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Cited by 27Cardiac Arrest and ResuscitationPalliative Care and End-of-Life IssuesMechanical Circulatory Support Devices

The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Increased survival from out-of-hospital cardiac arrest when off duty medically educated personnel perform CPR compared with laymen

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Nord, Anette, Svensson, Leif, Karlsson, Thomas, Claesson, Andreas, Herlitz, Johan, Nilsson, Lennart·2017·Resuscitation
DOI 10.1016/j.resuscitation.2017.08.234
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Abstract

Background Bystander cardiopulmonary resuscitation (CPR) has been proved to save lives; however, whether survival is affected by the training level of the bystander is not fully described. Aim To describe if the training level of laymen and medically educated bystanders affect 30-day survival in out-of-hospital cardiac arrests (OHCA). Methods This observational study included all witnessed and treated cases of bystander CPR reported to the Swedish Registry of Cardiopulmonary Resuscitation between 2010 and 2014. Bystander CPR was divided into two categories: (a) lay-byCPR (non-medically educated) and (b) med-byCPR (off duty medically educated personnel). Results During 2010-2014, 24,643 patients were reported to the OHCA registry, of which 6850 received lay-byCPR and 1444 med-byCPR; 16,349 crew-witnessed and non-witnessed cases and those with missing information were excluded from the analysis. The median interval from collapse to call for emergency medical services was 2min in both groups (p=0.97) and 2min from collapse to start of CPR for lay-byCPR versus 1min for med-byCPR (p<0.0001). There were no significant differences in CPR methods used; 64.3% (lay-byCPR) and 65.7% (med-byCPR) applied compressions and ventilation, respectively (p=0.33). The 30-day survival was 14.7% for lay-byCPR and 17.2% for the med-byCPR group (p=0.02). The odds ratio adjusted for potential confounders regarding survival (med-byCPR versus lay-byCPR) was 1.34 (95% confidence interval, 1.11-1.62; p=0.002). Conclusions In cases of OHCA, medically educated bystanders initiated CPR earlier and an increased 30-day survival was found compared with laymen bystanders. These results support the need to improve the education programme for laypeople.

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  • Not performing CPR (or with substantial delay) will reduce the likelihood of a good outcome for many victims.

    “Whilst not performing CPR (or with substantial delay) will reduce the likelihood of a good outcome for many victims, bystanders should try to limit the associated risk of disease transmission by doing CPR. 3,257”

    From European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions (2021) · cites this paper as [257]

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Research works printed but not linked: 35

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Metadata

Authors
Nord, A., Svensson, L., Karlsson, T., Claesson, A., Herlitz, J., & Nilsson, L.
Affiliations
  • Linköping University (SE)
  • Karolinska Institutet (SE)
  • University of Gothenburg (SE)
  • University of Borås (SE)
Corresponding author
Nilsson, Lennart
ORCID
Venue
Resuscitation
Publisher
Elsevier BV
Published
2017-11
Volume
120
Pages
88-94
ISSN
0300-9572 (ISSN-L)
DOI
10.1016/j.resuscitation.2017.08.234
OpenAlex
W2754324001
Cited by
27
References
1
Citations by year
2025: 3 · 2023: 1 · 2022: 2 · 2021: 7 · 2020: 4 · 2019: 6 · 2018: 2 · 2017: 2
FWCI
4.87
Type
journal article
Language
en
Open access
Licence
Locations
  • Resuscitation (publishedVersion)
  • PubMed (publishedVersion)
  • DiVA (Linkoping University) (submittedVersion, other-oa)
Funders
  • Foundation for Cardiopulmonary Resuscitation in Sweden, the Swedish Resuscitation Council, the Swedish Heart-Lung Foundation (20130629)
  • County Council of Östergötland
Topics
  • Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Mechanical Circulatory Support Devices
Keywords
out-of-hospital cardiac arrest, bystander CPR, lay rescuers, 30-day survival, CPR training, time to CPR initiation, CPR quality
MeSH terms
Aged, Aged, 80 and over, Emergency Medical Services, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Registries, Sweden, Cardiopulmonary Resuscitation, Statistics, Nonparametric, Out-of-Hospital Cardiac Arrest, Time-to-Treatment

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