ArticleResuscitation plus2025
What is the effect of volunteer community responders network on out-of-hospital cardiac arrest outcomes in the swiss canton of fribourg? a five-year retrospective observational study.
Article in Resuscitation plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Are we overlooking the power of community in saving hearts?Resuscitation plus · 2025Article
- Geospatial mapping of disparities in out-of-hospital cardiac arrests in the Swiss canton of Fribourg, 2018-2022: A retrospective observational study.Resuscitation plus · 2025Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aim: This study aims to assess the impact of the Volunteer Community Responders (VCR) Network on the outcomes of Out-of-hospital Cardiac Arrest (OHCA) patients in the Swiss Canton Fribourg from 2018 to 2022. Methods: We collected data from the SWISSRECA registry of all OHCA occurring in the Swiss Canton of Fribourg between January 1, 2018 and December 31, 2022. The patients were divided in two groups according to whether a VCR intervened and were compared using descriptive statistics. We constructed exact multivariable logistic regression models to analyse the association of a VCR intervention with Return of Spontaneous Circulation (ROSC) rate, survival to hospital admission and survival to hospital discharge, adjusting for age, sex, emergency services arrival time, witness status, initial rhythm and location of the OHCA. Results: We included 559 patients, 319 in the VCR intervention group and 240 in the other group. The key differences were more home located OHCA (80% vs 63%; p-value = < 0.001), longer EMS arrival times (13 [11, 17] vs 11 [8, 14] minutes; p-value = < 0.001) and more pre-EMS CPR performed (95% vs 63%; Conclusion: The rates of CPR performed and AED usage before EMS arrival were higher in the VCR intervention group. However, the VCR intervention was not independently associated with ROSC rate, survival to hospital admission and survival to hospital discharge. Potential key explanations are the sequential manual activation of the VCR network, leading firstly to potential delays in VCR deployment and secondly to potentially more VCR deployment on home-located OHCAs or on OHCA with longer expected EMS travel time. Updating the deployment system of the emergency medical communication centre could be a key improvement measure to address this. Further studies are needed to explore these issues and to improve the chain of survival including the VCR Network.
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