Influence of the Education in Layperson in Out of Hospital Resuscitation

Completed

• Conditions: Heart Arrest; Cardiac Arrest, Sudden

• Registration Number: NCT02473679
• Lead Sponsor: University of Zurich

Brief Summary

Cardiac arrest occurs frequently and the outcome after out-of-hospital resuscitation is often fatal. Disturbing is that more than half of the surviving patients suffer from permanent impairment of cognitive functions, such attention, memory and executive functioning. With all the efforts to achieve a high quality initial resuscitation management the time delay between cardiac arrest and the beginning the initial resuscitation maneuver is the main reason for the still poor outcome. To shorten this fatal time delay, current efforts of national and supranational health authorities aime at the non-medically trained lay person, who should carry out basic life support directly on the scene supported by the use of public available semi-automatic defibrillators (AED).

Detailed Description

It is a combined retrospective and prospective observational single center study. Data of all Out of Hospital patients suffered a cardiac arrest in Zurich city will be collected according to the Utstein criteria. The aim of this study is to investigate the impact of trained police forces in the resuscitation outcome.

Study Timeline

• Study Start: 2003-01
• Study First Submitted: 2015-05-13
• Study First Submitted QC: 2015-06-11
• Study First Posted: 2015-06-16
• Primary Completion: 2016-07
• Study Completion: 2016-07
• Status Verified: 2016-11
• Last Update Submitted: 2016-11-01
• Last Update Posted: 2016-11-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1662

Inclusion Criteria

• All Out of hospital patients suffering cardiac arrest in Zurich City, resuscitated by lay persons, city police and or trained emergency medical services

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Exclusion Criteria

• individuals with cardiac arrest occurring in the presence of EMS
• individuals in whom there were apparent toxic, traumatic or suicidal etiologies for unconsciousness
• drowned individuals and individuals with terminal illness
• documented negation of data collection

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time line for restoration the circulation	participants will be followed from origin of the event up to 12 month or death	Timeline for restoration the circulation after layperson started the reanimation

Secondary Outcome Measures

Name	Time	Method
Time interval to first shock ,	participants will be followed from origin of the event up to 12 month or death	Time interval from the emergency call to first shock for ventricular fibrillation
Time interval removal from ICU as well as discharged from hospital	participants will be followed from origin of the event up to 12 month or death	Time interval up to the removal from ICU as well as duration of hospital stay
Definitive survival rate	participants will be followed from origin of the event up to 12 month or death	Survival rate of participants resuscitated by layperson after cardiac arrest
Neurologic outcome	participants will be followed from origin of the event for duration of hospital stay, follow up after 12 month or death	Data will be collected according to Utstein criteria

Trial Locations

Locations (1)

University Hospital Zurich; 🇨🇭 Zurich, Switzerland