Dispatcher-assisted cardiopulmonary resuscitation: Differential effects of landline, Mobile, and transferred calls

Dispatcher-assisted cardiopulmonary resuscitation (DACPR) could improve the survival rate of out-of-hospital cardiac arrest (OHCA). However, the efficiency of DACPR varies. Our study compared the effectiveness of DACPR instructed via landline calls, mobile calls, and landline calls transferred to mo...

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Bibliographic Details
Published in:Resuscitation 2020-01, Vol.146, p.96-102
Main Authors: Huang, Shuo Kuen, Chen, Chih-Yu, Shih, Hong-Mo, Weng, Shao-Jen, Liu, Shih-Chia, Huang, Fen-Wei, Su, Chi-Yueh, Chang, Shih-Hsien
Format: Article
Language:English
Subjects:
Aged
Cardiac arrest
Cardiopulmonary Resuscitation - methods
Cardiopulmonary Resuscitation - statistics & numerical data
Cohort Studies
DACPR
Dispatch
Distance Counseling - organization & administration
Emergency Medical Dispatch - methods
Emergency Medical Dispatch - statistics & numerical data
Emergency Medical Service Communication Systems - organization & administration
EMS
Female
Heart Massage - methods
Heart Massage - statistics & numerical data
Humans
Male
OHCA
Out-of-Hospital Cardiac Arrest - diagnosis
Out-of-Hospital Cardiac Arrest - mortality
Out-of-Hospital Cardiac Arrest - therapy
Outcome and Process Assessment, Health Care
Prospective Studies
Survival Analysis
Taiwan - epidemiology
Telecommunications - instrumentation
Telecommunications - statistics & numerical data
Time-to-Treatment - statistics & numerical data
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Summary:Dispatcher-assisted cardiopulmonary resuscitation (DACPR) could improve the survival rate of out-of-hospital cardiac arrest (OHCA). However, the efficiency of DACPR varies. Our study compared the effectiveness of DACPR instructed via landline calls, mobile calls, and landline calls transferred to mobiles. This prospective cohort study enrolled patients with OHCA between 1 July 2017 and 30 November 2018 in Taichung. Patients were divided into a mobile group and a landline group according to device used to call emergency medical services (EMS). The landline group was subdivided according to whether the call was transferred to a mobile. We compared the DACPR rate and call to chest compression time between groups. The study comprised 2404 cases after exclusion: 934 cases of DACPR via mobile and 1470 via landline. In the mobile group, DACPR rate (54% vs. 47.5%, P 
ISSN:0300-9572
1873-1570
DOI:10.1016/j.resuscitation.2019.11.008