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Dispatcher-Assisted Cardiopulmonary Resuscitation: Disparity between Urban and Rural Areas
Joint Authors
Chen, Yen-Chin
Yu, Shao-Hua
Chen, Wei-Jen
Huang, Li-Chi
Chen, Chih-Yu
Shih, Hong-Mo
Source
Emergency Medicine International
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-06-01
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Object.
To compare the provision and effectiveness of dispatcher-assisted cardiopulmonary resuscitation (DACPR) in rural and urban areas.
Methods.
Patients with out-of-hospital cardiac arrest (OHCA) were prospectively registered in Taichung.
The 29 districts of Taichung city were divided into urban and rural areas based on whether the population density is more than 1,000 people per square kilometer.
Prehospital data were collected according to the Utstein-style template, and telephone auditory records were collected by a dispatch center.
Results.
2,716 patients were enrolled during the study period.
88.4% OHCA occurred in urban areas and 11.6% in rural areas.
74.9% after dispatcher assistance, laypersons performed CPR in urban areas and 67.7% in rural areas (p=0.023).
The proportion of laypersons continued CPR until an emergency medical technician’s (EMT) arrival was higher in the urban areas (59.57% vs 52.27%, p=0.039).
Laypersons continued CPR until an EMT’ arrival would increase the chance of return of spontaneous circulation in urban and rural areas, with adjusted odds ratio (aOR) of 1.02, 95% confidence interval (CI) of 0.82–1.27, and aOR of 1.49, 95% CI of 0.80–2.80, respectively.
Continued laypersons CPR until the EMT’ arrival also improved survival with favorable neurological function, with aOR of 1.16, 95% CI of 0.61–2.20 in urban areas and aOR of 2.90 95% CI of 0.18–46.81 in rural areas.
Conclusion.
Bystanders in urban areas exhibited higher ratio of acceptance of DACPR.
However, after DACPR intervention, prognosis improvement was considerably higher in rural areas than in urban areas.
American Psychological Association (APA)
Chen, Yen-Chin& Yu, Shao-Hua& Chen, Wei-Jen& Huang, Li-Chi& Chen, Chih-Yu& Shih, Hong-Mo. 2020. Dispatcher-Assisted Cardiopulmonary Resuscitation: Disparity between Urban and Rural Areas. Emergency Medicine International،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1159173
Modern Language Association (MLA)
Chen, Yen-Chin…[et al.]. Dispatcher-Assisted Cardiopulmonary Resuscitation: Disparity between Urban and Rural Areas. Emergency Medicine International No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1159173
American Medical Association (AMA)
Chen, Yen-Chin& Yu, Shao-Hua& Chen, Wei-Jen& Huang, Li-Chi& Chen, Chih-Yu& Shih, Hong-Mo. Dispatcher-Assisted Cardiopulmonary Resuscitation: Disparity between Urban and Rural Areas. Emergency Medicine International. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1159173
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1159173