Chest Compression–Only Cardiopulmonary Resuscitation for Out-of-Hospital Cardiac Arrest With Public-Access Defibrillation

DOI Web Site 14 Citations 38 References
  • Taku Iwami
    From the Kyoto University Health Service, Kyoto (T.I., T. Kitamura, T. Kawamura); Clinical Research Center, Department of Cardiology, Saiseikai Central Hospital, Tokyo (H.M.); Department of Cardiology, Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Nihon University Surugadai Hospital, Tokyo (K.N.); Cardiology, Sakakibara Heart Institute, Tokyo (M.T.); Division of Cardiology, Department of Internal Medicine, Nippon Medical School, Chiba Hokusoh Hospital, Chiba (Y.S.); Graduate...
  • Tetsuhisa Kitamura
    From the Kyoto University Health Service, Kyoto (T.I., T. Kitamura, T. Kawamura); Clinical Research Center, Department of Cardiology, Saiseikai Central Hospital, Tokyo (H.M.); Department of Cardiology, Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Nihon University Surugadai Hospital, Tokyo (K.N.); Cardiology, Sakakibara Heart Institute, Tokyo (M.T.); Division of Cardiology, Department of Internal Medicine, Nippon Medical School, Chiba Hokusoh Hospital, Chiba (Y.S.); Graduate...
  • Takashi Kawamura
    From the Kyoto University Health Service, Kyoto (T.I., T. Kitamura, T. Kawamura); Clinical Research Center, Department of Cardiology, Saiseikai Central Hospital, Tokyo (H.M.); Department of Cardiology, Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Nihon University Surugadai Hospital, Tokyo (K.N.); Cardiology, Sakakibara Heart Institute, Tokyo (M.T.); Division of Cardiology, Department of Internal Medicine, Nippon Medical School, Chiba Hokusoh Hospital, Chiba (Y.S.); Graduate...
  • Hideo Mitamura
    From the Kyoto University Health Service, Kyoto (T.I., T. Kitamura, T. Kawamura); Clinical Research Center, Department of Cardiology, Saiseikai Central Hospital, Tokyo (H.M.); Department of Cardiology, Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Nihon University Surugadai Hospital, Tokyo (K.N.); Cardiology, Sakakibara Heart Institute, Tokyo (M.T.); Division of Cardiology, Department of Internal Medicine, Nippon Medical School, Chiba Hokusoh Hospital, Chiba (Y.S.); Graduate...
  • Ken Nagao
    From the Kyoto University Health Service, Kyoto (T.I., T. Kitamura, T. Kawamura); Clinical Research Center, Department of Cardiology, Saiseikai Central Hospital, Tokyo (H.M.); Department of Cardiology, Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Nihon University Surugadai Hospital, Tokyo (K.N.); Cardiology, Sakakibara Heart Institute, Tokyo (M.T.); Division of Cardiology, Department of Internal Medicine, Nippon Medical School, Chiba Hokusoh Hospital, Chiba (Y.S.); Graduate...
  • Morimasa Takayama
    From the Kyoto University Health Service, Kyoto (T.I., T. Kitamura, T. Kawamura); Clinical Research Center, Department of Cardiology, Saiseikai Central Hospital, Tokyo (H.M.); Department of Cardiology, Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Nihon University Surugadai Hospital, Tokyo (K.N.); Cardiology, Sakakibara Heart Institute, Tokyo (M.T.); Division of Cardiology, Department of Internal Medicine, Nippon Medical School, Chiba Hokusoh Hospital, Chiba (Y.S.); Graduate...
  • Yoshihiko Seino
    From the Kyoto University Health Service, Kyoto (T.I., T. Kitamura, T. Kawamura); Clinical Research Center, Department of Cardiology, Saiseikai Central Hospital, Tokyo (H.M.); Department of Cardiology, Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Nihon University Surugadai Hospital, Tokyo (K.N.); Cardiology, Sakakibara Heart Institute, Tokyo (M.T.); Division of Cardiology, Department of Internal Medicine, Nippon Medical School, Chiba Hokusoh Hospital, Chiba (Y.S.); Graduate...
  • Hideharu Tanaka
    From the Kyoto University Health Service, Kyoto (T.I., T. Kitamura, T. Kawamura); Clinical Research Center, Department of Cardiology, Saiseikai Central Hospital, Tokyo (H.M.); Department of Cardiology, Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Nihon University Surugadai Hospital, Tokyo (K.N.); Cardiology, Sakakibara Heart Institute, Tokyo (M.T.); Division of Cardiology, Department of Internal Medicine, Nippon Medical School, Chiba Hokusoh Hospital, Chiba (Y.S.); Graduate...
  • Hiroshi Nonogi
    From the Kyoto University Health Service, Kyoto (T.I., T. Kitamura, T. Kawamura); Clinical Research Center, Department of Cardiology, Saiseikai Central Hospital, Tokyo (H.M.); Department of Cardiology, Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Nihon University Surugadai Hospital, Tokyo (K.N.); Cardiology, Sakakibara Heart Institute, Tokyo (M.T.); Division of Cardiology, Department of Internal Medicine, Nippon Medical School, Chiba Hokusoh Hospital, Chiba (Y.S.); Graduate...
  • Naohiro Yonemoto
    From the Kyoto University Health Service, Kyoto (T.I., T. Kitamura, T. Kawamura); Clinical Research Center, Department of Cardiology, Saiseikai Central Hospital, Tokyo (H.M.); Department of Cardiology, Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Nihon University Surugadai Hospital, Tokyo (K.N.); Cardiology, Sakakibara Heart Institute, Tokyo (M.T.); Division of Cardiology, Department of Internal Medicine, Nippon Medical School, Chiba Hokusoh Hospital, Chiba (Y.S.); Graduate...
  • Takeshi Kimura
    From the Kyoto University Health Service, Kyoto (T.I., T. Kitamura, T. Kawamura); Clinical Research Center, Department of Cardiology, Saiseikai Central Hospital, Tokyo (H.M.); Department of Cardiology, Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, Nihon University Surugadai Hospital, Tokyo (K.N.); Cardiology, Sakakibara Heart Institute, Tokyo (M.T.); Division of Cardiology, Department of Internal Medicine, Nippon Medical School, Chiba Hokusoh Hospital, Chiba (Y.S.); Graduate...

