Evidence map›Paper›PMID 32211207›Full record

ArticleEmergency medicine international2020

Factors Associated with High-Quality Cardiopulmonary Resuscitation Performed by Bystander.

Hye Ji Park, Won Jung Jeong, Hyung Jun Moon, Gi Woon Kim, Jin Seong Cho, Kyoung Mi Lee, Hyuk Joong Choi, Yong Jin Park, Choung Ah Lee

Abstract read
In one paragraph

Article in Emergency medicine international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

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  18. Tailoring First Aid Courses to Older Adults Participants.Health education & behavior : the official publication of the Society for Public Health Education · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hye Ji ParkDepartment of Emergency Medicine, Hallym University, Dongtan Sacred Heart Hospital, Hwaseong-si, Gyeonggi-do, Republic of Korea.
Won Jung JeongDepartment of Emergency Medicine, Catholic University of Korea, St. Vincent's Hospital, Suwon, Gyeonggi-do, Republic of Korea.
Hyung Jun MoonDepartment of Emergency Medicine, College of Medicine, Soonchunhyang University, Cheonan-si, Chungcheongnam-do, Republic of Korea.
Gi Woon KimDepartment of Emergency Medicine, College of Medicine, Soonchunhyang University, Bucheon-si, Gyeonggi-do, Republic of Korea.
Jin Seong ChoDepartment of Emergency Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea.
Kyoung Mi LeeDepartment of Emergency Medicine, Myongji Hospital, Goyangsi, Gyeonggo-do, Republic of Korea.
Hyuk Joong ChoiDepartment of Emergency Medicine, Hanyang University Guri Hospital, Guri-si, Gyeonggo-do, Republic of Korea.ORCID https://orcid.org/0000-0002-5458-5919
Yong Jin ParkDepartment of Emergency Medicine, Chosun University Hospital, Gwangju, Republic of Korea.
Choung Ah LeeDepartment of Emergency Medicine, Hallym University, Dongtan Sacred Heart Hospital, Hwaseong-si, Gyeonggi-do, Republic of Korea.ORCID https://orcid.org/0000-0003-2487-8988

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bystander cardiopulmonary dresuscitation (CPR) improves the survival and neurological outcomes of sudden cardiac arrest patients. The rate of bystander CPR is increasing; however, its performance quality has not been evaluated in detail. In this study, emergency medical technicians (EMTs) in the field evaluated bystander CPR quality, and we aimed to investigate the association between bystander information and CPR quality. This retrospective cohort study was based on data included in the Smart Advanced Life Support (SALS) registry between January 2016 and December 2017. We included patients older than 18 years who experienced an out-of-hospital cardiac arrest (OHCA) due to medical causes. Bystander CPR quality was judged to be "high" when the hand positions were appropriate and when compression rates of at least 100/min and compression depths of at least 5 cm were achieved. Among 6,769 eligible patients, 3,799 (58.7%) received bystander CPR, and 6% of bystanders performed high-quality CPR. After adjustment, the occurrence of cardiac arrest at home (adjusted odds ratio (aOR), 95% confidence interval (CI); 0.42, 0.27-0.64), witnessed cardiac arrest (1.45, 1.03-2.06), and younger bystander age all showed associations with one another. High-quality CPR led to a 4.29-fold increase in the chance of neurological recovery. In particular, high-quality CPR in patients aged 60 years showed a significant association compared with other age groups (7.61, 1.41-41.04). The main factor affecting CPR quality in this study was the age of the bystander, and older bystanders found it more difficult to maintain CPR quality. To improve the quality of bystander CPR, training among older bystanders should be the focus.

Identifiers

PMID32211207
PMCPMC7063209

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.