Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-26T05:13:43.991Z Has data issue: false hasContentIssue false

Impact of Dispatcher-Assisted Bystander Cardiopulmonary Resuscitation with Out-of-Hospital Cardiac Arrest: A Systemic Review and Meta-Analysis

Published online by Cambridge University Press:  29 May 2020

Junhong Wang
Affiliation:
Emergency Department, Peking University Third Hospital, Haidian District, Beijing, PR China
Hua Zhang
Affiliation:
Research Center of Clinical Epidemiology, Peking University Third Hospital, Haidian District, Beijing, PR China
Zongxuan Zhao
Affiliation:
Peking University Third School of Clinical Medicine, Haidian District, Beijing, PR China
Kaifeng Wen
Affiliation:
Peking University Third School of Clinical Medicine, Haidian District, Beijing, PR China
Yaoke Xu
Affiliation:
Peking University Third School of Clinical Medicine, Haidian District, Beijing, PR China
Daidai Wang
Affiliation:
Peking University Third School of Clinical Medicine, Haidian District, Beijing, PR China
Qingbian Ma*
Affiliation:
Emergency Department, Peking University Third Hospital, Haidian District, Beijing, PR China
*
Correspondence: Qingbian Ma, MD Emergency Department Peking University Third Hospital 49 North Garden Road Haidian District, Beijing, 100191, PR China E-mail: maqingbian@126.com

Abstract

Objective:

This systemic review and meta-analysis was conducted to explore the impact of dispatcher-assisted bystander cardiopulmonary resuscitation (DA-BCPR) on bystander cardiopulmonary resuscitation (BCPR) probability, survival, and neurological outcomes with out-of-hospital cardiac arrest (OHCA).

Methods:

Electronically searching of PubMed, Embase, and Cochrane Library, along with manual retrieval, were done for clinical trials about the impact of DA-BCPR which were published from the date of inception to December 2018. The literature was screened according to inclusion and exclusion criteria, the baseline information, and interested outcomes were extracted. Two reviewers assessed the methodological quality of the included studies. Pooled odds ratio (OR) and 95% confidence interval (CI) were calculated by STATA version 13.1.

Results:

In 13 studies, 235,550 patients were enrolled. Compared with no dispatcher instruction, DA-BCPR tended to be effective in improving BCPR rate (I2 = 98.2%; OR = 5.84; 95% CI, 4.58-7.46; P <.01), return of spontaneous circulation (ROSC) before admission (I2 = 36.0%; OR = 1.17; 95% CI, 1.06-1.29; P <.01), discharge or 30-day survival rate (I2 = 47.7%; OR = 1.25; 95% CI, 1.06-1.46; P <.01), and good neurological outcome (I2 = 30.9%; OR = 1.24; 95% CI, 1.04-1.48; P = .01). However, no significant difference in hospital admission was found (I2 = 29.0%; OR = 1.09; 95% CI, 0.91-1.30; P = .36).

Conclusion:

This review shows DA-BPCR plays a positive role for OHCA as a critical section in the life chain. It is effective in improving the probability of BCPR, survival, ROSC before admission, and neurological outcome.