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  • A Nationwide Cohort Study

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Abstract

<jats:sec> <jats:title>Background—</jats:title> <jats:p>It remains unclear which is more effective to increase survival after out-of-hospital cardiac arrest in those with public-access defibrillation, bystander-initiated chest compression–only cardiopulmonary resuscitation (CPR) or conventional CPR with rescue breathing.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods and Results—</jats:title> <jats:p>A nationwide, prospective, population-based observational study covering the whole population of Japan and involving consecutive out-of-hospital cardiac arrest patients with resuscitation attempts has been conducted since 2005. We enrolled all out-of-hospital cardiac arrests of presumed cardiac origin that were witnessed and received shocks with public-access automated external defibrillation (AEDs) by bystanders from January 1, 2005, to December 31, 2009. The main outcome measure was neurologically favorable 1-month survival. We compared outcomes by type of bystander-initiated CPR (chest compression–only CPR and conventional CPR with compressions and rescue breathing). Multivariable logistic regression was used to assess the relationship between the type of CPR and a better neurological outcome. During the 5 years, 1376 bystander-witnessed out-of-hospital cardiac arrests of cardiac origin in individuals who received CPR and shocks with public-access AEDs by bystanders were registered. Among them, 506 (36.8%) received chest compression–only CPR and 870 (63.2%) received conventional CPR. The chest compression–only CPR group (40.7%, 206 of 506) had a significantly higher rate of 1-month survival with favorable neurological outcome than the conventional CPR group (32.9%, 286 of 870; adjusted odds ratio, 1.33; 95% confidence interval, 1.03–1.70).</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions—</jats:title> <jats:p>Compression-only CPR is more effective than conventional CPR for patients in whom out-of-hospital cardiac arrest is witnessed and shocked with public-access defibrillation. Compression-only CPR is the most likely scenario in which lay rescuers can witness a sudden collapse and use public-access AEDs.</jats:p> </jats:sec>

Journal

  • Circulation

    Circulation 126 (24), 2844-2851, 2012-12-11

    Ovid Technologies (Wolters Kluwer Health)

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