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

Wnent, Jan, Tjelmeland, Ingvild, Lefering, Rolf, Koster, Rudolph W, Maurer, Holger, Masterson, Siobhán, Herlitz, Johan, Böttiger, Bernd W, Ortiz, Fernando Rosell, Perkins, Gavin D, Bossaert, Leo, Moertl, Maximilian, Mols, Pierre, Hadžibegović, Irzal, Truhlář, Anatolij, Salo, Ari, Baert, Valentine, Nagy, Eniko, Cebula, Grzegorz, Raffay, Violetta, Trenkler, Stefan, Markota, Andrej, Strömsöe, Anneli and Gräsner, Jan-Thorsten (2021) To ventilate or not to ventilate during bystander CPR - A EuReCa TWO analysis. Resuscitation. ISSN 1873-1570. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

Full text not available from this repository.
Official URL: http://www.journals.elsevier.com/resuscitation/

Abstract

BACKGROUND

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).

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 5,884 patients were included in the analysis, varying between countries from 21 to 1,444. 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.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WA Patients. Primary care. Medical profession. Forensic medicine
WG Cardiovascular system. Cardiology
WO Surgery
WO Surgery > WO500 Anaesthesia
Divisions: Emergency Services > Cardiology
Related URLs:
Depositing User: Jamie Edgar
Date Deposited: 28 Jun 2021 10:05
Last Modified: 28 Jun 2021 10:05
URI: http://www.repository.uhblibrary.co.uk/id/eprint/4450

Actions (login required)

View Item View Item