Effect of team-based cardiopulmonary resuscitation training for emergency medical service providers on pre-hospital return of spontaneous circulation in out-of-hospital cardiac arrest patients
- Authors
- Park, Jong-Hak; Moon, Sungwoo; Cho, Hanjin; Ahn, Eusang; Kim, Tae-kyoung; Bobrow, Bentley J.
- Issue Date
- 11월-2019
- Publisher
- ELSEVIER IRELAND LTD
- Keywords
- Cardiac arrest; Cardiopulmonary resuscitation; Prehospital; Emergency medical service
- Citation
- RESUSCITATION, v.144, pp.60 - 66
- Indexed
- SCIE
SCOPUS
- Journal Title
- RESUSCITATION
- Volume
- 144
- Start Page
- 60
- End Page
- 66
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/62069
- DOI
- 10.1016/j.resuscitation.2019.09.014
- ISSN
- 1748-3107
- Abstract
- Objective: This study aimed to assess whether team-based cardiopulmonary resuscitation (CPR) training for emergency medical service (EMS) providers improved the pre-hospital return of spontaneous circulation (ROSC) rates of non-traumatic adult out-of-hospital cardiac arrest (OHCA) patients. Methods: This was a before-and-after study an evaluating educational intervention for community EMS providers, which was conducted in Gyeonggi province, South Korea. Team-based CPR training was conducted from January to March 2016 for every level 1 and level 2 EMS provider in the study area. Non-traumatic EMS treated OHCA patients from July to December 2015 and from July to December 2016 were enrolled and used for the analysis. The primary outcome was pre-hospital ROSC rates before and after the training period. A multivariable logistic regression model with an interaction term (period x dispatch type) was used to determine the adjusted odds ratios (aORs) according to the dispatch type (single vs. multi-tiered). Results: Of the 2125 OHCA cases included, 1072 (50.4%) and 1053 (49.6%) were categorized in the before- and after-training groups, respectively, and the pre-hospital ROSC rates were 6.6% and 12.6%, respectively. In the multivariable logistic regression analysis, the aOR for pre-hospital ROSC was 2.07 (95% CI, 1.32-3.25) in the after-training period. In the interaction model (period x type of dispatch), the aORs for pre-hospital ROSC were 2.00 (95% CI, 1.01-3.98) and 2.13 (95% CI, 1.20-3.79) in the single- and multi-tiered dispatch groups, respectively, during the after-training period. Conclusion: Team-based CPR training for EMS providers in a large community EMS system improved the pre-hospital ROSC rates of OHCA patients.
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