation to whether they had received standard CPR with chest compression plus mouth-to-mouth ventilation or chest compression only.

Methods and Results— All patients with out-of-hospital cardiac arrest who received bystander CPR and who were reported to the Swedish Cardiac Arrest Register between 1990 and 2005 were included. Crew-witnessed cases were excluded. Among 11 275 patients, 73% (n=8209) received standard CPR, and 10% (n=1145) received chest compression only. There was no significant difference in 1-month survival between patients who received standard CPR (1-month survival=7.2%) and those who received chest compression only (1-month survival=6.7%).

Conclusions— Among patients with out-of-hospital cardiac arrest who received bystander CPR, there was no significant difference in 1-month survival between a standard CPR program with chest compression plus mouth-to-mouth ventilation and a simplified version of CPR with chest compression only.

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