Evidence map›Paper›PMID 38240326›Full record

ArticleJournal of the American Heart Association2024

Effects of Dispatcher-Assisted Public-Access Defibrillation Programs on the Outcomes of Out-of-Hospital Cardiac Arrest: A Before-and-After Study.

Chien-Hsiung Huang, Cheng-Yu Chien, Chip-Jin Ng, Shao-Yu Fang, Ming-Fang Wang, Chi-Chun Lin, Chen-Bin Chen, Li-Heng Tsai, Kuang-Hung Hsu, Sherry Yueh-Hsia Chiu

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Chien-Hsiung HuangDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Linkou and College of Medicine Chang Gung University Taoyuan Taiwan.ORCID 0000-0002-8207-3582
Cheng-Yu ChienDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Linkou and College of Medicine Chang Gung University Taoyuan Taiwan.ORCID 0000-0001-9538-6265
Chip-Jin NgDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Linkou and College of Medicine Chang Gung University Taoyuan Taiwan.ORCID 0000-0003-0363-2938
Shao-Yu FangDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Linkou and College of Medicine Chang Gung University Taoyuan Taiwan.
Ming-Fang WangDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Linkou and College of Medicine Chang Gung University Taoyuan Taiwan.
Chi-Chun LinDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Linkou and College of Medicine Chang Gung University Taoyuan Taiwan.ORCID 0009-0003-8527-1511
Chen-Bin ChenDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Linkou and College of Medicine Chang Gung University Taoyuan Taiwan.ORCID 0009-0009-8282-7733
Li-Heng TsaiDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Linkou and College of Medicine Chang Gung University Taoyuan Taiwan.ORCID 0000-0002-7659-631X
Kuang-Hung HsuDepartment of Emergency Medicine, Chang Gung Memorial Hospital, Linkou and College of Medicine Chang Gung University Taoyuan Taiwan.ORCID 0000-0003-2642-7689
Sherry Yueh-Hsia ChiuDepartment of Health Care Management, College of Management Chang Gung University Taoyuan Taiwan.ORCID 0000-0002-7207-7088

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPublic access defibrillation (PAD) programs have been implemented globally over the past decade. Although PAD can substantially increase the survival of cardiac arrest, PAD use remains low. This study aimed to evaluate whether drawing upon the successful experiences of dispatcher-assisted cardiopulmonary resuscitation programs would increase the use of PAD in dispatcher-assisted PAD programs. METHODS AND

resultsThis study using a before-and-after design was conducted in Taoyuan City using a local out-of-hospital cardiac arrest registry system and data of dispatcher performance derived from audio recordings. The primary outcomes were the rate of bystander PAD use, sustained return of spontaneous circulation, survival to discharge, and favorable neurological outcomes. The secondary outcomes were the performance of dispatchers in terms of PAD instruction and dispatcher-assisted cardiopulmonary resuscitation administration, the time interval indicators of dispatcher-assisted cardiopulmonary resuscitation. A total of 1159 patients were included and divided into 2 groups: the before-run-in group (502 patients) and the after-run-in group (657 patients). No significant difference was observed between the 2 groups in terms of baseline characteristics. The rate of PAD use in the after-run-in group significantly increased from 5.0% to 8.7% (

conclusionsImplementing a dispatcher-assisted PAD protocol in a municipality setting significantly increased bystander PAD use without affecting dispatcher performance in out-of-hospital cardiac arrest recognition, cardiopulmonary resuscitation instruction, or dispatcher-assisted cardiopulmonary resuscitation time indicators.

Indexed as

Cardiopulmonary ResuscitationEmergency Medical ServicesOut-of-Hospital Cardiac ArrestHumansRegistriesaccess to automated external defibrillatorscardiopulmonary resuscitationdispatcher‐assisted CPRout‐of‐hospital cardiac arrest

Identifiers

PMID38240326
PMCPMC11056141

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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.