Survival is similar after standard treatment and chest compression only in out-of-hospital bystander cardiopulmonary resuscitation

被引:178
作者
Bohm, Katarina [1 ]
Rosenqvist, Marten [2 ]
Herlitz, Johan [3 ]
Hollenberg, Jacob [2 ]
Svensson, Leif [4 ]
机构
[1] S Gen Hosp, Stockholm Prehosp Ctr, Karolinska Inst, Dept Cardiol, Stockholm, Sweden
[2] S Gen Hosp, Karolinska Inst, Dept Cardiol, Stockholm, Sweden
[3] Univ Gothenburg, Salgrenska Hosp, Dept Cardiol, Stockholm, Sweden
[4] S Gen Hosp, Karolinska Inst, Stockholm Prehosp Ctr, Stockholm, Sweden
关键词
cardiopulmonary resuscitation; heart arrest; survival;
D O I
10.1161/CIRCULATIONAHA.107.710194
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background - We sought to compare the 1-month survival rates among patients after out-of-hospital cardiac arrest who had been given bystander cardiopulmonary resuscitation (CPR) in relation to whether they had received standard CPR with chest compression plus mouth-to-mouth ventilation or chest compression only. Methods and Results - All patients with out-of-hospital cardiac arrest who received bystander CPR and who were reported to the Swedish Cardiac Arrest Register between 1990 and 2005 were included. Crew-witnessed cases were excluded. Among 11 275 patients, 73% (n = 8209) received standard CPR, and 10% (n = 1145) received chest compression only. There was no significant difference in 1-month survival between patients who received standard CPR (1-month survival = 7.2%) and those who received chest compression only (1-month survival = 6.7%). Conclusions - Among patients with out-of-hospital cardiac arrest who received bystander CPR, there was no significant difference in 1-month survival between a standard CPR program with chest compression plus mouth-to-mouth ventilation and a simplified version of CPR with chest compression only.
引用
收藏
页码:2908 / 2912
页数:5
相关论文
共 25 条
[1]   Adverse hemodynamic effects of interrupting chest compressions for rescue breathing during cardiopulmonary resuscitation for ventricular fibrillation cardiac arrest [J].
Berg, RA ;
Sanders, AB ;
Kern, KB ;
Hilwig, RW ;
Heidenreich, JW ;
Porter, ME ;
Ewy, GA .
CIRCULATION, 2001, 104 (20) :2465-2470
[2]   THE RELUCTANCE OF HOUSE STAFF TO PERFORM MOUTH-TO-MOUTH RESUSCITATION IN THE INPATIENT SETTING - WHAT ARE THE CONSIDERATIONS [J].
BRENNER, B ;
STARK, B ;
KAUFFMAN, J .
RESUSCITATION, 1994, 28 (03) :185-193
[3]   Influence of cardiopulmonary resuscitation prior to defibrillation in patients with out-of-hospital ventricular fibrillation [J].
Cobb, LA ;
Fahrenbruch, CE ;
Walsh, TR ;
Copass, MK ;
Olsufka, M ;
Breskin, M ;
Hallstrom, AP .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 281 (13) :1182-1188
[4]   IMPROVING SURVIVAL FROM SUDDEN CARDIAC-ARREST - THE CHAIN OF SURVIVAL CONCEPT - A STATEMENT FOR HEALTH-PROFESSIONALS FROM THE ADVANCED CARDIAC LIFE-SUPPORT SUBCOMMITTEE AND THE EMERGENCY CARDIAC CARE COMMITTEE, AMERICAN-HEART-ASSOCIATION [J].
CUMMINS, RO ;
ORNATO, JP ;
THIES, WH ;
PEPE, PE ;
BILLI, JE ;
SEIDEL, J ;
JAFFE, AS ;
FLINT, LS ;
GOLDSTEIN, S ;
ABRAMSON, NS ;
BROWN, C ;
CHANDRA, NC ;
GONZALEZ, ER ;
NEWELL, L ;
STULTS, KR ;
MEMBRINO, GE .
CIRCULATION, 1991, 83 (05) :1832-1847
[5]   How does interruption of cardiopulmonary resuscitation affect survival from cardiac arrest? [J].
Fries, M ;
Tang, WC .
CURRENT OPINION IN CRITICAL CARE, 2005, 11 (03) :200-203
[6]   Cardiopulmonary resuscitation by chest compression alone or with mouth-to-mouth ventilation [J].
Hallstrom, A ;
Cobb, L ;
Johnson, E ;
Copass, M .
NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (21) :1546-1553
[7]   Single-rescuer cardiopulmonary resuscitation: 'two quick breaths' - an oxymoron [J].
Heidenreich, JW ;
Higdon, TA ;
Kern, KB ;
Sanders, AB ;
Berg, RA ;
Niebler, R ;
Hendrickson, J ;
Ewy, GA .
RESUSCITATION, 2004, 62 (03) :283-289
[8]   Efficacy of bystander CPR:: Intervention by lay people and by health care professionals [J].
Herlitz, J ;
Svensson, L ;
Holmberg, S ;
Ängquist, KA ;
Young, M .
RESUSCITATION, 2005, 66 (03) :291-295
[9]   Factors associated with an increased chance of survival among patients suffering from an out-of-hospital cardiac arrest in a national perspective in Sweden [J].
Herlitz, J ;
Engdahl, J ;
Svensson, L ;
Ängquist, KA ;
Young, M ;
Holmberg, S .
AMERICAN HEART JOURNAL, 2005, 149 (01) :61-66
[10]   Importance of continuous chest compressions during cardiopulmonary resuscitation - Improved outcome during a simulated single lay-rescuer scenario [J].
Kern, KB ;
Hilwig, RW ;
Berg, RA ;
Sanders, AB ;
Ewy, GA .
CIRCULATION, 2002, 105 (05) :645-649