Effectiveness of Cardiopulmonary Resuscitation at the Workplace.
Journal
La Medicina del lavoro
ISSN: 0025-7818
Titre abrégé: Med Lav
Pays: Italy
ID NLM: 0401176
Informations de publication
Date de publication:
12 Jun 2023
12 Jun 2023
Historique:
received:
28
11
2022
accepted:
04
05
2023
medline:
14
6
2023
pubmed:
13
6
2023
entrez:
13
6
2023
Statut:
epublish
Résumé
Out-of-Hospital Cardiac Arrest (OHCA) is a medical emergency whose chances of survival can be increased by rapid Cardiopulmonary Resuscitation (CPR) and early use of Public Access Defibrillators (PAD). Basic Life Support (BLS) training became mandatory in Italy to spread knowledge of resuscitation maneuvers in the workplace. Basic Life Support (BLS) training became mandatory according to the DL 81/2008 law. To improve the level of cardioprotection in the workplace, the national law DL 116/2021 increased the number of places required to be provided with PADs. The study highlights the possibility of a Return to spontaneous circulation in OHCA in the workplace. A multivariate logistic regression model was fitted to the data to extrapolate associations between ROSC and the dependent variables. The associations' robustness was evaluated through sensitivity analysis. The chance to receive CPR (OR 2.3; 95% CI:1.8-2.9), PAD (OR 7.2; 95% CI:4.9 - 10.7), and achieve Return to spontaneous circulation (ROSC) (crude OR 2.2; 95% CI:1.7-3.0, adjusted OR 1.6; 95% CI:1.2-2.2) is higher in the workplace compared to all other places. The workplace could be considered cardioprotective, although further research is necessary to understand the causes of missed CPRs and identify the best places to increase BLS and defibrillation training to help policymakers implement correct programming on the activation of PAD projects.
Sections du résumé
BACKGROUND
BACKGROUND
Out-of-Hospital Cardiac Arrest (OHCA) is a medical emergency whose chances of survival can be increased by rapid Cardiopulmonary Resuscitation (CPR) and early use of Public Access Defibrillators (PAD). Basic Life Support (BLS) training became mandatory in Italy to spread knowledge of resuscitation maneuvers in the workplace. Basic Life Support (BLS) training became mandatory according to the DL 81/2008 law. To improve the level of cardioprotection in the workplace, the national law DL 116/2021 increased the number of places required to be provided with PADs. The study highlights the possibility of a Return to spontaneous circulation in OHCA in the workplace.
METHODS
METHODS
A multivariate logistic regression model was fitted to the data to extrapolate associations between ROSC and the dependent variables. The associations' robustness was evaluated through sensitivity analysis.
RESULTS
RESULTS
The chance to receive CPR (OR 2.3; 95% CI:1.8-2.9), PAD (OR 7.2; 95% CI:4.9 - 10.7), and achieve Return to spontaneous circulation (ROSC) (crude OR 2.2; 95% CI:1.7-3.0, adjusted OR 1.6; 95% CI:1.2-2.2) is higher in the workplace compared to all other places.
CONCLUSION
CONCLUSIONS
The workplace could be considered cardioprotective, although further research is necessary to understand the causes of missed CPRs and identify the best places to increase BLS and defibrillation training to help policymakers implement correct programming on the activation of PAD projects.
Identifiants
pubmed: 37309884
doi: 10.23749/mdl.v114i3.13995
pmc: PMC10281073
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e2023010Références
J Korean Med Sci. 2015 Jan;30(1):95-103
pubmed: 25552889
J Am Heart Assoc. 2017 Mar 13;6(3):
pubmed: 28288975
Inquiry. 2020 Jan-Dec;57:46958020963683
pubmed: 33124486
Eur J Emerg Med. 2020 Oct;27(5):368-372
pubmed: 32852925
J Clin Med. 2022 Nov 15;11(22):
pubmed: 36431225
Indian Pacing Electrophysiol J. 2006 Oct 01;6(4):194-201
pubmed: 17031415
Acute Med Surg. 2018 Apr 25;5(3):249-258
pubmed: 29988664
J Am Heart Assoc. 2020 Sep;9(17):e016701
pubmed: 32814479
Int J Cardiol. 2020 Jun 1;308:84-89
pubmed: 31980268
Resuscitation. 2015 Nov;96:30-6
pubmed: 26215481
Croat Med J. 2019 Aug 31;60(4):325-332
pubmed: 31483118
Lancet Public Health. 2020 Aug;5(8):e437-e443
pubmed: 32473113
Resusc Plus. 2021 Mar 31;6:100113
pubmed: 34223373
Medicina (Kaunas). 2021 Mar 22;57(3):
pubmed: 33809989
Resusc Plus. 2021 May 05;6:100127
pubmed: 34223384
J Public Health (Oxf). 2022 Mar 7;44(1):e149-e152
pubmed: 34156071
Disaster Med Public Health Prep. 2022 Jan 10;:1-8
pubmed: 35000651
J Clin Med. 2022 Sep 27;11(19):
pubmed: 36233584
PLoS One. 2018 Feb 28;13(2):e0193361
pubmed: 29489877
J Gen Fam Med. 2017 May 08;18(5):217-224
pubmed: 29264030
PLoS One. 2021 Aug 25;16(8):e0256526
pubmed: 34432840
Acta Anaesthesiol Scand. 2022 Oct;66(9):1124-1129
pubmed: 35894939
Indian Heart J. 2020 Nov-Dec;72(6):517-523
pubmed: 33357639
PLoS One. 2021 May 20;16(5):e0250591
pubmed: 34014960
Acta Biomed. 2020 Nov 20;91(4):e2020195
pubmed: 33525234
J Am Heart Assoc. 2019 Apr 2;8(7):e008267
pubmed: 30917733
BMJ Open. 2019 Jul 24;9(7):e028574
pubmed: 31345972
Acta Biomed. 2019 Sep 13;90(9-S):64-70
pubmed: 31517891
Med Lav. 2020 Oct 31;111(5):399-403
pubmed: 33124611
BMJ Open. 2020 Jan 6;10(1):e033722
pubmed: 31911523
Resusc Plus. 2020 Nov 04;4:100037
pubmed: 34223314
Resusc Plus. 2021 Nov 14;8:100182
pubmed: 34825238
Ann Intern Med. 2017 Aug 15;167(4):268-274
pubmed: 28693043
BMJ Open. 2019 Jul 1;9(7):e029254
pubmed: 31266839
Heart. 1996 Feb;75(2):195-9
pubmed: 8673761
PLoS One. 2020 Aug 31;15(8):e0238067
pubmed: 32866165
Intern Emerg Med. 2022 Nov;17(8):2427-2430
pubmed: 36066837
Acta Biomed. 2022 Jul 01;93(3):e2022260
pubmed: 35775749
J Korean Med Sci. 2013 Feb;28(2):320-7
pubmed: 23400043