Bystander cardiopulmonary resuscitation and long-term outcomes in out-of-hospital cardiac arrest according to location of arrest
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Bystander cardiopulmonary resuscitation and long-term outcomes in out-of-hospital cardiac arrest according to location of arrest. / Sondergaard, Kathrine B.; Wissenberg, Mads; Gerds, Thomas Alexander; Rajan, Shahzleen; Karlsson, Lena; Kragholm, Kristian; Pape, Marianne; Lippert, Freddy K.; Gislason, Gunnar H.; Folke, Fredrik; Torp-Pedersen, Christian; Hansen, Steen Møller.
In: European Heart Journal, Vol. 40, No. 3, 2019, p. 309-318.Research output: Contribution to journal › Journal article › Research › peer-review
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T1 - Bystander cardiopulmonary resuscitation and long-term outcomes in out-of-hospital cardiac arrest according to location of arrest
AU - Sondergaard, Kathrine B.
AU - Wissenberg, Mads
AU - Gerds, Thomas Alexander
AU - Rajan, Shahzleen
AU - Karlsson, Lena
AU - Kragholm, Kristian
AU - Pape, Marianne
AU - Lippert, Freddy K.
AU - Gislason, Gunnar H.
AU - Folke, Fredrik
AU - Torp-Pedersen, Christian
AU - Hansen, Steen Møller
PY - 2019
Y1 - 2019
N2 - Aims Bystander cardiopulmonary resuscitation (CPR) has increased in several countries following nationwide initiatives to facilitate bystander resuscitative efforts in out-of-hospital cardiac arrest (OHCA). We examined the importance of public or residential location of arrest on temporal changes in bystander CPR and outcomes. Methods and results From the nationwide Danish Cardiac Arrest Registry, all OHCAs from 2001 to 2014 of presumed cardiac cause and between 18 and 100 years of age were identified. Arrests witnessed by emergency medical services personnel were excluded. Of 25 505 OHCAs, 26.4% (n = 6738) and 73.6% (n = 18 767) were in public and residential locations, respectively. Bystander CPR increased during 2001–2014 in both locations: from 36.4% [95% confidence interval (CI) 30.6–42.6%] to 83.1% (95% CI 80.0–85.8%) in public (P < 0.001) and from 16.0% (95% CI 13.2–19.3%) to 61.0% (95% CI 58.7–63.2%) in residential locations (P < 0.001). Concurrently, 30-day survival increased in public from 6.4% (95% CI 4.0–10.0%) to 25.2% (95% CI 22.1–28.7%) (P < 0.001), and in residential from 2.9% (95% CI 1.8–4.5%) to 10.0% (95% CI 8.7–11.4%) (P < 0.001). Among 2281 30-day survivors, 1-year risk of anoxic brain damage/nursing home admission during 2001–2014 decreased from 18.8% (95% CI 6.6–43.0%) to 6.8% (95% CI 3.9–11.8%) in public (P < 0.001), whereas the corresponding change was insignificant in residential locations from 11.8% (95% CI 3.3–34.3) to 17.6% (95% CI 12.7–23.9%) (P = 0.52). Conclusion During 2001–2014, bystander CPR and 30-day survival more than doubled in both public and residential OHCA locations. A significant decrease in anoxic brain damage/nursing home admission was observed among 30-day survivors in public, but not among survivors from residential OHCAs.
AB - Aims Bystander cardiopulmonary resuscitation (CPR) has increased in several countries following nationwide initiatives to facilitate bystander resuscitative efforts in out-of-hospital cardiac arrest (OHCA). We examined the importance of public or residential location of arrest on temporal changes in bystander CPR and outcomes. Methods and results From the nationwide Danish Cardiac Arrest Registry, all OHCAs from 2001 to 2014 of presumed cardiac cause and between 18 and 100 years of age were identified. Arrests witnessed by emergency medical services personnel were excluded. Of 25 505 OHCAs, 26.4% (n = 6738) and 73.6% (n = 18 767) were in public and residential locations, respectively. Bystander CPR increased during 2001–2014 in both locations: from 36.4% [95% confidence interval (CI) 30.6–42.6%] to 83.1% (95% CI 80.0–85.8%) in public (P < 0.001) and from 16.0% (95% CI 13.2–19.3%) to 61.0% (95% CI 58.7–63.2%) in residential locations (P < 0.001). Concurrently, 30-day survival increased in public from 6.4% (95% CI 4.0–10.0%) to 25.2% (95% CI 22.1–28.7%) (P < 0.001), and in residential from 2.9% (95% CI 1.8–4.5%) to 10.0% (95% CI 8.7–11.4%) (P < 0.001). Among 2281 30-day survivors, 1-year risk of anoxic brain damage/nursing home admission during 2001–2014 decreased from 18.8% (95% CI 6.6–43.0%) to 6.8% (95% CI 3.9–11.8%) in public (P < 0.001), whereas the corresponding change was insignificant in residential locations from 11.8% (95% CI 3.3–34.3) to 17.6% (95% CI 12.7–23.9%) (P = 0.52). Conclusion During 2001–2014, bystander CPR and 30-day survival more than doubled in both public and residential OHCA locations. A significant decrease in anoxic brain damage/nursing home admission was observed among 30-day survivors in public, but not among survivors from residential OHCAs.
KW - OHCA
KW - Bystander CPR
KW - Long-term outcomes
KW - Location of arrest
U2 - 10.1093/eurheartj/ehy687
DO - 10.1093/eurheartj/ehy687
M3 - Journal article
C2 - 30380021
VL - 40
SP - 309
EP - 318
JO - European Heart Journal
JF - European Heart Journal
SN - 0195-668X
IS - 3
ER -
ID: 214332091