TY - JOUR
T1 - Rationale, methodology, and implementation of a dispatcher-assisted cardiopulmonary resuscitation trial in the Asia-Pacific (Pan-Asian resuscitation outcomes study phase 2)
AU - Ong, Marcus Eng Hock
AU - Shin, Sang Do
AU - Tanaka, Hideharu
AU - Ma, Matthew Huei Ming
AU - Nishiuchi, Tatsuya
AU - Lee, Eui Jung
AU - Ko, Patrick Chow In
AU - Edwin Doctor, Nausheen
AU - Khruekarnchana, Pairoj
AU - Naroo, Ghulam Yasin
AU - Wong, Kwanhathai Darin
AU - Nakagawa, Takashi
AU - Ryoo, Hyun Wook
AU - Lin, Chih Hao
AU - Goh, E. Shaun
AU - Khunkhlai, Nalinas
AU - Alsakaf, Omer Ahmed
AU - Hisamuddin, Nik A.B.Rahman Nik
AU - Bobrow, Bentley J.
AU - McNally, Bryan
AU - Assam, Pryseley Nkouibert
AU - Chan, Edwin S.Y.
N1 - Funding Information:
This study is supported by grants from the National Medical Research Council (Singapore), Ramsey Social Justice Foundation (United States of America), Laerdal Medical (Norway), and Laerdal Foundation (Norway). The sponsors have no involvement in the study design, in the collection, analysis, and interpretation of data;
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Background. Survival outcomes from out-of-hospital cardiac arrest (OHCA) in Asia are poor (2-11%). Bystander cardiopulmonary resuscitation (CPR) rates are relatively low in Asia. Dispatcher-assisted CPR (DA-CPR) has recently emerged as a potentially cost-effective intervention to increase bystander CPR and survival from OHCA. The Pan-Asian Resuscitation Outcomes Study (PAROS), an Asia-Pacific cardiac arrest registry, was set up in 2009, with the aim of understanding OHCA as a disease in Asia and improving OHCA survival. The network has adopted DA-CPR as part of its strategy to improve OHCA survival. Objective. This article aims to describe the conceptualization, study design, potential benefits, and difficulties for implementation of DA-CPR trial in the Asia-Pacific.Methods. Two levels of intervention, basic and comprehensive, will be offered to PAROS participating sites. The basic level consists of implementation of a DA-CPR protocol and training program, while the comprehensive level consists of implementation of the basic level, with the addition of a dispatch quality measurement tool, quality improvement program, and community education program. Sites that are not able to implement the package will contribute control data. The primary outcome of the study is survival to hospital discharge or survival to 30 days post cardiac arrest. DA-CPR and bystander CPR are secondary outcomes. Conclusion. Implementation of DA-CPR requires concerted efforts by EMS leaders and supervisors, dispatchers, hospital stakeholders, policy makers, and the general public. The DA-CPR trial implemented by the PAROS sites, if successful, can serve as a model for other countries considering such an intervention in their EMS systems.
AB - Background. Survival outcomes from out-of-hospital cardiac arrest (OHCA) in Asia are poor (2-11%). Bystander cardiopulmonary resuscitation (CPR) rates are relatively low in Asia. Dispatcher-assisted CPR (DA-CPR) has recently emerged as a potentially cost-effective intervention to increase bystander CPR and survival from OHCA. The Pan-Asian Resuscitation Outcomes Study (PAROS), an Asia-Pacific cardiac arrest registry, was set up in 2009, with the aim of understanding OHCA as a disease in Asia and improving OHCA survival. The network has adopted DA-CPR as part of its strategy to improve OHCA survival. Objective. This article aims to describe the conceptualization, study design, potential benefits, and difficulties for implementation of DA-CPR trial in the Asia-Pacific.Methods. Two levels of intervention, basic and comprehensive, will be offered to PAROS participating sites. The basic level consists of implementation of a DA-CPR protocol and training program, while the comprehensive level consists of implementation of the basic level, with the addition of a dispatch quality measurement tool, quality improvement program, and community education program. Sites that are not able to implement the package will contribute control data. The primary outcome of the study is survival to hospital discharge or survival to 30 days post cardiac arrest. DA-CPR and bystander CPR are secondary outcomes. Conclusion. Implementation of DA-CPR requires concerted efforts by EMS leaders and supervisors, dispatchers, hospital stakeholders, policy makers, and the general public. The DA-CPR trial implemented by the PAROS sites, if successful, can serve as a model for other countries considering such an intervention in their EMS systems.
KW - Dispatcher-assisted CPR
KW - Out-of-hospital cardiac arrest
KW - Prehospital emergency care
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U2 - 10.3109/10903127.2014.942482
DO - 10.3109/10903127.2014.942482
M3 - Article
AN - SCOPUS:84917706647
SN - 1090-3127
VL - 19
SP - 87
EP - 95
JO - Prehospital Emergency Care
JF - Prehospital Emergency Care
IS - 1
ER -