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Impact of Dispatcher-Assisted Bystander Cardiopulmonary Resuscitation with Out-of-Hospital Cardiac Arrest: A Systemic Review and Meta-Analysis

Published online by Cambridge University Press:  29 May 2020

Junhong Wang
Affiliation:
Emergency Department, Peking University Third Hospital, Haidian District, Beijing, PR China
Hua Zhang
Affiliation:
Research Center of Clinical Epidemiology, Peking University Third Hospital, Haidian District, Beijing, PR China
Zongxuan Zhao
Affiliation:
Peking University Third School of Clinical Medicine, Haidian District, Beijing, PR China
Kaifeng Wen
Affiliation:
Peking University Third School of Clinical Medicine, Haidian District, Beijing, PR China
Yaoke Xu
Affiliation:
Peking University Third School of Clinical Medicine, Haidian District, Beijing, PR China
Daidai Wang
Affiliation:
Peking University Third School of Clinical Medicine, Haidian District, Beijing, PR China
Qingbian Ma*
Affiliation:
Emergency Department, Peking University Third Hospital, Haidian District, Beijing, PR China
*
Correspondence: Qingbian Ma, MD Emergency Department Peking University Third Hospital 49 North Garden Road Haidian District, Beijing, 100191, PR China E-mail: maqingbian@126.com

Abstract

Objective:

This systemic review and meta-analysis was conducted to explore the impact of dispatcher-assisted bystander cardiopulmonary resuscitation (DA-BCPR) on bystander cardiopulmonary resuscitation (BCPR) probability, survival, and neurological outcomes with out-of-hospital cardiac arrest (OHCA).

Methods:

Electronically searching of PubMed, Embase, and Cochrane Library, along with manual retrieval, were done for clinical trials about the impact of DA-BCPR which were published from the date of inception to December 2018. The literature was screened according to inclusion and exclusion criteria, the baseline information, and interested outcomes were extracted. Two reviewers assessed the methodological quality of the included studies. Pooled odds ratio (OR) and 95% confidence interval (CI) were calculated by STATA version 13.1.

Results:

In 13 studies, 235,550 patients were enrolled. Compared with no dispatcher instruction, DA-BCPR tended to be effective in improving BCPR rate (I2 = 98.2%; OR = 5.84; 95% CI, 4.58-7.46; P <.01), return of spontaneous circulation (ROSC) before admission (I2 = 36.0%; OR = 1.17; 95% CI, 1.06-1.29; P <.01), discharge or 30-day survival rate (I2 = 47.7%; OR = 1.25; 95% CI, 1.06-1.46; P <.01), and good neurological outcome (I2 = 30.9%; OR = 1.24; 95% CI, 1.04-1.48; P = .01). However, no significant difference in hospital admission was found (I2 = 29.0%; OR = 1.09; 95% CI, 0.91-1.30; P = .36).

Conclusion:

This review shows DA-BPCR plays a positive role for OHCA as a critical section in the life chain. It is effective in improving the probability of BCPR, survival, ROSC before admission, and neurological outcome.

Type
Original Research
Copyright
© World Association for Disaster and Emergency Medicine 2020

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