CPR quality during out-of-hospital cardiac arrest transport. (May 2017)
- Record Type:
- Journal Article
- Title:
- CPR quality during out-of-hospital cardiac arrest transport. (May 2017)
- Main Title:
- CPR quality during out-of-hospital cardiac arrest transport
- Authors:
- Cheskes, Sheldon
Byers, Adam
Zhan, Cathy
Verbeek, P. Richard
Ko, Dennis
Drennan, Ian R.
Buick, Jason E.
Brooks, Steven C.
Lin, Steve
Taher, Ahmed
Morrison, Laurie J. - Abstract:
- Abstract: Background: Previous studies have demonstrated significant associations between cardiopulmonary resuscitation (CPR) quality metrics and survival to hospital discharge. No adequately powered study has explored the relationship between location of resuscitation (scene vs. transport) and CPR quality. Methods: We analyzed CPR quality data from treated adult OHCA occurring over a 40 month period beginning January 1, 2013 from the Rescu Epistry-cardiac arrest database. High quality CPR was defined as chest compression fraction (CCF) >0.7, compression rate >100/min and compression depth >5.0 cm. Our primary objective was to compare the proportion of resuscitations for which all CPR quality benchmarks were met between scene and transport phases of resuscitation. Our secondary objectives were to compare the quality of CPR between the scene phase and transport phase of resuscitation. Results: The proportion of patients with high quality CPR was similar on scene compared to during transport (45.8% vs. 42.5%; ∆ 3.3 %; 95% CI: −1.4, 8.1). Regarding individual CPR metrics, median compression rate was higher on scene compared to transport (105.8 compressions per minute (cpm) vs. 102.0 cpm; ∆ 3.8 cpm; 95% CI: 2.5, 4.0), while median compression depth (5.56 cm vs. 5.33 cm; ∆ 0.23 cm; 95% CI: 0.12, 0.26) and median CCF (0.95 vs. 0.87; ∆ 0.08; 95% CI: 0.07, 0.08) were higher during the transport phase. Conclusions: High quality CPR metrics were similar in both (scene and transport)Abstract: Background: Previous studies have demonstrated significant associations between cardiopulmonary resuscitation (CPR) quality metrics and survival to hospital discharge. No adequately powered study has explored the relationship between location of resuscitation (scene vs. transport) and CPR quality. Methods: We analyzed CPR quality data from treated adult OHCA occurring over a 40 month period beginning January 1, 2013 from the Rescu Epistry-cardiac arrest database. High quality CPR was defined as chest compression fraction (CCF) >0.7, compression rate >100/min and compression depth >5.0 cm. Our primary objective was to compare the proportion of resuscitations for which all CPR quality benchmarks were met between scene and transport phases of resuscitation. Our secondary objectives were to compare the quality of CPR between the scene phase and transport phase of resuscitation. Results: The proportion of patients with high quality CPR was similar on scene compared to during transport (45.8% vs. 42.5%; ∆ 3.3 %; 95% CI: −1.4, 8.1). Regarding individual CPR metrics, median compression rate was higher on scene compared to transport (105.8 compressions per minute (cpm) vs. 102.0 cpm; ∆ 3.8 cpm; 95% CI: 2.5, 4.0), while median compression depth (5.56 cm vs. 5.33 cm; ∆ 0.23 cm; 95% CI: 0.12, 0.26) and median CCF (0.95 vs. 0.87; ∆ 0.08; 95% CI: 0.07, 0.08) were higher during the transport phase. Conclusions: High quality CPR metrics were similar in both (scene and transport) locations of resuscitation. These results suggest that high quality, manual compressions can be performed by prehospital providers regardless of location. … (more)
- Is Part Of:
- Resuscitation. Volume 114(2017)
- Journal:
- Resuscitation
- Issue:
- Volume 114(2017)
- Issue Display:
- Volume 114, Issue 2017 (2017)
- Year:
- 2017
- Volume:
- 114
- Issue:
- 2017
- Issue Sort Value:
- 2017-0114-2017-0000
- Page Start:
- 34
- Page End:
- 39
- Publication Date:
- 2017-05
- Subjects:
- Cardiopulmonary resuscitation -- Resuscitation -- Survival -- Cardiac arrest -- Paramedic -- Emergency medical services
Resuscitation -- Periodicals
Resuscitation -- Periodicals
Réanimation -- Périodiques
Electronic journals
616.025 - Journal URLs:
- http://www.sciencedirect.com/science/journal/03009572 ↗
http://www.resuscitationjournal.com/ ↗
http://www.clinicalkey.com/dura/browse/journalIssue/03009572 ↗
http://www.clinicalkey.com.au/dura/browse/journalIssue/03009572 ↗
http://www.elsevier.com/journals ↗ - DOI:
- 10.1016/j.resuscitation.2017.02.016 ↗
- Languages:
- English
- ISSNs:
- 0300-9572
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 7785.420000
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