Evidence map›Paper›PMID 37978562›Full record

Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2023

Is dispatcher-assisted cardiopulmonary resuscitation affected by a bystander's emotional stress state in out-of-hospital cardiac arrest?

Rebecca Hvidt Tuffley, Fredrik Folke, Annette Kjær Ersbøll, Stig Nikolaj Fasmer Blomberg, Gitte Linderoth

Abstract readObservational Study
In one paragraph

Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
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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

5 authors.

Rebecca Hvidt TuffleyCopenhagen Emergency Medical Services, University of Copenhagen, Telegrafvej 5, Ballerup, 2750, Denmark. ktg205@alumni.ku.dk.ORCID http://orcid.org/0000-0001-5358-452X
Fredrik FolkeCopenhagen Emergency Medical Services, University of Copenhagen, Telegrafvej 5, Ballerup, 2750, Denmark.
Annette Kjær ErsbøllNational Institute of Public Health, University of Southern Denmark, Studiestraede 6, Copenhagen, 1455, Denmark.
Stig Nikolaj Fasmer BlombergCopenhagen Emergency Medical Services, University of Copenhagen, Telegrafvej 5, Ballerup, 2750, Denmark.
Gitte LinderothCopenhagen Emergency Medical Services, University of Copenhagen, Telegrafvej 5, Ballerup, 2750, Denmark.

Funding

Laerdal Foundation for Acute Medicine Laerdal Foundation for Acute MedicineTrygFonden TrygFonden
6 · The paper itself

Abstract

aimThe study aimed to investigate whether a bystander's emotional stress state affects dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) in out-of-hospital cardiac arrest (OHCA). The primary outcome was initiation of chest compressions (Yes/No). Secondarily we analysed time until chest compressions were initiated and assessed how dispatchers instructed CPR.

methodThe study was a retrospective, observational study of OHCA emergency calls from the Capital Region of Denmark. Recorded calls were evaluated by five observers using a pre-defined code catalogue regarding the variables wished investigated.

resultsIncluded were 655 OHCA emergency calls, of which 211 callers were defined as emotionally stressed. When cardiac arrest was recognized, chest compressions were initiated in, respectively, 76.8% of cases with an emotionally stressed caller and 73.9% in cases with a not emotionally stressed caller (2.18 (0.80-7.64)). Cases with an emotionally stressed caller had a longer time until chest compressions were initiated compared to cases with a not emotionally stressed caller, however non-significant (164 s. vs. 146 s.; P = 0.145). The dispatchers were significantly more likely to be encouraging and motivating, and to instruct on speed and depth of chest compressions in cases with an emotionally stressed caller compared to cases with a not emotionally stressed caller (1.64 (1.07-2.56); 1.78 (1.13-2.88)). Barriers to CPR were significantly more often reported in cases with an emotionally stressed caller compared to cases with a not emotionally stressed caller (1.83 (1.32-2.56)).

conclusionThere was no significant difference in initiation of chest compressions or in time until initiation of chest compressions in the two groups. However, the dispatchers were overall more encouraging and motivating, and likely to instruct on speed and depth of chest compressions when the caller was emotionally stressed. Furthermore, barriers to CPR were more often reported in cases with an emotionally stressed caller compared to cases with a not emotionally stressed caller.

trial registrationWe applied for ethical approval from The Danish National Committee on Health Research Ethics, but formal approval was waived. We received permission for storage of data and to use these for research of OHCAs in the Capital Region of Denmark by Danish Data Protection Agency (P-2021-670) and Danish Health Authorities (R-2,005,114). The study is registered at ClinicalTrials (NTC05113706).

Indexed as

Cardiopulmonary ResuscitationOut-of-Hospital Cardiac ArrestPsychological DistressEmotionsHumansRetrospective StudiesCardiopulmonary resuscitationChest compressionDispatcher-assisted CPROHCAOut-of-hospital resuscitationResuscitation

Identifiers

PMID37978562
PMCPMC10656878

What OpenQuestion holds

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Registered trials

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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.