Abstract 122: Efficacy of Telephone Instructions and Preference of Cardiopulmonary Resuscitation for Infants with Out-of-Hospital Cardiac Arrest: Nationwide Population-Based Study
Background: Since most of the cardiac arrests of infants are happen at home, telephone instruction for family members and pre-event education of cardiopulmonary resuscitation (CPR) is essential.
Methods: In a nationwide out-of-hospital cardiac arrest (OHCA) registration from 2005 to 2010, we enrolled 4,638 infants (less than 1 year old). Data collected include witnessed personnel, type of CPR, telephone instruction, and neurological outcome. Favorable outcome was defined as cerebral performance category 1 or 2.
Results: 684 (15%) OHCA infants were witnessed by family members, and 172 (3.7%) were witnessed by other personnel. Within 684 infants witnessed by family, 49% [337/684] cases were given some types of CPR and 46% [316/684] cases received some telephone instructions conducted by Fire Department. Conventional CPR was given in 23% [161/684], chest compression only CPR in 20% [136/684], ventilation only CPR in 6% [39/684], and no CPR in 51% [347/684]. Telephone instruction was given in 74% [119/161] of conventional CPR and 74% [100/136] of chest compression only CPR. 23% [75/316] of telephone instruction failed to conduct CPR by family members. Within infants witnessed by family, there was no difference on neurological outcome between conventional CPR and chest compression only CPR (8.1% [13/161] vs 8.0% [11/136]; OR 1.00, 0.43-2.30). Within 172 infants witnessed by other personnel, some type of CPR has done in 103 cases (60%), but telephone instruction was given in only restricted cases.
Conclusion: There was no difference in family members’ preference for type of CPR in infants. Since there are still some failure of telephone instruction conducting CPR by family, and was no difference on neurological outcome between conventional CPR and chest compression only CPR, it is warranted to reconsider the best telephone instruction conducting CPR by family and to revisit the education systems of infant CPR for family and parents.
- © 2012 by American Heart Association, Inc.