Outcome of bystander cardiopulmonary resuscitation after out-of-hospital cardiac arrest in Beijing

作     者：Xian Shi Yang Wu Haibin Li Shengkui Ma Dou Li Ding Gao Hao Cui Changxiao Yu Song Yang Ziren Tang Fei Shao Xian Shi;Yang Wu;Haibin Li;Shengkui Ma;Dou Li;Ding Gao;Hao Cui;Changxiao Yu;Song Yang;Ziren Tang;Fei Shao

作者机构：Department of Emergency MedicineBeijing Huairou HospitalBeijingChina Department of Emergency MedicineBeijing Chaoyang HospitalCapital Medical UniversityBeijingChina Heart Center&Beijing Key Laboratory of HypertensionBeijing Chaoyang HospitalCapital Medical UniversityBeijingChina Beijing Red Cross Emergency Rescue CenterBeijingChina Beijing Emergency Medical CenterBeijingChina Beijing Key Laboratory of Cardiopulmonary Cerebral ResuscitationBeijingChina 

出 版 物：《Emergency and Critical Care Medicine》 (急危重症医学（英文）)

年 卷 期：2021年第1卷第2期

页      面：64-69页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：the Beiing Municipal Administration of Hospitals Clinical Medicine Development(XMLX201313) National Science&Technology Fundamental Resource Investigation Programme of China(No.2018FY 100600,2018FY 100602) 

主　　题：Bystander cardiopulmonary resuscitation Emergency medical service Neurological outcome Out-of-hospital cardiac arrest Survival 

摘      要：Aim:We aimed to investigate the association between bystander cardiopulmonary resuscitation(CPR)and survival of patients with out-of-hospital cardiac arrests(OHCA)in ***:This observational study analyzed adult patients with OHCA treated by the Beiing emergency medical service(EMS)from January 2013 to December *** were collected in a Utstein style with a 1-year follow-up and a primary outcome 01 survival to hospital *** outcomes were return of spontaneous circulation(ROSC),survival to admission,favorable neurological outcome at hospital discharge,and survival and favorable neurological outcomes of up to 1 ***:A total of 5016 patients with OHCA from Beiing s urban area were recorded by EMS,wherein 765 patients(15.25%)underwent bystander *** data were propensity score-matched forage,sex,location,witness,aetiology,initial rhythm,and call to EMS arrival to compare the difference between the occurrence and nonoccurrence of bystander *** survival upon the discharge of patients who experienced bystander CPR was superior to that of patients who did not receive bystander CPR(3.7%vs 1.2%,respectively;P0.001).Moreover,patients with OHCA resuscitated with bystander CPR achieved better outcomes of ROSC,survival to admission,favorable neurological outcome at hospital discharge,survival and favorable neurological outcome after 1 year compared with those who were not resuscitated with bystander ***:Survival and neu rological outcome of patients who underwent bystander CPR was better than those who underwent nonbystander CPR in ***,the rate of bystander CPR was low.