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Health systems developments and predictors of bystander CPR in Ireland.
Barry, Tomás; Kasemiire, Alice; Quinn, Martin; Deasy, Conor; Bury, Gerard; Masterson, Siobhan; Segurado, Ricardo; Murphy, Andrew W.
Afiliación
  • Barry T; School of Medicine, University College Dublin, Ireland.
  • Kasemiire A; Duke-NUS Medical School, Singapore.
  • Quinn M; Statistician, UCD Centre for Support and Training in Analysis and Research, School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
  • Deasy C; Out-of-Hospital Cardiac Arrest Register, National Ambulance Service, Ireland.
  • Bury G; Professor of Emergency Medicine, School of Medicine, University College Cork, Cork, Ireland.
  • Masterson S; Emeritus Professor of General Practice, University College Dublin, Ireland.
  • Segurado R; General Manager for Clinical Strategy and Evaluation National Ambulance Service, Ireland.
  • Murphy AW; UCD Centre for Support and Training in Analysis and Research, School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
Resusc Plus ; 19: 100671, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38881596
ABSTRACT

Aims:

To explore predictors of bystander CPR (i.e. any CPR performed prior to EMS arrival) in Ireland over the period 2012-2020. To examine the relationship between bystander CPR and key health system developments during this period.

Methods:

National level out-of-hospital cardiac arrest (OHCA) registry data relating to unwitnessed, and bystander witnessed OHCA were interrogated. Logistic regression models were built, then refined by fitting predictors, performing stepwise variable selection and by adding pairwise interactions that improved fit. Missing data sensitivity analyses were conducted using multiple imputation.

Results:

The data included 18,177 OHCA resuscitation attempts of whom 77% had bystander CPR. The final model included ten variables. Four variables (aetiology, incident location, time of day, and who witnessed collapse) were involved in interactions. The COVID-19 period was associated with reduced adjusted odds of bystander CPR (OR 0.77, 95% CI 0.65, 0.92), as were increasing age in years (OR 0.992, 95% CI 0.989, 0.994) and urban location (OR 0.52, 95% CI 0.47, 0.57). Increasing year over time (OR 1.23, 95% CI 1.16, 1.29), and an increased call response interval in minutes (OR 1.017, 95% CI 1.012, 1.022) were associated with increased adjusted odds of bystander CPR.

Conclusions:

Bystander CPR increased over the study period, and it is likely that health system developments contributed to the yearly increases observed. However, COVID-19 appeared to disrupt this positive trend. Urban OHCA location was associated with markedly decreased odds of bystander CPR compared to rural location. Given its importance bystander CPR in urban areas should be an immediate target for intervention.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Resusc Plus Año: 2024 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Resusc Plus Año: 2024 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Países Bajos