Type
Original Research
Copyright
© World Association for Disaster and Emergency Medicine 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Mozaffarian, D, Benjamin, EJ, Go, AS, et al.Heart disease and stroke statistics--2015 update: a report from the American Heart Association. Circulation. 2015;131(4):e29e322.Google Scholar
Okubo, M, Kiyohara, K, Iwami, T, et al.Nationwide and regional trends in survival from out-of-hospital cardiac arrest in Japan: a 10-year cohort study from 2005 to 2014. Resuscitation. 2017;115:120128.CrossRefGoogle ScholarPubMed
Beck, B, Bray, J, Cameron, P, et al.Regional variation in the characteristics, incidence and outcomes of out-of-hospital cardiac arrest in Australia and New Zealand: results from the Aus-ROC Epistry. Resuscitation. 2018;126:4657.CrossRefGoogle ScholarPubMed
Stiell, I, Nichol, G, Wells, G, et al.Health-related quality of life is better for cardiac arrest survivors who received citizen cardiopulmonary resuscitation. Circulation. 2003;108(16):19391944.CrossRefGoogle ScholarPubMed
Fothergill, RT, Watson, LF, Chamberlain, D, et al.Increases in survival from out-of-hospital cardiac arrest: a five-year study. Resuscitation. 2013;84(8):10891092.CrossRefGoogle ScholarPubMed
Wissenberg, M, Lippert, FK, Folke, F, et al.Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA. 2013;310(3):13771384.CrossRefGoogle ScholarPubMed
Ro, YS, Song, KJ, Do Shin, S, et al.Association between county-level cardiopulmonary resuscitation training and changes in survival outcomes after out-of-hospital cardiac arrest over 5 years: a multilevel analysis. Resuscitation. 2019;139:291298.CrossRefGoogle ScholarPubMed
Kellermann, AL, Hackman, BB, Somes, G.Dispatcher-assisted cardiopulmonary resuscitation. Validation of efficacy. Circulation. 1989;80(5):12311239.CrossRefGoogle Scholar
White, L, Rogers, J, Bloomingdale, M, et al.Dispatcher-assisted cardiopulmonary resuscitation: risks for patients not in cardiac arrest. Circulation. 2010;121(1):9197.CrossRefGoogle Scholar
Bohm, K, Vaillancourt, C, Charette, ML, et al.In patients with out-of-hospital cardiac arrest, does the provision of dispatch cardiopulmonary resuscitation instructions as opposed to no instructions improve outcome: a systematic review of the literature. Resuscitation. 2011;82(12):14901495.CrossRefGoogle ScholarPubMed
Tsunoyama, T, Nakahara, S, Yoshida, M, et al.Effectiveness of dispatcher training in increasing bystander chest compression for out-of-hospital cardiac arrest patients in Japan. Acute Med Surg. 2017;4(4):439445.CrossRefGoogle ScholarPubMed
Tanaka, Y, Taniguchi, J, Wato, Y, et al.The continuous quality improvement project for telephone-assisted instruction of cardiopulmonary resuscitation increased the incidence of bystander CPR and improved the outcomes of out-of-hospital cardiac arrests. Resuscitation. 2012;83(10):12351241.CrossRefGoogle ScholarPubMed
Huang, CH, Fan, HJ, Chien, CY, et al.Validation of a dispatch protocol with continuous quality control for cardiac arrest: a before-and-after study at a city fire department-based dispatch center. J Emerg Med. 2017;53(5):697707.CrossRefGoogle Scholar
David, M, Larissa, S, Mike, C, et al.Preferred reporting items for systemic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4(1):1.Google Scholar
Slim, K, Nini, EF, Forestier, D, et al.Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg. 2003;73(9):712716.CrossRefGoogle ScholarPubMed
Fukushima, H, Imanishi, M, Iwami, T, et al.Abnormal breathing of sudden cardiac arrest victims described by laypersons and its association with emergency medical service dispatcher-assisted cardiopulmonary resuscitation instruction. Emerg Med J. 2015;32(4):314317.CrossRefGoogle ScholarPubMed
Group, JCSRSS (Ken Nagao, et al). Chest-compression-only bystander cardiopulmonary resuscitation in the 30:2 compression-to-ventilation ratio era. Nationwide observational study. Circ J. 2013;77(11):27422750.Google Scholar
Song, KJ, Shin, SD, Park, CB, et al.Dispatcher-assisted bystander cardiopulmonary resuscitation in a metropolitan city: a before-after population-based study. Resuscitation. 2014;85(1):3441.CrossRefGoogle Scholar
Lewis, M, Stubbs, BA, Eisenberg, MS.Dispatcher-assisted cardiopulmonary resuscitation: time to identify cardiac arrest and deliver chest compression instructions. Circulation. 2013;128(14):15221530.CrossRefGoogle ScholarPubMed
