Chest-compression-only bystander cardiopulmonary resuscitation in the 30:2 compression-to-ventilation ratio era. Nationwide observational study

• Japanese Circulation Society Resuscitation Science Study Group

書誌事項

タイトル別名

• Chest-Compression-Only Bystander Cardiopulmonary Resuscitation in the 30:2 Compression-to-Ventilation Ratio Era
• – Nationwide Observational Study –

抄録

Background: The compression-to-ventilation ratio for basic cardiopulmonary resuscitation (CPR) was changed from 15:2 to 30:2, but there are few human studies comparing chest-compression-only CPR with standard CPR. Methods and Results: From the All-Japan Utstein Registry in the 30:2 CPR era, 173,565 adult cardiac arrests witnessed by bystanders were included. On arrival at the scene, emergency medical services responders assessed the status of dispatcher-assisted CPR instruction and bystander CPR technique (chest compression with or without rescue breathing). The primary endpoint was favorable neurological outcome 30 days after cardiac arrest. The prevalence of dispatcher-assisted CPR instruction increased year by year, contributing to an overall increase of chest-compression-only bystander CPR from 20.6% to 35.0%. Among 78,150 patients receiving bystander CPR, favorable neurological outcome did not differ between dispatcher-assisted and -unassisted CPR (adjusted odds ratio [OR], 1.00; 95% confidence interval [CI]: 0.94–1.08). Chest-compression-only CPR resulted in better favorable neurological outcome than standard CPR in the whole cohort (adjusted OR, 1.09; 95% CI: 1.00–1.18) and in the subgroup with cardiac etiology (adjusted OR, 1.12; 95% CI: 1.02–1.22). The addition of rescue breathing provided no neurological benefit in the non-cardiac etiology subgroup. Conclusions: In the 30:2 CPR era, dispatcher-assisted CPR instruction contributed to an increase of chest-compression-only bystander CPR, supporting the use of chest-compression-only CPR for bystander-witnessed out-of-hospital cardiac arrest in all adults.  (Circ J 2013; 77: 2742–2750)<br>

収録刊行物

• Circulation Journal

  Circulation Journal 77 (11), 2742-2750, 2013

  一般社団法人 日本循環器学会

キーワード

• Brain
• Cardiac arrest
• Cardiopulmonary resuscitation
• Cardiovascular disease
• Survival

詳細情報

• CRID: 1390282680078836864
• NII論文ID: 10031196826
• NII書誌ID: AA11591968
• DOI: 10.1253/circj.cj-13-0457
• COI: 1:STN:280:DC%2BC3sfns1ynsA%3D%3D
• ISSN: 13474820
• ISSN: 13469843
• PubMed: 23924887
• Web Site: https://www.jstage.jst.go.jp/article/circj/77/11/77_CJ-13-0457/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2014247696
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可