Abstract 19190: National Community Chain-of-Survival Initiatives Are Associated With Improved Bystander Cardiopulmonary Resuscitation Rates and Survival for Cardiac Arrests in Taiwan
Introduction: Out-of-hospital cardiac arrests (OHCA) remain a medical and public challenges in the communities. Since 2012, several national policy and implementation initiatives, including compression-only cardiopulmonary resuscitation (CPR) education for lay person (late 2012), dispatcher-assisted CPR (mid 2013), public automatic external defibrillator (AED) law and regulations (late 2013) , and Good Samaritan legislation (early 2014), have been introduced in Taiwan to improve community chain-of-survival, In this study, we aim to report the changes of bystander CPR and survival of OHCAs associated these national initiatives.
Hypothesis: National initiatives bundled together can improve bystander CPR and survival among OHCAs in the community.
Methods: This is a prospective, nationwide study of OHCAs in Taiwan from January 2012 to December 2015. Bystander CPR rates and survival for OHCAs from four major EMS systems (TP, TY, TN, TC) were retrieved from the web-based, Utstein style Taiwan Cardiac Arrests Registry (TCAR).
Results: A total of 37476 OHCAS were recorded from the four EMS systems across the country in the study period, representing 40.2% of the population in Taiwan. Improvement in bystander CPR and outcomes were observed across all EMS systems examined over the four years. From 2012 to 2015, bystander CPR rates rose from 25.0% to 33.4%, and compression-only CPR rates from 18.2% to 26.3%. For all OHCAs with attempted resuscitation, there was a 33% increase in survival to discharge rates from 5.7% to 7.6%; and nearly doubled survival with good neurology recovery, defined as cerebral performance category (CPC) 1&2, from 1.7% to 3.2%. Yearly changes of bystander CPR and survival from 2012-2015 were statistically significant using Chi-square test for trends.
Conclusions: National initiatives aim at improving community chain of survival, when bundled together, successfully improved bystander CPR rates and survivals for cardiac arrests in Taiwan.
Author Disclosures: H. Lin: None. W. Chiang: None. M. Hsieh: None. P.C. Ko: None. J. Sun: None. S. Hung: None. C. Kuo: None. Y. Chung: None. C. Lin: None. S. Chang: None. M.H. Ma: None.
- © 2016 by American Heart Association, Inc.