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 

机构地区：[1]Department of Emergency Medicine,Beijing Huairou Hospital,Beijing,China [2]Department of Emergency Medicine,Beijing Chaoyang Hospital,Capital Medical University,Beijing,China [3]Heart Center&Beijing Key Laboratory of Hypertension,Beijing Chaoyang Hospital,Capital Medical University,Beijing,China [4]Beijing Red Cross Emergency Rescue Center,Beijing,China [5]Beijing Emergency Medical Center,Beijing,China [6]Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation,Beijing,China

出　　处：《Emergency and Critical Care Medicine》2021年第2期64-69,共6页急危重症医学（英文）

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)。

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 Beiing.Methods:This observational study analyzed adult patients with OHCA treated by the Beiing emergency medical service(EMS)from January 2013 to December 2017.Data were collected in a Utstein style with a 1-year follow-up and a primary outcome 01 survival to hospital discharge.Secondary 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 year.Results:A total of 5016 patients with OHCA from Beiing's urban area were recorded by EMS,wherein 765 patients(15.25%)underwent bystander CPR.The 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 CPR.The 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;P<0.001).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 CPR.Conclusion:Survival and neu rological outcome of patients who underwent bystander CPR was better than those who underwent nonbystander CPR in Beiing.However,the rate of bystander CPR was low.

关 键 词：Bystander cardiopulmonary resuscitation Emergency medical service Neurological outcome Out-of-hospital cardiac arrest SURVIVAL 

分 类 号：R73[医药卫生—肿瘤]