Evidence map›Paper›PMID 39028237›Full record

Observational studyThe western journal of emergency medicine2024

Impact of Bystander Cardiopulmonary Resuscitation on Out-of-Hospital Cardiac Arrest Outcome in Vietnam.

Co Xuan Dao, Chinh Quoc Luong, Toshie Manabe, My Ha Nguyen, Dung Thi Pham, Tra Thanh Ton, Quoc Trong Ai Hoang, Tuan Anh Nguyen, Anh Dat Nguyen, Bryan Francis McNally and 3 more

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in The western journal of emergency medicine, 2024. 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. RECOVER Guidelines: First Aid in Dogs and Cats. Evidence and Knowledge Gap Analysis With Treatment Recommendations.Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001) · 2026
    Article
  2. RECOVER Guidelines: First Aid for Dogs and Cats. Clinical Guidelines.Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001) · 2026
    Article
  3. Article
  4. Observational
  5. Observational
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

13 authors.

Co Xuan DaoBach Mai Hospital, Center for Critical Care Medicine, Hanoi, Vietnam.
Chinh Quoc LuongHanoi Medical University, Department of Emergency and Critical Care Medicine, Hanoi, Vietnam.
Toshie ManabeNagoya City University Graduate School of Medicine, Department of Medical Innovation, Nagoya, Aichi, Japan.
My Ha NguyenThai Binh University of Medicine and Pharmacy, Department of Health Organization and Management, Thai Binh, Vietnam.
Dung Thi PhamThai Binh University of Medicine and Pharmacy, Department of Nutrition and Food Safety, Thai Binh, Vietnam.
Tra Thanh TonCho Ray Hospital, Emergency Department, Ho Chi Minh City, Vietnam.
Quoc Trong Ai HoangHue Central General Hospital, Emergency Department, Hue City, Thua Thien Hue, Vietnam.
Tuan Anh NguyenHanoi Medical University, Department of Emergency and Critical Care Medicine, Hanoi, Vietnam.
Anh Dat NguyenHanoi Medical University, Department of Emergency and Critical Care Medicine, Hanoi, Vietnam.
Bryan Francis McNallyEmory University School of Medicine, Department of Emergency Medicine, Atlanta, Georgia.
Marcus Eng Hock OngSingapore General Hospital, Department of Emergency Medicine, Singapore, Singapore.
Son Ngoc DoBach Mai Hospital, Center for Critical Care Medicine, Hanoi, Vietnam.
Local PAROS Investigators GroupNames and affiliations listed in supplemental file.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Patients experiencing an out-of-hospital cardiac arrest (OHCA) frequently do not receive bystander cardiopulmonary resuscitation (CPR), especially in low- and middle-income countries (LMIC). In this study we sought to determine the prevalence of OHCA patients in Vietnam who received bystander CPR and its effects on survival outcomes. Methods: We performed a multicenter, retrospective observational study of patients (≥18 years) presenting with OHCA at three major hospitals in an LMIC from February 2014-December 2018. We collected data on the hospital and patient characteristics, the cardiac arrest events, the emergency medical services (EMS) system, the therapy methods, and the outcomes and compared these data, before and after pairwise 1:1 propensity score matching, between patients who received bystander CPR and those who did not. Upon admission, we assessed factors associated with good neurological survival at hospital discharge in univariable and multivariable logistic models. Results: Of 521 patients, 388 (74.5%) were men, and the mean age was 56.7 years (SD 17.3). Although most cardiac arrests (68.7%, 358/521) occurred at home and 78.8% (410/520) were witnessed, a low proportion (22.1%, 115/521) of these patients received bystander CPR. Only half of the patients were brought by EMS (8.1%, 42/521) or private ambulance (42.8%, 223/521), 50.8% (133/262) of whom had resuscitation attempts. Before matching, there was a significant difference in good neurological survival between patients who received bystander CPR (12.2%, 14/115) and patients who did not (4.7%, 19/406; Conclusion: In our study, only 22.1% of total OHCA patients received bystander CPR, which contributed significantly to a low rate of good neurological survival in Vietnam. To improve the chances of survival with good neurological functions of OHCA patients, more people should be trained to perform bystander CPR and teach others as well. A standard program for emergency first-aid training is necessary for this purpose.

Indexed as

Cardiopulmonary ResuscitationOut-of-Hospital Cardiac ArrestAdultAgedEmergency Medical ServicesFemaleHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesVietnam

Identifiers

PMID39028237
PMCPMC11254151

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.