Academic Journal

Survival and neurological outcome after bystander versus lay responder defibrillation in out-of-hospital cardiac arrest:A sub-study of the BOX trial

التفاصيل البيبلوغرافية
العنوان: Survival and neurological outcome after bystander versus lay responder defibrillation in out-of-hospital cardiac arrest:A sub-study of the BOX trial
المؤلفون: Sarkisian, Laura, Isse, Yusuf Abdi, Gerke, Oke, Obling, Laust Emil Roelsgaard, Paulin Beske, Ramus, Grand, Johannes, Schmidt, Henrik, Højgaard, Henrik Frederiksen, Meyer, Martin Abild Stengaard, Borregaard, Britt, Hassager, Christian, Kjaergaard, Jesper, Møller, Jacob Eifer
المصدر: Sarkisian , L , Isse , Y A , Gerke , O , Obling , L E R , Paulin Beske , R , Grand , J , Schmidt , H , Højgaard , H F , Meyer , M A S , Borregaard , B , Hassager , C , Kjaergaard , J & Møller , J E 2024 , ' Survival and neurological outcome after bystander versus lay responder defibrillation in out-of-hospital cardiac arrest : A sub-study of the BOX trial ' , Resuscitation , vol. 195 , 110059 . https://doi.org/10.1016/j.resuscitation.2023.110059
سنة النشر: 2024
المجموعة: University of Southern Denmark: Research Output / Syddansk Universitet
مصطلحات موضوعية: Bystander, Cardiac arrest, Defibrillation, Lay responder, OHCA, Resuscitation, Brain Death, Out-of-Hospital Cardiac Arrest, Humans, Electric Countershock, Clinical Trials as Topic, Cardiopulmonary Resuscitation, Registries, Emergency Medical Services
الوصف: Background and aim: Bystander defibrillation is associated with increased survival with good neurological outcome after out-of-hospital cardiac arrest (OHCA). Dispatch of lay responders could increase defibrillation rates, however, survival with good neurological outcome in these remain unknown. The aim was to compare long-term survival with good neurological outcome in bystander versus lay responder defibrillated OHCAs. Methods: This is a sub-study of the BOX trial, which included OHCA patients from two Danish tertiary cardiac intensive care units from March 2017 to December 2021. The main outcome was defined as 3-month survival with good neurological performance (Cerebral Performance Category of 1or 2, on a scale from 1 (good cerebral performance) to 5 (death or brain death)). For this study EMS witnessed OHCAs were excluded. Results: Of the 715 patients, a lay responder arrived before EMS in 125 cases (16%). In total, 81 patients were defibrillated by a lay responder (11%), 69 patients by a bystander (10%) and 565 patients by the EMS staff (79%). The 3-month survival with good neurological outcome was 65% and 81% in the lay responder and bystander defibrillated groups, respectively (P = 0.03). Conclusion: In patients with OHCA, 3-month survival with good neurological outcome was higher in bystander defibrillated patients compared with lay responder defibrillated patients.
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
DOI: 10.1016/j.resuscitation.2023.110059
الاتاحة: https://portal.findresearcher.sdu.dk/da/publications/60a1312e-59ec-445a-a5ed-38162049b653
https://doi.org/10.1016/j.resuscitation.2023.110059
https://findresearcher.sdu.dk/ws/files/255906554/PIIS0300957223007955.pdf
Rights: info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.F64F44B8
قاعدة البيانات: BASE
الوصف
DOI:10.1016/j.resuscitation.2023.110059