ArticleResuscitation plus2023
Technology activated community first responders in Singapore: Real-world care delivery & outcome trends.
Article in Resuscitation plus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The trial behind it
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Who cites it
8 citing papers in PubMed.
- Enhanced community first responder support system: protocol of a randomized trial to improve bystander cardiopulmonary resuscitation quality for out-of-hospital cardiac arrest patients.Resuscitation plus · 2026Article
- Public-Access Defibrillation in Megacities: Structural Barriers and Systemic Opportunities in Shanghai, China.Risk management and healthcare policy · 2026Article
- Dispatcher-assisted cardiopulmonary resuscitation for out-of-hospital cardiac arrest patients: a site-level analysis of the PAROS trial.Resuscitation plus · 2026Article
- Protocol for a parallel-group, superiority randomized controlled trial of the PulsePoint mobile application to increase bystander resuscitation in out-of-hospital cardiac arrest.Resuscitation plus · 2025Article
- Defining the terminology of first responders alerted for out-of-hospital cardiac arrest by medical dispatch centres: An international consensus study on nomenclature.Resuscitation plus · 2025Article
- Cost-effectiveness of a community first responder system for out-of-hospital cardiac arrest in Belgium.Open heart · 2025Article
- Cost-Effectiveness of a Community First Responder System for Out-of-Hospital Cardiac Arrest in Poland.ClinicoEconomics and outcomes research : CEOR · 2025Article
- Facing the Obstacles of OHCA Response: Integrating First Responders With Drone Delivery for AED Deployment.JACC. Advances · 2024Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunity first responders (CFRs) strengthen the Chain of Survival for out-of-hospital cardiac arrest (OHCA) care. Considerable efforts have been invested in Singapore's CFR program, during the years 2016-2020, by developing an app-based activation system called myResponder. This paper reports on national CFR response indicators to evaluate the real-world impact of these efforts.
methodsWe matched data from the Singapore Civil Defence Force's CFR registry with the Pan Asian Resuscitation Outcomes Study (PAROS) registry data to calculate performance indicators. These included the number of CFRs receiving and accepting an issued alert per OHCA event. Also calculated were the fraction of OHCA events where CFRs received an issued alert, or accepted the alert, and arrived at the scene either before or after EMS. We also present trends of these indicators and compare the prevalence of these fractions between the CFR-attended and CFR-unattended OHCA events.
resultsOf 6577 alerted OHCA events, 42.7% accepted an alert, 50% of these arrived at the scene and 71% of them arrived before EMS. Almost all CFR response indicators improved over time even for the pandemic year (2020). The fraction of OHCA events where >2 CFRs received an alert increased from 62% to 96%; the same figure for accepting an alert did not change much but >2 CFRs arriving at the scene increased from 0% to 7.5%. The fraction of OHCA events with an automated external defibrillator applied and defibrillation performed by CFR increased from 4.2% to 10.3% and 1.6% to 3%, respectively. Statistically significant differences were observed in these indicators when CFR-attended and CFR-unattended OHCA events were compared.
conclusionThis real-world study shows that activating CFRs using mobile technology can improve community response to OHCA and are bearing fruit in Singapore at a national level. Some targets for improvement and future research are highlighted in this report.
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