Abstract
Purpose
Telephone-assisted cardiopulmonary resuscitation (TA-CPR) is an effective community
intervention to increase bystander CPR rates. This study evaluated the effect of TA-CPR
on the provision of bystander CPR as a function of the patient’s sex.
Methods
Adult (aged ≥ 18 years) patients who collapsed in a public location between January
2013 and December 2017 and received emergency medical service (EMS) treatment for
out-of-hospital cardiac arrest (OHCA) of presumed cardiac aetiology were included
in the study. The main exposures were TA-CPR and the patients’ sex. The primary outcome
was the implementation of bystander CPR by laypersons. Multivariable logistic regression
analysis was conducted, stratified based on the provision of TA-CPR, to examine the
effect on bystander CPR according to patient sex.
Results
In the final analysis, 15,840 patients with OHCAs were included. Patients who received
TA-CPR accounted for 32.6% (5167/15,840) of the sample. Overall, 84.4% (814/964) of
the women and 86.9% (3653/4203) of the men received bystander CPR in the TA-CPR group
(P < 0.001). In the non-TA-CPR group, 40.5% (912/2252) of women and 47.3% (3653/8421)
of men received bystander CPR (P < 0.001). In the multivariable logistic regression
analysis, there was no significant difference in the odds ratio (OR) of bystander
CPR according to patient sex in the TA-CPR group (adjusted OR [AOR], 0.83; 95% confidence
interval [CI], 0.68–1.01). Women were less likely to receive bystander CPR if the
bystanders are not directed by TA-CPR (AOR: 0.79; 95% CI, 0.70–0.87).
Conclusions
TA-CPR attenuated the sex disparity in bystander CPR provided in public places.
Keywords
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References
- Global incidences of out-of-hospital cardiac arrest and survival rates: systematic review of 67 prospective studies.Resuscitation. 2010; 81: 1479-1487
- Predictors of survival from out-of-hospital cardiac arrest: a systematic review and meta-analysis.Circ Cardiovasc Qual Outcomes. 2010; 3: 63-81
- Chest compression-only CPR by lay rescuers and survival from out-of-hospital cardiac arrest.JAMA. 2010; 304: 1447-1454
- Association of bystander and first-responder intervention with survival after out-of-hospital cardiac arrest in North Carolina, 2010–2013.JAMA. 2015; 314: 255-264
- The effect of bystander cardiopulmonary resuscitation on the survival of out-of-hospital cardiac arrests: a systematic review and meta-analysis.Scand J Trauma Resusc Emerg Med. 2018; 26: 86
- Gender disparities among adult recipients of bystander cardiopulmonary resuscitation in the public.Circ Cardiovasc Qual Outcomes. 2018; 11e004710
- Sex disparities in receipt of bystander interventions for students who experienced cardiac arrest in Japan.JAMA Netw Open. 2019; 2e195111
- Sex-based disparities in receiving bystander cardiopulmonary resuscitation by location of cardiac arrest in Japan.Mayo Clin Proc. 2019; 94: 577-587
- Public perceptions on why women receive less bystander cardiopulmonary resuscitation than men in out-of-hospital cardiac arrest.Circulation. 2019; 139: 1060-1068
- Implementation of a regional telephone cardiopulmonary resuscitation program and outcomes after out-of-hospital cardiac arrest.JAMA Cardiol. 2016; 1: 294-302
- A before-after interventional trial of dispatcher-assisted cardio-pulmonary resuscitation for out-of-hospital cardiac arrests in Singapore.Resuscitation. 2016; 102: 85-93
- Dispatcher instruction of chest compression-only CPR increases actual provision of bystander CPR.Resuscitation. 2015; 96: 9-15
- A systematic review and meta-analysis of the effect of dispatcher-assisted CPR on outcomes from sudden cardiac arrest in adults and children.Resuscitation. 2019; 138: 82-105
- Effect of dispatcher-assisted cardiopulmonary resuscitation program and location of out-of-hospital cardiac arrest on survival and neurologic outcome.Ann Emerg Med. 2017; 69 (52–61 e1)
- Dispatcher-assisted bystander cardiopulmonary resuscitation in rural and urban areas and survival outcomes after out-of-hospital cardiac arrest.Resuscitation. 2018; 125: 1-7
- Disparities in telephone CPR access and timing during out-of-hospital cardiac arrest.Resuscitation. 2017; 115: 11-16
- Dispatcher-assisted bystander cardiopulmonary resuscitation in a metropolitan city: a before-after population-based study.Resuscitation. 2014; 85: 34-41
- Effect of national implementation of utstein recommendation from the global resuscitation alliance on ten steps to improve outcomes from Out-of-Hospital cardiac arrest: a ten-year observational study in Korea.BMJ Open. 2017; 7e016925
- Effect of detection time interval for out-of-hospital cardiac arrest on outcomes in dispatcher-assisted cardiopulmonary resuscitation: a nationwide observational study.Resuscitation. 2018; 129: 61-69
- Cardiac arrest and cardiopulmonary resuscitation outcome reports: update of the utstein resuscitation registry templates for out-of-hospital cardiac arrest: a statement for healthcare professionals from a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation.Resuscitation. 2015; 96: 328-340
- Epidemiology and outcomes from non-traumatic out-of-hospital cardiac arrest in Korea: a nationwide observational study.Resuscitation. 2010; 81: 974-981
- Comparison between dispatcher-assisted bystander CPR and self-led bystander CPR in out-of-hospital cardiac arrest (OHCA).Resuscitation. 2021; 158: 64-70
- A temporal trends in out-of-hospital cardiac arrest outcomes in men and women from 2008 to 2015: a national observational study.Am J Emerg Med. 2021; 41: 174-178
- Chest compression-only versus conventional cardiopulmonary resuscitation for bystander-witnessed out-of-hospital cardiac arrest of medical origin: a propensity score-matched cohort from 143,500 patients.Resuscitation. 2018; 126: 29-35
- Dispatch-assisted cardiopulmonary resuscitation: the anchor link in the chain of survival.Curr Opin Crit Care. 2012; 18: 228-233
- Dispatcher-assisted cardiopulmonary resuscitation: risks for patients not in cardiac arrest.Circulation. 2010; 121: 91-97
- Should dispatchers instruct lay bystanders to undress patients before performing CPR? A randomized simulation study.Resuscitation. 2013; 84: 979-981
- Emergency call processing and survival from out-of-hospital ventricular fibrillation.Resuscitation. 2005; 67: 89-93
- Effect of national implementation of telephone CPR program to improve outcomes from out-of-hospital cardiac arrest: an interrupted time-series analysis.J Korean Med Sci. 2018; 33: e328
- Dispatcher-assisted telephone CPR: a qualitative study exploring how dispatchers perceive their experiences.Resuscitation. 2002; 53: 135-151
- Telecommunicator cardiopulmonary resuscitation: a policy statement from the American Heart Association.Circulation. 2020; 141: e686-e700
Article info
Publication history
Published online: March 24, 2021
Accepted:
March 16,
2021
Received in revised form:
March 8,
2021
Received:
September 1,
2020
Identification
Copyright
© 2021 Elsevier B.V. All rights reserved.
