Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest.

Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest. Abstract Text:

Taku Iwami,Takashi Kawamura,Atsushi Hiraide,Robert A Berg,Yasuyuki Hayashi,Tatsuya Nishiuchi,Kentaro Kajino,Naohiro Yonemoto,Hidekazu Yukioka,Hisashi Sugimoto,Hiroyuki Kakuchi,Kazuhiro Sase,Hiroyuki Yokoyama,Hiroshi Nonogi,Taku Iwami,Takashi Kawamura,Atsushi Hiraide,Robert A Berg,Yasuyuki Hayashi,Tatsuya Nishiuchi,Kentaro Kajino,Naohiro Yonemoto,Hidekazu Yukioka,Hisashi Sugimoto,Hiroyuki Kakuchi,Kazuhiro Sase,Hiroyuki Yokoyama,Hiroshi Nonogi,

BACKGROUND: Previous animal and clinical studies suggest that bystander-initiated cardiac-only resuscitation may be superior to conventional cardiopulmonary resuscitation (CPR) for out-of-hospital cardiac arrests. Our hypothesis was that both cardiac-only bystander resuscitation and conventional bystander CPR would improve outcomes from out-of-hospital cardiac arrests of < or = 15 minutes' duration, whereas the addition of rescue breathing would improve outcomes for cardiac arrests lasting > 15 minutes. METHODS AND RESULTS: We carried out a prospective, population-based, observational study involving consecutive patients with emergency responder resuscitation attempts from May 1, 1998, through April 30, 2003. The primary outcome measure was 1-year survival with favorable neurological outcome. Multivariable logistic regression analysis was performed to evaluate the relationship between type of CPR and outcomes. Among the 4902 witnessed cardiac arrests, 783 received conventional CPR, and 544 received cardiac-only resuscitation. Excluding very-long-duration cardiac arrests (> 15 minutes), the cardiac-only resuscitation yielded a higher rate of 1-year survival with favorable neurological outcome than no bystander CPR (4.3% versus 2.5%; odds ratio, 1.72; 95% CI, 1.01 to 2.95), and conventional CPR showed similar effectiveness (4.1%; odds ratio, 1.57; 95% CI, 0.95 to 2.60). For the very-long-duration arrests, neurologically favorable 1-year survival was greater in the conventional CPR group, but there were few survivors regardless of the type of bystander CPR (0.3% [2 of 624], 0% [0 of 92], and 2.2% [3 of 139] in the no bystander CPR, cardiac-only CPR, and conventional CPR groups, respectively; P<0.05). CONCLUSIONS: Bystander-initiated cardiac-only resuscitation and conventional CPR are similarly effective for most adult out-of-hospital cardiac arrests. For very prolonged cardiac arrests, the addition of rescue breathing may be of some help.

Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest. Publishing Authors By Initials

T Iwami,T Kawamura,A Hiraide,RA Berg,Y Hayashi,T Nishiuchi,K Kajino,N Yonemoto,H Yukioka,H Sugimoto,H Kakuchi,K Sase,H Yokoyama,H Nonogi,T Iwami,T Kawamura,A Hiraide,RA Berg,Y Hayashi,T Nishiuchi,K Kajino,N Yonemoto,H Yukioka,H Sugimoto,H Kakuchi,K Sase,H Yokoyama,H Nonogi,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Circulation

VOLUME: 116

Page Numbers: 2900-7

Journal Abbreviation: Circulation

ISSN: 1524-4539

DAY: 10

MONTH: 12

YEAR: 2007

Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 147763

Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest.

AFFILIATION: Division of Cardiology, National Cardiovascular Center, Suita, Japan. iwamit2000@yahoo.co.jp

Country: United States

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Circulation

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest Related Publications

• Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest.
• Effectiveness of simplified chest compression-only CPR training for the general public: A randomized controlled trial.