Chest Compression Rates and Survival Following Out-of-Hospital Cardiac Arrest

Chest Compression Rates and Survival Following Out-of-Hospital Cardiac Arrest

OBJECTIVE:Guidelines for cardiopulmonary resuscitation recommend a chest compression rate of at least 100 compressions/min. A recent clinical study reported optimal return of spontaneous circulation with rates between 100 and 120/min during cardiopulmonary resuscitation for out-of-hospital cardiac a...

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Veröffentlicht in:Critical care medicine 2015-04, Vol.43 (4), p.840-848
Hauptverfasser: Idris, Ahamed H, Guffey, Danielle, Pepe, Paul E, Brown, Siobhan P, Brooks, Steven C, Callaway, Clifton W, Christenson, Jim, Davis, Daniel P, Daya, Mohamud R, Gray, Randal, Kudenchuk, Peter J, Larsen, Jonathan, Lin, Steve, Menegazzi, James J, Sheehan, Kellie, Sopko, George, Stiell, Ian, Nichol, Graham, Aufderheide, Tom P
Format: Artikel
Sprache:eng
Schlagworte:
Age Factors
Aged
Cardiopulmonary Resuscitation
Female
Humans
Male
Odds Ratio
Out-of-Hospital Cardiac Arrest - mortality
Out-of-Hospital Cardiac Arrest - therapy
Prospective Studies
Regression Analysis
Treatment Outcome
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Zusammenfassung:OBJECTIVE:Guidelines for cardiopulmonary resuscitation recommend a chest compression rate of at least 100 compressions/min. A recent clinical study reported optimal return of spontaneous circulation with rates between 100 and 120/min during cardiopulmonary resuscitation for out-of-hospital cardiac arrest. However, the relationship between compression rate and survival is still undetermined. DESIGN:Prospective, observational study. SETTING:Data is from the Resuscitation Outcomes Consortium Prehospital Resuscitation IMpedance threshold device and Early versus Delayed analysis clinical trial. PARTICIPANTS:Adults with out-of-hospital cardiac arrest treated by emergency medical service providers. INTERVENTIONS:None. MEASUREMENTS MAIN RESULTS:Data were abstracted from monitor-defibrillator recordings for the first five minutes of emergency medical service cardiopulmonary resuscitation. Multiple logistic regression assessed odds ratio for survival by compression rate categories (
ISSN:0090-3493
1530-0293
DOI:10.1097/CCM.0000000000000824