Abstract 54: Does Telephone-Assisted Cardiopulmonary Resuscitation Improve the Outcome of Out-of-Hospital Cardiac Arrest?
Objectives: In an effort to increase the proportion of victims who receive bystander cardiopulmonary resuscitation (CPR) in case of out-of-hospital cardiac arrest (OHCA), it is now clearly recommended to propose t-CPR. However, very few studies have demonstrated, in real life conditions, the clinical benefits of such recommendations.
The aim of this study was to assess the survival benefit of t-CPR on OHCA, compared with no bystander CPR.
Materials and methods: This study was conducted over a seven-month period in 2011. It included all incoming calls to an Emergency Medical Service dispatch center in which t-CPR was instructed to non-priorly trained bystanders.
The comparison group was matched on the date of occurrence; we enrolled incoming calls for witnessed OHCA with no bystander-CPR performed before rescuers arrival.
Variables were given as means or percentages. Data were compared using Chi-square tests and Student’s t-test
Results: The results appear in Table 1.
Conclusion: This study showed that in OHCA, when bystanders initiated t-CPR, despite 1- a younger age population 2- more advanced life support and 3- higher rates of ROSC prior to hospital arrival, there was no improvement in survival rate after ICU discharge. As t-CPR does not seem sufficient to improve outcome, training citizens in CPR remains a top priority.
- © 2012 by American Heart Association, Inc.