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To ventilate or not to ventilate during bystander CPR : a EuReCa TWO analysis

Title: To ventilate or not to ventilate during bystander CPR : a EuReCa TWO analysis
Authors: Wnent, Jan; Tjelmeland, Ingvild; Lefering, Rolf; Koster, Rudolph W.; Maurer, Holger; Masterson, Siobhán; Herlitz, Johan; Böttiger, Bernd W.; Ortiz, Fernando Rosell; Perkins, Gavin D.; Bossaert, Leo; Moertl, Maximilian; Mols, Pierre; Hadžibegović, Irzal; Truhlář, Anatolij; Salo, Ari; Baert, Valentine; Nagy, Eniko; Cebula, Grzegorz; Raffay, Violetta; Trenkler, Stefan; Markota, Andrej; Strömsöe, Anneli; Gräsner, Jan-Thorsten; Alihodžić, Hajriz; Ioannides, Marios; Wissenberg, Mads; Escutnaire, Josephine; Nikolaou, Nikolaos; Jonsson, Bergthor Steinn; Wright, Peter; Semeraro, Federico; Clarens, Carlo; Beesems, Steffie; Correia, Vitor H.; Cimpoesu, Diana; Burkart, Roman; Booth, Scott; Baubin, Michael; Schinnerl, Adolf; Prause, Gerhard; Tschoellitsch, Thomas; Trimmel, Helmut; Belz, Rene; Fleischmann, Wolfgang; Bartiaux, Magali; Monsieurs, Koen; Wilmin, Stephan; Faniel, Mathias; Vanhove, Marie; Lievens, Pascale; Biarent, Dominique; Van Nuffelen, Marc; Hubloue, Ives; Jacques, Jean-Marie; Yerna, Michèle; Leach, Robert; Jeanmaire, Mathieu; Denoël, Paule; Van Trimpont, Frank; Desmet, Francis; Delhaye, Louise; Van Belleghem, Vincent; Dewitte, Ken; Abbasi, Musa; Scheyltjens, Simon; Vermylen, Olivier; de Longueville, Diane; Debaize, Stéphane; Antičević, Silvija Hunyadi; Keleuva, Slobodanka; Lazarević, Milan; Ujević, Radmila Majhen; Šego, Gordana Antić; Bardak, Branka; Mišković, Domagoj; Praunová, Monika; Franěk, Ondřej; Kratochvíl, Jaroslav; Přikryl, Jan; Sýkora, Roman; Vaňatka, Tomáš; Vašák, Marek; Jaššo, Petr; Šmejkal, Petr; Kušička, Otomar; Šín, Robin; Smržová, Eva; Pfeifer, Dorián; Harve-Rytsälä, Heini; Hiltunen, Pamela; Holmström, Peter; Iirola, Timo; Jokela, Katja; Kirves, Hetti; Korvenoja, Pekka; Kuisma, Markku; Laine, Jukka; Lyyra, Markus; Länkimäki, Sami; Portaankorva, Petra; Raatiniemi, Lasse; Sainio, Marko; Setälä, Piritta; Toivonen, Tuukka; Uotinen, Jan; Vaahersalo, Jukka; Väyrynen, Taneli; Hamdan, David; Agostinucci, Jean-Marc; Branche, Fabienne; Revaux, François; Jonquet, Sébastien; Loubert, Richard; Boursier, Marion; Simonnet, Bruno; Morel, Jean-Charles; Lagadec, Steven; Avondo, Aurélie; Gelin, Emilie; Morel-Maréchal, Emanuel; Ursat, Cécile; Villain-Coquet, Laurent; Fournier, Marc; Tabary, Romain; Le Pimpec, Philippe; Hugenschmitt, Delphine; Abarrategui, Diego; Blondet, Romain; Arnaud, Aurélie; Sadoune, Sonia; Segard, Julien; Narcisse, Sophie; Laot, Mélanie; Pernot, Thomas; Courcoux, Hubert; Chassin, Coralie; Jardel, Benoît; Picart, Jeanne; Brèche, Franck Garden; Guenier, Pierre-Alban; Getti, Renaud; Jeziorny, Alexandre; Leroy, Antoine; Vanderstraeten, Carine; Dussoulier, Sébastien; Haja, Attila; Németh, Dániel; Válint, Andrea; Csató, Gábor; Lóczi, Gerda; Vörös, Péter; Németh, Zsuzsanna; Molnár, Ferenc; Nagy, Ferenc; Kádár, Henrietta; Duda, Julia; Tęczar, Justyna; Dul, Sylwia; Świtacz, Grażyna; Raczynski, Andrzej; Fiser, Zlatko; Babic, Zlatko; Opacic, Aleksandra; Horvat, Kornelija Jaksic; Vukelic, Snezana; Tijanic, Jelena; Milenkovic, Dusan; Milic, Sasa; Babinski, Deze; Boskovic, Cedomir; Koprivica, Jovanka; Terek, Erika; Provci, Goran; Zvijer, Dragana Jovic; Bajerovská, Ľubica; Chabroň, Miroslav; Pražienková, Danka; Kratochvílová, Renáta; Burian, Radoslav; Dobrík, Martin; Patráš, Juraj; Šteflík, Vladimír; Androvič, Peter; Mičáň, František; Horáňová, Božena; Pavčo, Július; Grochová, Monika; Bulíková, Táňa; Maček, Rok; Furman, Matej Rubelli; Podhostnik, Samo; Oman, Miha; Lipovšek, Klemen; Baznik, Špela; Ferenčina, Jurica; Strnad, Matej; Žižek, Edith; Kodela, Miha; Košat, Alenka Antolinc; Lotrič, Nina; Lindqvist, Jonny; Stieglis, Remy; Radstok, Anja
Contributors: EuReCa TWO
Source: 0300-9572 ; Resuscitation
Publication Year: 2021
Collection: IRUA - Institutional Repository van de Universiteit Antwerpen
Subject Terms: Human medicine
Description: Background Survival after out-of-hospital cardiac arrest (OHCA) is still low. For every minute without resuscitation the likelihood of survival decreases. One critical step is initiation of immediate, high quality cardiopulmonary resuscitation (CPR). The aim of this subgroup analysis of data collected for the European Registry of Cardiac Arrest Study number 2 (EuReCa TWO) was to investigate the association between OHCA survival and two types of bystander CPR namely: chest compression only CPR (CConly) and CPR with chest compressions and ventilations (FullCPR). Method In this subgroup analysis of EuReCa TWO, all patients who received bystander CPR were included. Outcomes were return of spontaneous circulation and survival to 30-days or hospital discharge. A multilevel binary logistic regression analysis with survival as the dependent variable was performed. Results A total of 5884 patients were included in the analysis, varying between countries from 21 to 1444. Survival was 320 (8%) in the CConly group and 174 (13%) in the FullCPR group. After adjustment for age, sex, location, rhythm, cause, time to scene, witnessed collapse and country, patients who received FullCPR had a significantly higher survival rate when compared to those who received CConly (adjusted odds ration 1.46, 95% confidence interval 1.17–1.83). Conclusion In this analysis, FullCPR was associated with higher survival compared to CConly. Guidelines should continue to emphasise the importance of compressions and ventilations during resuscitation for patients who suffer OHCA and CPR courses should continue to teach both.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/isi/000709421500019
Availability: https://hdl.handle.net/10067/1793410151162165141
Rights: info:eu-repo/semantics/closedAccess
Accession Number: edsbas.4D76EAEC
Database: BASE