To ventilate or not to ventilate during bystander CPR - A EuReCa TWO analysis.

Cardiopulmonary Resuscitation Emergency Medical Services Humans Out-of-Hospital Cardiac Arrest / therapy Registries Survival Rate Ventilation

Bystander CPR Chest-compression only CPR EuReCa Full CPR Out-of-hospital cardiac arrest

Journal

Resuscitation

ISSN: 1873-1570

Titre abrégé: Resuscitation

Pays: Ireland

ID NLM: 0332173

Informations de publication

Date de publication:
09 2021

Historique:

received: 02 12 2020

revised: 25 05 2021

accepted: 09 06 2021

pubmed: 20 6 2021

medline: 3 11 2021

entrez: 19 6 2021

Statut: ppublish

Résumé

Survival after out-of-hospital cardiac arrest (OHCA) is still low. For every minute without resuscitation the likelihood of survival decreases. One critical step is initiation of immediate, high quality cardiopulmonary resuscitation (CPR). The aim of this subgroup analysis of data collected for the European Registry of Cardiac Arrest Study number 2 (EuReCa TWO) was to investigate the association between OHCA survival and two types of bystander CPR namely: chest compression only CPR (CConly) and CPR with chest compressions and ventilations (FullCPR). In this subgroup analysis of EuReCa TWO, all patients who received bystander CPR were included. Outcomes were return of spontaneous circulation and survival to 30-days or hospital discharge. A multilevel binary logistic regression analysis with survival as the dependent variable was performed. A total of 5884 patients were included in the analysis, varying between countries from 21 to 1444. Survival was 320 (8%) in the CConly group and 174 (13%) in the FullCPR group. After adjustment for age, sex, location, rhythm, cause, time to scene, witnessed collapse and country, patients who received FullCPR had a significantly higher survival rate when compared to those who received CConly (adjusted odds ration 1.46, 95% confidence interval 1.17-1.83). In this analysis, FullCPR was associated with higher survival compared to CConly. Guidelines should continue to emphasise the importance of compressions and ventilations during resuscitation for patients who suffer OHCA and CPR courses should continue to teach both.

Sections du résumé

BACKGROUND

METHOD

In this subgroup analysis of EuReCa TWO, all patients who received bystander CPR were included. Outcomes were return of spontaneous circulation and survival to 30-days or hospital discharge. A multilevel binary logistic regression analysis with survival as the dependent variable was performed.

RESULTS

A total of 5884 patients were included in the analysis, varying between countries from 21 to 1444. Survival was 320 (8%) in the CConly group and 174 (13%) in the FullCPR group. After adjustment for age, sex, location, rhythm, cause, time to scene, witnessed collapse and country, patients who received FullCPR had a significantly higher survival rate when compared to those who received CConly (adjusted odds ration 1.46, 95% confidence interval 1.17-1.83).

CONCLUSION

In this analysis, FullCPR was associated with higher survival compared to CConly. Guidelines should continue to emphasise the importance of compressions and ventilations during resuscitation for patients who suffer OHCA and CPR courses should continue to teach both.

Identifiants

DOI: 10.1016/j.resuscitation.2021.06.006 PMID: 34146622

pubmed: 34146622

pii: S0300-9572(21)00229-X

doi: 10.1016/j.resuscitation.2021.06.006

pii:

doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

Pagination

101-109

Investigateurs

Maximilian Moertl (M)

Pierre Mols (P)

Hajriz Alihodžić (H)

Irzal Hadžibegović (I)

Marios Ioannides (M)

Anatolij Truhlář (A)

Mads Wissenberg (M)

Ari Salo (A)

Josephine Escutnaire (J)

Nikolaos Nikolaou (N)

Eniko Nagy (E)

Bergthor Steinn Jonsson (BS)

Peter Wright (P)

Federico Semeraro (F)

Carlo Clarens (C)

Steffie Beesems (S)

Grzegorz Cebula (G)

Vitor H Correia (VH)

Diana Cimpoesu (D)

Violetta Raffay (V)

Stefan Trenkler (S)

Andrej Markota (A)

Anneli Strömsöe (A)

Roman Burkart (R)

Scott Booth (S)

Michael Baubin (M)

Adolf Schinnerl (A)

Gerhard Prause (G)

Thomas Tschoellitsch (T)

Helmut Trimmel (H)

Rene Belz (R)

Wolfgang Fleischmann (W)

Magali Bartiaux (M)

Koenraad Monsieurs (K)

Stephan Wilmin (S)

Mathias Faniel (M)

Marie Vanhove (M)

Pascale Lievens (P)

Dominique Biarent (D)

Marc Van Nuffelen (M)

Ives Hubloue (I)

Jean-Marie Jacques (JM)

Michèle Yerna (M)

Robert Leach (R)

Mathieu Jeanmaire (M)

Paule Denoël (P)

Frank Van Trimpont (F)

Francis Desmet (F)

Louise Delhaye (L)

Vincent Van Belleghem (V)

Ken Dewitte (K)

Musa Abbasi (M)

Simon Scheyltjens (S)

Olivier Vermylen (O)

Diane de Longueville (D)

Stéphane Debaize (S)

Silvija Hunyadi Antičević (SH)

Slobodanka Keleuva (S)

Milan Lazarević (M)

Radmila Majhen Ujević (RM)

Gordana Antić Šego (GA)

Branka Bardak (B)

Domagoj Mišković (D)

Monika Praunová (M)

Ondřej Franěk (O)

Jaroslav Kratochvíl (J)

Jan Přikryl (J)

Roman Sýkora (R)

Tomáš Vaňatka (T)

Marek Vašák (M)

Petr Jaššo (P)

Petr Šmejkal (P)

Otomar Kušička (O)

Robin Šín (R)

Eva Smržová (E)

Dorián Pfeifer (D)

Heini Harve-Rytsälä (H)

Pamela Hiltunen (P)

Peter Holmström (P)

Timo Iirola (T)

Katja Jokela (K)

Hetti Kirves (H)

Pekka Korvenoja (P)

Markku Kuisma (M)

Jukka Laine (J)

Markus Lyyra (M)

Sami Länkimäki (S)

Petra Portaankorva (P)

Lasse Raatiniemi (L)

Marko Sainio (M)

Piritta Setälä (P)

Tuukka Toivonen (T)

Jan Uotinen (J)

Jukka Vaahersalo (J)

Taneli Väyrynen (T)

David Hamdan (D)

Jean-Marc Agostinucci (JM)

Josephine Escutnaire (J)

Fabienne Branche (F)

François Revaux (F)

Sébastien Jonquet (S)

Richard Loubert (R)

Marion Boursier (M)

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