Population Based Intervention Trial of Dispatcher-Activated Neighborhood Access Defibrillation and Cardiopulmonary Resuscitation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 3,194
- 试验地点
- 1
- 主要终点
- Number of Participants Surviving at Hospital Discharge
研究概览
简要总结
The hypothesis of this study is Dispatcher-Activated Neighborhood Access Defibrillation and Cardiopulmonary Resuscitation (NAD-CPR) would improve survival of out-of-hospital cardiac arrest (OHCA).
详细描述
Out-of-hospital cardiac arrest (OHCA) is a major health problem, occurring in about 1 in 1,500 adults in the developed countries each year. Although layperson CPR and defibrillation are crucial components of chain of survival, layperson CPR rate and it's quality is low and public-access defibrillation (PAD) program is not cost-effective.If trained bystanders can know the information of occurrence of OHCA and nearest place for automated external defibrillator (AED) at the same time by dispatch center, these neighborhoods could run and give high quality CPR and early defibrillation. If this protocol ,Dispatcher-Activated Neighborhood Access Defibrillation and Cardiopulmonary Resuscitation(NAD-CPR), is introduced to community, it may improve survival of OHCA.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 15 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •all OHCA with presumed cardiac etiology more than 15 years old
- •assessed by emergency medical service (EMS) providers dispatched by dispatch center
- •dispatcher detected OHCA patients
排除标准
- •OHCA with non-cardiac etiology
- •prolonged cardiac arrest with a suspected duration more than 30 minutes
- •cases with rigor mortis or rivor mortis, decapitated or decomposed body
- •Non detected cases by dispatcher
结局指标
主要结局
Number of Participants Surviving at Hospital Discharge
时间窗: discharge time from first admission from emergency department within 2 month
we compared the survival to discharge rate between before intervention period and intervention period. Survival to discharge checked at the discharge point of hospital.
次要结局
- Number of Participants With Good Neurological Recovery(discharge time from first admission from emergency department within 2 month)
- Number of Participants With Pre-Hospital Return of Spontaneous Circulation (ROSC)(hospital arriving time from ambulance within 2 hours)
研究者
Sang Do Shin
Associated Professor
Seoul National University Hospital