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To ventilate or not to ventilate during bystander CPR — A EuReCa TWO analysis

2021; Elsevier BV; Volume: 166; Linguagem: Inglês

10.1016/j.resuscitation.2021.06.006

1873-1570

Jan Wnent, Ingvild Tjelmeland, Rolf Lefering, Rudolph W. Koster, H. Mäurer, Siobhán Masterson, Johan Herlitz, Bernd W. Böttiger, Fernando Rosell Ortiz, Gavin D. Perkins, Leo Bossaert, Maximilian Moertl, Pierre Mols, Irzal Hadžibegović, Anatolij Truhlář, Ari Salo, Valentine Baert, Enikő Nagy, Grzegorz Cebula, Violetta Raffay, Stefan Trenkler, Andrej Markota, Anneli Strömsöe, Jan‐Thorsten Gräsner, Maximilian Moertl, Pierre Mols, Hajriz Alihodžić, Irzal Hadžibegović, Marios Ioannides, Anatolij Truhlář, Mads Wissenberg, Ari Salo, Joséphine Escutnaire, Νικόλαος Νικολάου, Enikő Nagy, Bergþór Steinn Jónsson, P.J. Wright, Federico Semeraro, Carlo Clarens, Steffie Beesems, Grzegorz Cebula, Vitor H. Correia, Diana Cimpoeșu, Violetta Raffay, Stefan Trenkler, Andrej Markota, Anneli Strömsöe, Roman Burkart, Scott Booth, Michael Baubin, Adolf Schinnerl, Gerhard Prause, Thomas Tschoellitsch, Helmut Trimmel, Rene Belz, Wolfgang Fleischmann, Magali Bartiaux, Koenraad G. Monsieurs, Stephan Wilmin, Mathias Faniel, Marie Vanhove, Pascale Lievens, Dominique Biarent, Marc Van Nuffelen, Ives Hubloue, Jean-Marie Jacques, Michèle Yerna, Robert Leach, Mathieu Jeanmaire, Paule Denoël, F. Van Trimpont, Francis Desmet, Louise Delhaye, Vincent Van Belleghem, Ken Dewitte, Musa Abbasi, Simon Scheyltjens, Olivier Vermylen, Diane de Longueville, Stéphane Debaize, Silvija Hunyadi Antičević, Slobodanka Keleuva, Milan Lazarević, Radmila Majhen Ujević, Gordana Antić Šego, Branka Bardak, Domagoj Mišković, Monika Praunová, Ondřej Franěk, J Kratochvíl, Jan Přikryl, Roman Sýkora, Tomáš Vaňatka, Marek Vašák, Petr Jaššo, Petr Šmejkal, Otomar Kušička, Robin Šín, Eva Smržová, Dorián Pfeifer, Heini Harve‐Rytsälä, Pamela Hiltunen, Peter Holmström, Timo Iirola, Katja Jokela, Hetti Kirves, Pekka Korvenoja, Markku Kuisma, Jukka Laine, Markus Lyyra, Sami Länkimäki, Petra Portaankorva, Lasse Raatiniemi, Marko Sainio, Piritta Setälä, Tuukka Toivonen, Jan Uotinen, Jukka Vaahersalo, Taneli Väyrynen, David Hamdan, Jean‐Marc Agostinucci, Joséphine Escutnaire, Fabienne Branche, François Revaux, S. Jonquet, Richard Loubert, Marion Boursier, Bruno Simonnet, Jean-Charles Morel, Steven Lagadec, Aurélie Avondo, Émilie Gelin, Emanuel Morel-Maréchal, C. Ursat, Laurent Villain-Coquet, Marc Fournier, Romain Tabary, Philippe Le Pimpec, Delphine Hugenschmitt, Diego Abarrategui, Romain Blondet, Aurélie Arnaud, Sonia Sadoune, Julien Segard, Sophie Narcisse, Mélanie Laot, Thomas Pernot, Hubert Courcoux, Coralie Chassin, B. Jardel, Jeanne Picart, Franck Garden Brèche, Pierre-Alban Guenier, R. Getti, Alexandre Jeziorny, Antoine Leroy, Carine Vanderstraeten, Sébastien Dussoulier, Attila Haja, Dániel Németh, Andrea Válint, Enikő Nagy, Gábor Csató, Gerda Lóczi, Péter Vörös, Zsuzsanna Németh, Ferenc Molnár, Ferenc Nagy, Henrietta Kádár, Julia Duda, Justyna Tęczar, Sylwia Dul, Grażyna Świtacz, A. Raczyński, Z Fiser, Zlatko Babić, Aleksandra Opacic, Kornelija Jaksic Horvat, Snezana Vukelic, Jelena Tijanić, Dušan Milenković, Saša Milić, Deže Babinski, Cedomir Boskovic, Jovanka Koprivica, Erika Terek, Goran Provci, Dragana Jovic Zvijer, Ľubica Bajerovská, Miroslav Chabroň, Danka Pražienková, Renáta Kratochvílová, Radoslav Burian, Martin Dobrík, Juraj Patráš, Vladimír Šteflík, Peter Androvič, František Mičáň, Božena Horáňová, Július Pavčo, Monika Grochová, Táňa Bulíková, Rok Maček, Matej Rubelli Furman, Samo Podhostnik, Miha Oman, Klemen Lipovšek, Špela Baznik, Jurica Ferenčina, Matej Strnad, Edith Žižek, Miha Kodela, Alenka Antolinc Košat, Nina Lotrič, Jonny Lindqvist, Remy Stieglis, Anja Radstok,

Injury Epidemiology and Prevention

BackgroundSurvival 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).MethodIn 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.ResultsA 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).ConclusionIn 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.