The effect of the GoodSAM volunteer first-responder app on survival to hospital discharge following out-of-hospital cardiac arrest.
Bystander defibrillation
CPR
Volunteer first-responders
Out-of-hospital cardiac arrest
Journal
European heart journal. Acute cardiovascular care
ISSN: 2048-8734
Titre abrégé: Eur Heart J Acute Cardiovasc Care
Pays: England
ID NLM: 101591369
Informations de publication
Date de publication:
12 Jan 2022
12 Jan 2022
Historique:
received:
20
08
2021
revised:
08
10
2021
accepted:
26
10
2021
entrez:
13
1
2022
pubmed:
14
1
2022
medline:
18
1
2022
Statut:
ppublish
Résumé
Bystander cardiopulmonary resuscitation and defibrillation can double survival to hospital discharge in out-of-hospital cardiac arrest. Mobile phone applications, such as GoodSAM, alerting nearby volunteer first-responders about out-of-hospital cardiac arrest could potentially improve bystander cardiopulmonary resuscitation and defibrillation, leading to better patient outcomes. The aim of this study was to determine GoodSAM's effect on survival to hospital discharge following out-of-hospital cardiac arrest. We collected data from the Out-of-Hospital Cardiac Arrest Outcomes Registry (University of Warwick, UK) submitted by the London Ambulance Service (1 April 2016 to 31 March 2017) and East Midlands Ambulance Service (1 January 2018 to 17 June 2018) and matched out-of-hospital cardiac arrests to GoodSAM alerts. We constructed logistic regression models to determine if there was an association between a GoodSAM first-responder accepting an alert and survival to hospital discharge, adjusting for location type, presenting rhythm, age, gender, ambulance service response time, cardiac arrest witnessed status, and bystander actions. Survival to hospital discharge was 9.6% (393/4196) in London and 7.2% (72/1001) in East Midlands. A GoodSAM first-responder accepted an alert for out-of-hospital cardiac arrest in 1.3% (53/4196) cases in London and 5.4% (51/1001) cases in East Midlands. When a responder accepted an alert, the adjusted odds ratio for survival to hospital discharge was 3.15 (95% CI: 1.19-8.36, P = 0.021) in London and 3.19 (95% CI: 1.17-8.73, P = 0.024) in East Midlands. Alert acceptance was associated with improved survival in both ambulance services. Alert acceptance rates were low, and challenges remain to maximize the potential benefit of GoodSAM.
Identifiants
pubmed: 35024801
pii: 6431742
doi: 10.1093/ehjacc/zuab103
pmc: PMC8757292
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
20-31Subventions
Organisme : National Institute for Health Research (NIHR) Doctoral Research Fellowship
ID : DRF-2017-10-095
Organisme : British Heart Foundation and Resuscitation Council UK
Organisme : National Institute for Health Research (NIHR)
Informations de copyright
© The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology.
Références
Resuscitation. 2020 May;150:170-177
pubmed: 32045663
Crit Care. 2020 Feb 22;24(1):61
pubmed: 32087741
BMJ. 2008 Apr 26;336(7650):924-6
pubmed: 18436948
J Am Coll Cardiol. 2016 Aug 23;68(8):836-45
pubmed: 27539176
Resuscitation. 2011 Oct;82(10):1273-8
pubmed: 21652136
Resuscitation. 2016 Jan;98:20-6
pubmed: 26475397
N Engl J Med. 2015 Jun 11;372(24):2316-25
pubmed: 26061836
J Am Coll Cardiol. 2020 Jul 7;76(1):43-53
pubmed: 32616162
Resuscitation. 2016 Aug;105:182-7
pubmed: 27327230
Resuscitation. 2019 May;138:198-207
pubmed: 30902689
Resuscitation. 2020 Nov;156:A35-A79
pubmed: 33098921
Resuscitation. 2021 Jan;158:94-121
pubmed: 33188832
Resuscitation. 2020 Jul;152:16-25
pubmed: 32437783
Eur Heart J. 2016 Nov 07;37(42):3222-3228
pubmed: 26497161
Resuscitation. 2020 Feb 1;147:57-64
pubmed: 31887366
Resuscitation. 2015 Nov;96:328-40
pubmed: 25438254
Resuscitation. 2019 Mar;136:30-37
pubmed: 30682401
Resuscitation. 2021 Apr;161:98-114
pubmed: 33773835
Resuscitation. 2018 Jun;127:147-163
pubmed: 29706235
Resuscitation. 2021 Apr;161:80-97
pubmed: 33773834
Heart. 2018 Aug;104(16):1339-1343
pubmed: 29760243
Resuscitation. 2017 Jan;110:133-140
pubmed: 27865775
J Am Heart Assoc. 2021 Jul 6;10(13):e020378
pubmed: 34212765
Resuscitation. 2015 Jul;92:115-21
pubmed: 25957944
Resuscitation. 2017 Dec;121:123-126
pubmed: 29079507
Cochrane Database Syst Rev. 2019 Jul 19;7:CD012764
pubmed: 31323120
Resuscitation. 2018 May;126:160-165
pubmed: 29408717
BMJ Open. 2020 Mar 10;10(3):e034908
pubmed: 32161161
Resuscitation. 2020 Jul;152:39-49
pubmed: 32272235
Circulation. 2013 Nov 12;128(20):2224-31
pubmed: 24036607
Circulation. 2013 Apr 30;127(17):1801-9
pubmed: 23553657