Early prehospital mechanical cardiopulmonary resuscitation use for out-of-hospital cardiac arrest: an observational study

被引:1
作者
Liu, Ying-Kuo [1 ,2 ,3 ,6 ]
Chen, Liang-Fu [1 ,3 ]
Huang, Szu-Wei [4 ]
Hsu, Shih-Chan [1 ,2 ]
Hsu, Chin-Wang [1 ,2 ,3 ]
Sun, Jen-Tang [3 ,5 ]
Chang, Shu-Hui [6 ]
机构
[1] Taipei Med Univ, Wan Fang Hosp, Dept Emergency Med, Taipei City, Taiwan
[2] Taipei Med Univ, Dept Med, Taipei City, Taiwan
[3] New Taipei City Fire Dept, New Taipei City, Taiwan
[4] Taipei Med Univ, Wan Fang Hosp, Dept Pediat, Taipei, Taiwan
[5] Far Eastern Mem Hosp, Dept Emergency Med, New Taipei City, Taiwan
[6] Natl Taiwan Univ, Dept Publ Hlth, 17,Xuzhou Rd, Taipei City 100, Taiwan
来源
BMC EMERGENCY MEDICINE | 2024年 / 24卷 / 01期
关键词
Out-of-hospital cardiac arrest; Mechanical cardiopulmonary resuscitation; Emergency Medical System; Paramedics; Return of spontaneous circulation; HEART-ASSOCIATION GUIDELINES; MANUAL CHEST COMPRESSION; SURVIVAL; CPR;
D O I
10.1186/s12873-024-01115-6
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
BackgroundThe use of mechanical cardiopulmonary resuscitation device has been very prevalent in out-of-hospital cardiac arrest rescue. This study aimed to investigate whether the timing of mechanical cardiopulmonary resuscitation device set-up correlated with the the outcome of cardiac arrest patients.MethodsWe retrospectively reviewed adult nontrauma cardiac arrest cases in New Taipei City, Taiwan, from January to December 2022. Demographic data, intervention-related factors, and the time variables of mechanical cardiopulmonary resuscitation were collected. The outcomes included the return of spontaneous circulation and 24-hour survival. We compared patients who achieved spontaneous circulation and those who did not with univariate and multivariable regression analyses.ResultsIn total, 1680 patients who received mechanical cardiopulmonary resuscitation were included in the analysis. Reducing the time interval from manual chest compression initiation to device setup was independently associated with the return of spontaneous circulation and 24-hour survival, especially in the subgroup of patients of initial shockable rhythm. Receiver operating characteristic analysis revealed that the outcome of patients with an initial shockable rhythm could be predicted by the mechanical cardiopulmonary resuscitation setup time, with areas under the curve of 60.8% and 63.9% for ROSC and 24-hour survival, respectively. The cutoff point was 395.5 s for patients with an initial shockable rhythm.ConclusionA positive correlation was found between early mechanical cardiopulmonary resuscitation intervention and the outcomes of out-of-hospital cardiac arrest patients. The time between manual chest compression and device setup could predict the return of spontaneous circulation and 24-hour survival in the subgroup of patients with initially shockable rhythm with the optimal cutoff point at 395.5 s.
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页数:11
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