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We evaluated the effects of CPR instructions by emergency medical dispatchers on the frequency of bystander CPR and outcomes, and whether these effects differed between family and non-family bystanders.\nMethods\n\nWe conducted a retrospective cohort study, using Utstein-style records of OHCA taken in a rural area of Japan between January 2004 and December 2009.\nResults\n\nOf the 559 patients with non-traumatic OHCA witnessed by laypeople, 231 (41.3%) were given bystander CPR. More OHCA patients received resuscitation when the OHCA was witnessed by non-family bystanders than when it was witnessed by family members (61.4% vs. 34.2%). The patients with non-family-witnessed OHCA were more likely to be given conventional CPR (chest compression plus rescue breathing) or defibrillation with an AED than were those with family-witnessed OHCA. Dispatcher instructions significantly increased the provision of bystander CPR regardless of who the witnesses were. 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Do dispatcher instructions facilitate bystander-initiated cardiopulmonary resuscitation and improve outcomes in patients with out-of-hospital cardiac arrest? A comparison of family and non-family bystanders
http://hdl.handle.net/2241/121350
http://hdl.handle.net/2241/12135079ef2016-6cb0-4d51-b756-b7cdeb8f5562
名前 / ファイル | ライセンス | アクション |
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Resuscitation_85-3.pdf (226.1 kB)
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Item type | Journal Article(1) | |||||
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公開日 | 2014-05-02 | |||||
タイトル | ||||||
タイトル | Do dispatcher instructions facilitate bystander-initiated cardiopulmonary resuscitation and improve outcomes in patients with out-of-hospital cardiac arrest? A comparison of family and non-family bystanders | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Fujie, Keiko
× Fujie, Keiko× Nakata, Yoshio× Yasuda, Susumu× Mizutani, Taro× Hashimoto, Koichi |
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著者別名 |
藤江, 敬子
× 藤江, 敬子× 中田, 由夫× 水谷, 太郎× 橋本, 幸一 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Objectives Bystander-initiated cardiopulmonary resuscitation (CPR) has been reported to increase the possibility of survival in patients with out-of-hospital cardiopulmonary arrest (OHCA). We evaluated the effects of CPR instructions by emergency medical dispatchers on the frequency of bystander CPR and outcomes, and whether these effects differed between family and non-family bystanders. Methods We conducted a retrospective cohort study, using Utstein-style records of OHCA taken in a rural area of Japan between January 2004 and December 2009. Results Of the 559 patients with non-traumatic OHCA witnessed by laypeople, 231 (41.3%) were given bystander CPR. More OHCA patients received resuscitation when the OHCA was witnessed by non-family bystanders than when it was witnessed by family members (61.4% vs. 34.2%). The patients with non-family-witnessed OHCA were more likely to be given conventional CPR (chest compression plus rescue breathing) or defibrillation with an AED than were those with family-witnessed OHCA. Dispatcher instructions significantly increased the provision of bystander CPR regardless of who the witnesses were. Neurologically favorable survival was increased by CPR in non-family-witnessed, but not in family-witnessed, OHCA patients. No difference in survival rate was observed between the cases provided with dispatcher instructions and those not provided with the instructions. Conclusions Dispatcher instructions increased the frequency of bystander CPR, but did not improve the rate of neurologically favorable survival in patients with witnessed OHCA. Efforts to enhance the frequency and quality of resuscitation, especially by family members, are required for dispatcher-assisted CPR. |
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書誌情報 |
Resuscitation 巻 85, 号 3, p. 315-319, 発行日 2014-03 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0300-9572 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00817253 | |||||
PubMed番号 | ||||||
識別子タイプ | PMID | |||||
関連識別子 | 24291510 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1016/j.resuscitation.2013.11.013 | |||||
権利 | ||||||
権利情報 | © 2013 Elsevier Ireland Ltd. NOTICE: this is the author’s version of a work that was accepted for publication in Resuscitation. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Resuscitation,85,3,2014. http://dx.doi.org/10.1016/j.resuscitation.2013.11.013 | |||||
著者版フラグ | ||||||
値 | author | |||||
出版者 | ||||||
出版者 | ELSEVIER | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2241/121350 | |||||
識別子タイプ | HDL |