Association between the centralization of dispatch centers and dispatcher-assisted cardiopulmonary resuscitation programs: A natural experimental study
DC Field | Value | Language |
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dc.contributor.author | Ro, Young Sun | - |
dc.contributor.author | Shin, Sang Do | - |
dc.contributor.author | Lee, Seung Chul | - |
dc.contributor.author | Song, Kyoung Jun | - |
dc.contributor.author | Jeong, Joo | - |
dc.contributor.author | Wi, Dae Han | - |
dc.contributor.author | Moon, Sungwoo | - |
dc.date.accessioned | 2021-09-02T06:09:29Z | - |
dc.date.available | 2021-09-02T06:09:29Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2018-10 | - |
dc.identifier.issn | 1748-3107 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/73017 | - |
dc.description.abstract | Objectives: We aimed to evaluate the associations between the centralization of dispatch centers and dispatcher assisted bystander cardiopulmonary resuscitation (DA-BCPR) for out-of-hospital cardiac arrest (OHCA) patients. Methods: All emergency medical services (EMS)-treated adults in Gyeonggi province (34 fire departments covering 43 counties, with a population of 12.6 million) with OHCAs of cardiac etiology were enrolled between 2013 and 2016, excluding cases witnessed by EMS providers. In Gyeonggi province, 34 agency-based dispatch centers were sequentially integrated into two province-based central dispatch centers (north and south) between November 2013 and May 2016. Exposure was the centralization of the dispatch centers. Endpoint variables were BCPR and dispatcher-provided CPR instructions. Generalized linear mixed models for multilevel regression analyses were performed. Results: Overall, 11,616 patients (5060 before centralization and 6556 after centralization) were included in the final analysis. The OHCAs that occurred during the after-centralization period were more likely to receive BCPR (62.6%, 50.6% BCPR-with-DA and 12.0% BCPR-without-DA) than were those that occurred before-centralization period (44.6%, 16.6% BCPR-with-DA and 28.1% BCPR-without-DA) (p < 0.01, adjusted OR: 1.59 (1.38-1.83), adjusted rate difference: 9.1% (5.0-13.2)). For dispatcher-provided CPR instructions, OHCAs diagnosed at a higher rate during the after-centralization period than during the before-centralization period (67.4% vs. 23.1%, p < 0.01, adjusted OR: 4.57 (3.26-6.42), adjusted rate difference: 30.3% (26.4-34.2)). The EMS response time was not different between the groups (p = 0.26). Conclusions: The centralization of dispatch centers was associated with an improved bystander CPR rate and dispatcher-provided CPR instructions for OHCA patients. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER IRELAND LTD | - |
dc.subject | HOSPITAL CARDIAC-ARREST | - |
dc.subject | BASIC LIFE-SUPPORT | - |
dc.subject | EMERGENCY CALLS | - |
dc.subject | CPR | - |
dc.subject | SURVIVAL | - |
dc.subject | QUALITY | - |
dc.subject | INSTRUCTIONS | - |
dc.subject | RECOGNITION | - |
dc.subject | SIMULATION | - |
dc.subject | RESCUERS | - |
dc.title | Association between the centralization of dispatch centers and dispatcher-assisted cardiopulmonary resuscitation programs: A natural experimental study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Moon, Sungwoo | - |
dc.identifier.doi | 10.1016/j.resuscitation.2018.07.034 | - |
dc.identifier.scopusid | 2-s2.0-85051046408 | - |
dc.identifier.wosid | 000443710100014 | - |
dc.identifier.bibliographicCitation | RESUSCITATION, v.131, pp.29 - 35 | - |
dc.relation.isPartOf | RESUSCITATION | - |
dc.citation.title | RESUSCITATION | - |
dc.citation.volume | 131 | - |
dc.citation.startPage | 29 | - |
dc.citation.endPage | 35 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalResearchArea | Emergency Medicine | - |
dc.relation.journalWebOfScienceCategory | Critical Care Medicine | - |
dc.relation.journalWebOfScienceCategory | Emergency Medicine | - |
dc.subject.keywordPlus | HOSPITAL CARDIAC-ARREST | - |
dc.subject.keywordPlus | BASIC LIFE-SUPPORT | - |
dc.subject.keywordPlus | EMERGENCY CALLS | - |
dc.subject.keywordPlus | CPR | - |
dc.subject.keywordPlus | SURVIVAL | - |
dc.subject.keywordPlus | QUALITY | - |
dc.subject.keywordPlus | INSTRUCTIONS | - |
dc.subject.keywordPlus | RECOGNITION | - |
dc.subject.keywordPlus | SIMULATION | - |
dc.subject.keywordPlus | RESCUERS | - |
dc.subject.keywordAuthor | Cardiac arrest | - |
dc.subject.keywordAuthor | Bystander cardiopulmonary resuscitation | - |
dc.subject.keywordAuthor | Dispatch center | - |
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