Efficacy of bystander CPR: Intervention by lay people and by health care professionals
(2005) In Resuscitation 66(3). p.291-295- Abstract
- Background: Early cardiopulmonary resuscitation (CPR) by bystanders prior to the arrival of the rescue team has been shown to be associated with increased survival after out-of-hospital cardiac arrest. The aim of this survey was to evaluate the impact on survival of no bystander CPR, lay bystander CPR and professional bystander CPR. Methods: Patients suffering an out-of-hospital cardiac arrest in Sweden between 1990 and 2002 who were given CPR and were not witnessed by the ambulance crew were included. Results: In all, 29,711 patients were included, 36% of whom received bystander CPR prior to the arrival of the rescue team. Among the latter, 72% received CPR from lay people and 28% from professionals. Survival to I month was 2.2% among... (More)
- Background: Early cardiopulmonary resuscitation (CPR) by bystanders prior to the arrival of the rescue team has been shown to be associated with increased survival after out-of-hospital cardiac arrest. The aim of this survey was to evaluate the impact on survival of no bystander CPR, lay bystander CPR and professional bystander CPR. Methods: Patients suffering an out-of-hospital cardiac arrest in Sweden between 1990 and 2002 who were given CPR and were not witnessed by the ambulance crew were included. Results: In all, 29,711 patients were included, 36% of whom received bystander CPR prior to the arrival of the rescue team. Among the latter, 72% received CPR from lay people and 28% from professionals. Survival to I month was 2.2% among those who received no bystander CPR, 4.9% among those who received bystander CPR from lay people (p<0.0001) and 9.2% among those who received bystander CPR from professionals (p < 0.0001 compared with bystander CPR by lay people). In a multivariate analysis, lay bystander CPR was associated with improved survival compared to no bystander CPR (OR: 2.04; 95% Cl: 1.72-2.42), and professional bystander CPR was associated with improved survival compared to lay bystander CPR (OR: 1.37; 95% CI: 1. 12-1.67). Conclusion: Among patients suffering an out-of-hospital cardiac arrest, bystander CPR by lay persons (excluding health care professionals) is associated with an increased chance of survival. Furthermore, there is a distinction between lay persons and health care providers; survival is higher when the latter perform bystander CPR. However, these results may not be explained by differences in the quality of CPR. (Less)
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https://lup.lub.lu.se/record/891496
- author
- Herlitz, J ; Svensson, L ; Holmberg, S ; Angquist, KA and Young, Marie LU
- organization
- publishing date
- 2005
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- cardiac arrest, bystander cardiopulmonary resuscitation
- in
- Resuscitation
- volume
- 66
- issue
- 3
- pages
- 291 - 295
- publisher
- Elsevier
- external identifiers
-
- pmid:15950357
- wos:000232269500007
- scopus:24044455676
- ISSN
- 1873-1570
- DOI
- 10.1016/j.resuscitation.2005.04.003
- language
- English
- LU publication?
- yes
- id
- e0ceb5ed-e0d5-42b0-bd6e-4cf0da29ed22 (old id 891496)
- date added to LUP
- 2016-04-01 11:51:34
- date last changed
- 2022-03-28 08:46:27
@article{e0ceb5ed-e0d5-42b0-bd6e-4cf0da29ed22, abstract = {{Background: Early cardiopulmonary resuscitation (CPR) by bystanders prior to the arrival of the rescue team has been shown to be associated with increased survival after out-of-hospital cardiac arrest. The aim of this survey was to evaluate the impact on survival of no bystander CPR, lay bystander CPR and professional bystander CPR. Methods: Patients suffering an out-of-hospital cardiac arrest in Sweden between 1990 and 2002 who were given CPR and were not witnessed by the ambulance crew were included. Results: In all, 29,711 patients were included, 36% of whom received bystander CPR prior to the arrival of the rescue team. Among the latter, 72% received CPR from lay people and 28% from professionals. Survival to I month was 2.2% among those who received no bystander CPR, 4.9% among those who received bystander CPR from lay people (p<0.0001) and 9.2% among those who received bystander CPR from professionals (p < 0.0001 compared with bystander CPR by lay people). In a multivariate analysis, lay bystander CPR was associated with improved survival compared to no bystander CPR (OR: 2.04; 95% Cl: 1.72-2.42), and professional bystander CPR was associated with improved survival compared to lay bystander CPR (OR: 1.37; 95% CI: 1. 12-1.67). Conclusion: Among patients suffering an out-of-hospital cardiac arrest, bystander CPR by lay persons (excluding health care professionals) is associated with an increased chance of survival. Furthermore, there is a distinction between lay persons and health care providers; survival is higher when the latter perform bystander CPR. However, these results may not be explained by differences in the quality of CPR.}}, author = {{Herlitz, J and Svensson, L and Holmberg, S and Angquist, KA and Young, Marie}}, issn = {{1873-1570}}, keywords = {{cardiac arrest; bystander cardiopulmonary resuscitation}}, language = {{eng}}, number = {{3}}, pages = {{291--295}}, publisher = {{Elsevier}}, series = {{Resuscitation}}, title = {{Efficacy of bystander CPR: Intervention by lay people and by health care professionals}}, url = {{http://dx.doi.org/10.1016/j.resuscitation.2005.04.003}}, doi = {{10.1016/j.resuscitation.2005.04.003}}, volume = {{66}}, year = {{2005}}, }