Culley, LL, Clark, JJ, Eisenberg, MS, Larsen, MP.Dispatcher-assisted telephone CPR: common delay and time standards for delivery. Ann Emerg Med. 1991;20(4):362366.CrossRefGoogle ScholarPubMed
Takahashi, H, Sagisaka, R, Natsume, Y, et al.Does dispatcher-assisted CPR generate the same outcomes as spontaneously delivered bystander CPR in Japan? Am J Emerg Med. 2018;36(3):384391.CrossRefGoogle ScholarPubMed
Moriwaki, Y, Tahara, Y, Kosuge, T, Suzuki, N.The effect of telephone advice on cardiopulmonary resuscitation (CPR) on the rate of bystander CPR in out-of-hospital cardiopulmonary arrest in a typical urban area. Hong Kong J Emerg Med. 2016;23(4):220226.CrossRefGoogle Scholar
Kuisma, M, Boyd, J, Väyrynen, T, et al.Emergency call processing and survival from out-of-hospital ventricular fibrillation. Resuscitation. 2005;67(1):8993.CrossRefGoogle ScholarPubMed
Hiltunen, PV, Silfvast, TO, Jäntti, TH, et al.Emergency dispatch process and patient outcome in bystander-witnessed out-of-hospital cardiac arrest with a shockable rhythm. Eur J Emerg Med. 2015;22:266272.CrossRefGoogle ScholarPubMed
Vaillancourt, C, Verma, A, Trickett, J, et al.Evaluating the effectiveness of dispatch-assisted cardiopulmonary resuscitation instructions. Acad Emerg Med. 2007;14(10):877883.CrossRefGoogle ScholarPubMed
Bang, A, Biber, B, Isaksson, L, et al.Evaluation of dispatcher-assisted cardiopulmonary resuscitation. Eur J Emerg Med. 1999;6(3):175183.Google ScholarPubMed
Goto, Y, Maeda, T, Goto, Y.Impact of dispatcher-assisted bystander cardiopulmonary resuscitation on neurological outcomes in children with out-of-hospital cardiac arrests: a prospective, nationwide, population-based cohort study. J Am Heart Assoc. 2014;3(3):e000499.CrossRefGoogle ScholarPubMed
Akahane, M, Ogawa, T, Tanabe, S, et al.Impact of telephone dispatcher assistance on the outcomes of pediatric out-of-hospital cardiac arrest. Crit Care Med. 2012;40(5):14101416.CrossRefGoogle ScholarPubMed
Perkins, GD, Olasveengen, TM, Maconochie, I, et al.European Resuscitation Council Guidelines for Resuscitation: 2017 update. Resuscitation. 2018;123:4350.CrossRefGoogle ScholarPubMed
Kitamura, T, Iwami, TF, Kawamura, T, et al.Implementation working group for All-Japan Utstein Registry of the Fire and Disaster Management Agency: conventional and chest-compression-only cardiopulmonary resuscitation by bystanders for children who have out-of-hospital cardiac arrests: a prospective, nationwide, population-based cohort study. The Lancet. 2010;375(9723):13471354.CrossRefGoogle Scholar
Ogawa, T, Akahane, MF, Koike, S, et al.Outcomes of chest compression only CPR versus conventional CPR conducted by lay people in patients with out of hospital cardiopulmonary arrest witnessed by bystanders: nationwide population based observational study. BMJ. 2011;342(7792):c7106.CrossRefGoogle ScholarPubMed
Nakahara, S, Tomio, J, Ichikawa, M, et al.Association of bystander interventions with neurologically intact survival among patients with bystander-witnessed out-of-hospital cardiac arrest in Japan. JAMA. 2015;314(3):247254.CrossRefGoogle ScholarPubMed
Larsen, MP, Eisenberg, MF, Cummins, R, Hallstrom, AP.Predicting survival from out-of-hospital cardiac arrest: a graphic model. Ann Emerg Med. 1993;22(11):16521658.CrossRefGoogle ScholarPubMed
Herlitz, J, Bang, AF, Gunnarsson, J, et al.Factors associated with survival to hospital discharge among patients hospitalized alive after out of hospital cardiac arrest: change in outcome over 20 years in the community of Goteborg, Sweden. Heart. 2003;89(1):2530.CrossRefGoogle Scholar
Sasson, C, Rogers, MF, Dahl, J, Kellermann, AL.Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010;3(1):6381.CrossRefGoogle ScholarPubMed
Lewis, M, Stubbs, BF, Eisenberg, MS.Dispatcher-assisted cardiopulmonary resuscitation: time to identify cardiac arrest and deliver chest compression instructions. Circulation. 2013;128(14):15221530.CrossRefGoogle ScholarPubMed
Vaillancourt, C, Charette, M, Kasaboski, A, et al.Cardiac arrest diagnostic accuracy of 9-1-1 dispatchers: a prospective multi-center study. Resuscitation. 2015;90:116120.CrossRefGoogle ScholarPubMed
Flynn, J, Archer, FF, Morgans, A, Morgans, A.Sensitivity and specificity of the medical priority dispatch system in detecting cardiac arrest emergency calls in Melbourne. Prehosp Disaster Med. 2006;21(2):7276.CrossRefGoogle ScholarPubMed
