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Improved ROSC rates in out-of-hospital cardiac arrest patients after introduction of a text message alert system for trained volunteers

OBJECTIVE: To evaluate whether a text message (TM) alert system for trained volunteers contributed to early cardiopulmonary resuscitation, the use of automated external defibrillators (AEDs), return of spontaneous circulation (ROSC) and survival in out-of-hospital cardiac arrest (OHCA) patients in a...

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Autores principales: Oosterveer, D. M., de Visser, M., Heringhaus, C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bohn Stafleu van Loghum 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9807694/
https://www.ncbi.nlm.nih.gov/pubmed/34993887
http://dx.doi.org/10.1007/s12471-021-01656-6
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author Oosterveer, D. M.
de Visser, M.
Heringhaus, C.
author_facet Oosterveer, D. M.
de Visser, M.
Heringhaus, C.
author_sort Oosterveer, D. M.
collection PubMed
description OBJECTIVE: To evaluate whether a text message (TM) alert system for trained volunteers contributed to early cardiopulmonary resuscitation, the use of automated external defibrillators (AEDs), return of spontaneous circulation (ROSC) and survival in out-of-hospital cardiac arrest (OHCA) patients in a region with above-average survival rates. DESIGN: Data on all OHCA patients in 2012 (non-TM group) were compared with those of all OHCA patients in 2018 (TM group). The association of the presence of a TM alert system with ROSC and survival was assessed with multivariate regression analyses. RESULTS: TM responders reached 42 OHCA patients (15.9%) earlier than the first responders or ambulance. They connected 31 of these 42 OHCA patients (73.8%) to an AED before the ambulance arrived, leading to a higher percentage of AEDs being attached in 2018 compared to the 2012 non-TM group (55% vs 46%, p = 0.03). ROSC was achieved more often in the TM group (61.0% vs 29.4%, p < 0.01). Three-month and 1‑year survival did not differ significantly between the two groups (29.3% vs 24.3%, p = 0.19, and 25.9% vs 23.5%, p = 0.51). Multivariate regression analyses confirmed the positive association of ROSC with the TM alert system (odds ratio 1.49, 95% confidence interval 1.02‑2.19, p = 0.04). CONCLUSION: A TM alert system seems to improve the chain of survival; because TM responders reached patients early, AEDs were attached more often and more OHCA patients achieved ROSC. However, the introduction of a TM alert system was not associated with improved 3‑month or 1‑year survival in a region with above-average survival rates.
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spelling pubmed-98076942023-01-04 Improved ROSC rates in out-of-hospital cardiac arrest patients after introduction of a text message alert system for trained volunteers Oosterveer, D. M. de Visser, M. Heringhaus, C. Neth Heart J Original Article OBJECTIVE: To evaluate whether a text message (TM) alert system for trained volunteers contributed to early cardiopulmonary resuscitation, the use of automated external defibrillators (AEDs), return of spontaneous circulation (ROSC) and survival in out-of-hospital cardiac arrest (OHCA) patients in a region with above-average survival rates. DESIGN: Data on all OHCA patients in 2012 (non-TM group) were compared with those of all OHCA patients in 2018 (TM group). The association of the presence of a TM alert system with ROSC and survival was assessed with multivariate regression analyses. RESULTS: TM responders reached 42 OHCA patients (15.9%) earlier than the first responders or ambulance. They connected 31 of these 42 OHCA patients (73.8%) to an AED before the ambulance arrived, leading to a higher percentage of AEDs being attached in 2018 compared to the 2012 non-TM group (55% vs 46%, p = 0.03). ROSC was achieved more often in the TM group (61.0% vs 29.4%, p < 0.01). Three-month and 1‑year survival did not differ significantly between the two groups (29.3% vs 24.3%, p = 0.19, and 25.9% vs 23.5%, p = 0.51). Multivariate regression analyses confirmed the positive association of ROSC with the TM alert system (odds ratio 1.49, 95% confidence interval 1.02‑2.19, p = 0.04). CONCLUSION: A TM alert system seems to improve the chain of survival; because TM responders reached patients early, AEDs were attached more often and more OHCA patients achieved ROSC. However, the introduction of a TM alert system was not associated with improved 3‑month or 1‑year survival in a region with above-average survival rates. Bohn Stafleu van Loghum 2022-01-06 2023-01 /pmc/articles/PMC9807694/ /pubmed/34993887 http://dx.doi.org/10.1007/s12471-021-01656-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Oosterveer, D. M.
de Visser, M.
Heringhaus, C.
Improved ROSC rates in out-of-hospital cardiac arrest patients after introduction of a text message alert system for trained volunteers
title Improved ROSC rates in out-of-hospital cardiac arrest patients after introduction of a text message alert system for trained volunteers
title_full Improved ROSC rates in out-of-hospital cardiac arrest patients after introduction of a text message alert system for trained volunteers
title_fullStr Improved ROSC rates in out-of-hospital cardiac arrest patients after introduction of a text message alert system for trained volunteers
title_full_unstemmed Improved ROSC rates in out-of-hospital cardiac arrest patients after introduction of a text message alert system for trained volunteers
title_short Improved ROSC rates in out-of-hospital cardiac arrest patients after introduction of a text message alert system for trained volunteers
title_sort improved rosc rates in out-of-hospital cardiac arrest patients after introduction of a text message alert system for trained volunteers
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9807694/
https://www.ncbi.nlm.nih.gov/pubmed/34993887
http://dx.doi.org/10.1007/s12471-021-01656-6
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