Evidence map›Paper›PMID 36574433›Full record

ArticleEuropean heart journal. Acute cardiovascular care2023

Smartphone-activated volunteer responders and bystander defibrillation for out-of-hospital cardiac arrest in private homes and public locations.

Linn Andelius, Carolina Malta Hansen, Martin Jonsson, Thomas A Gerds, Shahzleen Rajan, Christian Torp-Pedersen, Andreas Claesson, Freddy Lippert, Mads Chr Tofte Gregers, Ellinor Berglund and 5 more

Open access · hybridAbstract read
In one paragraph

Article in European heart journal. Acute cardiovascular care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 2% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Guideline
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  7. Automatic external defibrillator (AED) location - seconds that save lifes.Archives of public health = Archives belges de sante publique · 2024
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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

15 authors at 5 institutions in 2 countries.

Linn AndeliusCopenhagen University Hospital, Copenhagen Emergency Medical Services, Telegrafvej 5, opgang 2, 2750 Ballerup, Denmark.ORCID 0000-0001-9692-5398
Carolina Malta HansenCopenhagen University Hospital, Copenhagen Emergency Medical Services, Telegrafvej 5, opgang 2, 2750 Ballerup, Denmark.
Martin JonssonDepartment of Clinical Science and Education, Södersjukhuset, Center for Resuscitation Science, Karolinska Institutet, Jägargatan 20, 118 67 Stockholm, Sweden.ORCID 0000-0002-3539-8317
Thomas A GerdsThe Danish Heart Foundation, Vognmagergade 7, 1120 Copenhagen, Denmark.
Shahzleen RajanDepartment of Cardiology, Copenhagen University Hospital, Herlev and Gentofte, Gentofte Hospitalsvej 1, 2900 Hellerup, Denmark.
Christian Torp-PedersenDepartment of Cardiology and Clinical Research, Copenhagen University Hospital, Dyrehavevej 29, 3400 Hillerød, Denmark.
Andreas ClaessonDepartment of Clinical Science and Education, Södersjukhuset, Center for Resuscitation Science, Karolinska Institutet, Jägargatan 20, 118 67 Stockholm, Sweden.ORCID 0000-0002-0499-9929
Freddy LippertCopenhagen University Hospital, Copenhagen Emergency Medical Services, Telegrafvej 5, opgang 2, 2750 Ballerup, Denmark.
Mads Chr Tofte GregersCopenhagen University Hospital, Copenhagen Emergency Medical Services, Telegrafvej 5, opgang 2, 2750 Ballerup, Denmark.
Ellinor BerglundDepartment of Clinical Science and Education, Södersjukhuset, Center for Resuscitation Science, Karolinska Institutet, Jägargatan 20, 118 67 Stockholm, Sweden.
Gunnar H GislasonThe Danish Heart Foundation, Vognmagergade 7, 1120 Copenhagen, Denmark.
Lars KøberDepartment of Cardiology, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark.ORCID 0000-0002-6635-1466
Jacob HollenbergDepartment of Clinical Science and Education, Södersjukhuset, Center for Resuscitation Science, Karolinska Institutet, Jägargatan 20, 118 67 Stockholm, Sweden.ORCID 0000-0002-3100-9716
Mattias RinghDepartment of Clinical Science and Education, Södersjukhuset, Center for Resuscitation Science, Karolinska Institutet, Jägargatan 20, 118 67 Stockholm, Sweden.
Fredrik FolkeCopenhagen University Hospital, Copenhagen Emergency Medical Services, Telegrafvej 5, opgang 2, 2750 Ballerup, Denmark.ORCID 0000-0002-2284-7857
Karolinska Institutet · SEUniversity of Copenhagen · DKCopenhagen University Hospital · DKGentofte Hospital · DKAalborg University Hospital · DK

Funding

TrygFonden
6 · The paper itself

Abstract

aimsTo investigate the association between the arrival of smartphone-activated volunteer responders before the Emergency Medical Services (EMS) and bystander defibrillation in out-of-hospital cardiac arrest (OHCA) at home and public locations. METHODS AND

resultsThis is a retrospective study (1 September 2017-14 May 2019) from the Stockholm Region of Sweden and the Capital Region of Denmark. We included 1271 OHCAs, of which 1029 (81.0%) occurred in private homes and 242 (19.0%) in public locations. The main outcome was bystander defibrillation. At least one volunteer responder arrived before EMS in 381 (37.0%) of OHCAs at home and 84 (34.7%) in public. More patients received bystander defibrillation when a volunteer responder arrived before EMS at home (15.5 vs. 2.2%, P < 0.001) and in public locations (32.1 vs. 19.6%, P = 0.030). Similar results were found among the 361 patients with an initial shockable heart rhythm (52.7 vs. 11.5%, P < 0.001 at home and 60.0 vs. 37.8%, P = 0.025 in public). The standardized probability of receiving bystander defibrillation increased with longer EMS response times in private homes. The 30-day survival was not significantly higher when volunteer responders arrived before EMS (9.2 vs. 7.7% in private homes, P = 0.41; and 40.5 vs. 35.4% in public locations, P = 0.44).

conclusionBystander defibrillation was significantly more common in private homes and public locations when a volunteer responder arrived before the EMS. The standardized probability of bystander defibrillation increased with longer EMS response times in private homes. Our findings support the activation of volunteer responders and suggest that volunteer responders could increase bystander defibrillation, particularly in private homes.

Indexed as

Cardiopulmonary ResuscitationEmergency Medical ServicesOut-of-Hospital Cardiac ArrestDefibrillatorsHumansRetrospective StudiesSmartphoneAEDCPRdispatchOHCAresponder app

Identifiers

PMID36574433
PMCPMC9910568
OpenAlexW4312210491

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.