Ko, SY, Shin, SD, Ro, YS, et al.Effect of detection time interval for out-of-hospital cardiac arrest on outcomes in dispatcher-assisted cardiopulmonary resuscitation: a nationwide observational study. Resuscitation. 2018;129:6169.CrossRefGoogle ScholarPubMed
Dias, JA, Brown, TF, Saini, D, et al.Simplified dispatch-assisted CPR instructions outperform standard protocol. Resuscitation. 2006;72(1):108114.CrossRefGoogle ScholarPubMed
Lewis, M, Stubbs, BF, Eisenberg, MS.Dispatcher-assisted cardiopulmonary resuscitation: time to identify cardiac arrest and deliver chest compression instructions. Circulation. 2013;128(14):15221530.CrossRefGoogle ScholarPubMed
Langlais, BT, Panczyk, M, Sutter, J, et al.Barriers to patient positioning for telephone cardiopulmonary resuscitation in out-of-hospital cardiac arrest. Resuscitation. 2017;115:163168.CrossRefGoogle ScholarPubMed
Swor, R, Khan, IF, Domeier, R, et al.CPR training and CPR performance. Do CPR-trained bystanders perform CPR? Acad Emerg Med. 2006;13(6):596601.CrossRefGoogle ScholarPubMed
Stipulante, S, Tubes, R, El Fassi, M, et al.Implementation of the ALERT algorithm, a new dispatcher-assisted telephone cardiopulmonary resuscitation protocol, in non-Advanced Medical Priority Dispatch System (AMPDS) Emergency Medical Services centers. Resuscitation. 2014;85(2):177181.CrossRefGoogle Scholar
Greif, R, Lockey, AS, Conaghan, P, et al.European Resuscitation Council Guidelines for Resuscitation 2015: Section 10. Education and implementation of resuscitation. Resuscitation. 2015;95:288301.CrossRefGoogle Scholar
Hasselqvist-Ax, I, Riva, GF, Herlitz, J, et al.Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. N Engl J Med. 2015;372(24):23072315.CrossRefGoogle ScholarPubMed
Harjanto, S, Na, MX, Hao, Y, et al.A before-after interventional trial of dispatcher-assisted cardio-pulmonary resuscitation for out-of-hospital cardiac arrests in Singapore. Resuscitation. 2016;102:8593.CrossRefGoogle ScholarPubMed
Rea, TD, Eisenberg, MS, Culley, LL, Becker, L.Dispatcher-assisted cardiopulmonary resuscitation and survival in cardiac arrest. Circulation. 2001;104(21):25132516.CrossRefGoogle ScholarPubMed
Viereck, S, Palsgaard Moller, T, Kjaer Ersboll, A, et al.Effect of bystander CPR initiation prior to the emergency call on ROSC and 30-day survival-an evaluation of 548 emergency calls. Resuscitation. 2017;111:5561.CrossRefGoogle ScholarPubMed
Chamberlain, D, Smith, AF, Colquhoun, M, et al.Randomized controlled trials of staged teaching for Basic Life Support: 2. Comparison of CPR performance and skill retention using either staged instruction or conventional training. Resuscitation. 2001;50(1):2737.CrossRefGoogle ScholarPubMed
Madden, C.Undergraduate nursing students’ acquisition and retention of CPR knowledge and skills. Nurse Educ Today. 2006;26(3):218227.CrossRefGoogle ScholarPubMed
Kellermann, AL, Hackman, BF, Somes, G.Dispatcher-assisted cardiopulmonary resuscitation. Validation of efficacy. Circulation. 1989;80(5):12311239.CrossRefGoogle Scholar
Merchant, RM, Abella, BF, Abotsi, EJ, et al.Cell phone cardiopulmonary resuscitation: audio instructions when needed by lay rescuers: a randomized, controlled trial. Ann Emerg Med. 2010;55(6):538-543(e1).CrossRefGoogle ScholarPubMed
Wissenberg, M, Lippert, FF, Folke, F, et al.Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA. 2013;310(13):13771384.CrossRefGoogle ScholarPubMed
Plodr, M, Truhlar, A, Krencikova, J, et al.Effect of introduction of a standardized protocol in dispatcher-assisted cardiopulmonary resuscitation. Resuscitation. 2016;106:1823.CrossRefGoogle ScholarPubMed
Lee, D, Park, S.Smartphone video-assisted advanced life support for out-of-hospital cardiac arrest by emergency medical service teams under physician direction. Intensive Care Med Exp. 2018;6(suppl 2):40.Google Scholar
Park, JH, Shin, SD, Ro, YS, et al.Implementation of a bundle of Utstein cardiopulmonary resuscitation programs to improve survival outcomes after out-of-hospital cardiac arrest in a metropolis: a before and after study. Resuscitation. 2018;130:124132.CrossRefGoogle Scholar
Travers, AF, Perkins, GD, Berg, RA, et al.Part 3: Adult Basic Life Support and automated external defibrillation: 2015 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation. 2015;132(16 suppl1):S5183.CrossRefGoogle ScholarPubMed
Supplementary material: File

Wang et al. supplementary material

Wang et al. supplementary material

Download Wang et al. supplementary material(File)
File 202.2 KB