Implementation of Gold Standard EMS CPR Programs for 2% Improvement in Survival Rates of Out-of-Hospital Cardiac Arrest in a Metropolitan City
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 12,670
- 试验地点
- 1
- 主要终点
- Number of Participants With Survival to Hospital Discharge
研究概览
简要总结
This study aims to improve the survival rate of out-of-hospital cardiac arrest patients by 2% through a bundle of three intervention measures including: 1) dispatcher-assisted CPR, 2) multi-tiered response team CPR, and 3) feedback CPR.
详细描述
The project aims to implement gold standard emergency medical services (EMS) cardiopulmonary resuscitation (CPR) programs, which will result in increased bystander CPR, reduced EMS response time, and high quality CPR during prehospital resuscitation through a bundled approach including 1) dispatcher-assisted CPR (DA-CPR), 2) multi-tiered response team CPR, and 3) feedback CPR.
The DA-CPR program aims to contribute to improved bystander CPR rate and reduced EMS response time interval through rigorous monitoring of cardiac arrest detection at primary call receiving stage as well as increased number of dispatcher-assisted CPR instruction initiation in the target time of 90 seconds. The Team CPR protocol will render synergetic efforts among participating EMS personnel from both basic life support (BLS) and advanced life support (ALS) units within the new tiered dispatch system and subsequently deliver uninterrupted CPR to out-of-hospital cardiac arrest (OHCA) patients before hospital arrival. The feedback CPR monitoring and quality assurance program will contribute to high quality CPR delivered to the patients on the scene as well as during transport.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 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
- •EMS-assessed OHCA
- •Cardiac etiology
- •Above 15 years of age
排除标准
- •Patients who do not receive EMS resuscitation
- •Patients with signs of evident death (decapitation, evident livor mortis or rigor mortis)
- •Do-Not-Resuscitate cases
- •Pregnant patients
- •Patients whom the mechanical devices cannot be applied to
研究组 & 干预措施
Before intervention
The before intervention group will include patients from January, 2013 through December, 2014, as to refer to the historic control population who did not receive any of study interventions.
After intervention
The main study phase was planned to begin in January, 2016 through December, 2017, for a total of two years. Patients during the main study phase will have received one or more study interventions as applicable. However, because we could not continue our project in 2017, we changed after period. We included implementation period (2015) in after period. Therefore, final after period begins in January 2015 to December 2016.
干预措施: Bundled EMS CPR approach including dispatcher-assisted CPR, 3-person team CPR, and feedback CPR monitoring device (Procedure)
结局指标
主要结局
Number of Participants With Survival to Hospital Discharge
时间窗: At hospital discharge, up to 28 weeks from hospital admission
Number of EMS-assessed out-of-hospital cardiac arrest patients who survive to hospital discharge will be recorded.
次要结局
- Number of Participants With Good Neurological Recovery at Discharge(At hospital discharge, up to 28 weeks from hospital admission)
研究者
Sang Do Shin
Professor
Seoul National University Hospital