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Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation

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Bibliographische Detailangaben
Zeitschriftentitel: Circulation
Personen und Körperschaften: Capucci, Alessandro, Aschieri, Daniela, Piepoli, Massimo F., Bardy, Gust H., Iconomu, Efrosini, Arvedi, Maurizio
In: Circulation, 106, 2002, 9, S. 1065-1070
Medientyp: E-Article
Sprache: Englisch
veröffentlicht:
Ovid Technologies (Wolters Kluwer Health)
Schlagwörter:
author_facet Capucci, Alessandro
Aschieri, Daniela
Piepoli, Massimo F.
Bardy, Gust H.
Iconomu, Efrosini
Arvedi, Maurizio
Capucci, Alessandro
Aschieri, Daniela
Piepoli, Massimo F.
Bardy, Gust H.
Iconomu, Efrosini
Arvedi, Maurizio
author Capucci, Alessandro
Aschieri, Daniela
Piepoli, Massimo F.
Bardy, Gust H.
Iconomu, Efrosini
Arvedi, Maurizio
spellingShingle Capucci, Alessandro
Aschieri, Daniela
Piepoli, Massimo F.
Bardy, Gust H.
Iconomu, Efrosini
Arvedi, Maurizio
Circulation
Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation
Physiology (medical)
Cardiology and Cardiovascular Medicine
author_sort capucci, alessandro
spelling Capucci, Alessandro Aschieri, Daniela Piepoli, Massimo F. Bardy, Gust H. Iconomu, Efrosini Arvedi, Maurizio 0009-7322 1524-4539 Ovid Technologies (Wolters Kluwer Health) Physiology (medical) Cardiology and Cardiovascular Medicine http://dx.doi.org/10.1161/01.cir.0000028148.62305.69 <jats:p> <jats:bold> <jats:italic>Background—</jats:italic> </jats:bold> Early defibrillation is the most important intervention affecting survival from sudden cardiac arrest (SCA). To improve public access to early defibrillation, we established Piacenza Progetto Vita (PPV), the first system of out-of-hospital early defibrillation by first-responder volunteers. </jats:p> <jats:p> <jats:bold> <jats:italic>Methods and Results—</jats:italic> </jats:bold> The system serves a population of 173 114 residents in the Piacenza region of Italy. Equipment for the system comprises 39 semiautomatic external biphasic defibrillators (AEDs): 12 placed in high-risk locations, 12 in lay-staffed ambulances, and 15 in police cars; 1285 lay volunteers trained in use of the AED, without traditional education in cardiac pulmonary resuscitation, responded to all cases of suspected SCA, in coordination with the Emergency Medical System (EMS). During the first 22 months, 354 SCA occurred (72±12 years, 73% witnessed). The PPV volunteers treated 143 SCA cases (40.4%), with an EMS call-to-arrival time of 4.8±1.2 minutes (versus 6.2±2.3 minutes for EMS, <jats:italic>P</jats:italic> =0.05). Overall survival rate to hospital discharge was tripled from 3.3% (7 of 211) for EMS intervention to 10.5% (15 of 143) for PPV intervention ( <jats:italic>P</jats:italic> =0.006). The survival rate for witnessed SCA was tripled by PPV: 15.5% versus 4.3% in the EMS-treated group ( <jats:italic>P</jats:italic> =0.002). A “shockable” rhythm was present in 23.8% (34 of 143) of the PPV patients versus 15.6% (33 of 211) of the EMS patients ( <jats:italic>P</jats:italic> =0.055). The survival rate from shockable dysrhythmias was higher for PPV versus EMS: 44.1% (15 of 34) versus 21.2% (7 of 33), <jats:italic>P</jats:italic> =0.046. The neurologically intact survival rate was higher in PPV-treated versus EMS-treated patients: 8.4% (12 of 143) versus 2.4% (5 of 211), <jats:italic>P</jats:italic> =0.009. </jats:p> <jats:p> <jats:bold> <jats:italic>Conclusions—</jats:italic> </jats:bold> Broad dissemination of AEDs for use by nonmedical volunteers enabled early defibrillation and tripled the survival rate for out-of-hospital SCA. </jats:p> Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation Circulation
doi_str_mv 10.1161/01.cir.0000028148.62305.69
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title Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation
title_unstemmed Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation
title_full Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation
title_fullStr Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation
title_full_unstemmed Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation
title_short Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation
title_sort tripling survival from sudden cardiac arrest via early defibrillation without traditional education in cardiopulmonary resuscitation
topic Physiology (medical)
Cardiology and Cardiovascular Medicine
url http://dx.doi.org/10.1161/01.cir.0000028148.62305.69
publishDate 2002
physical 1065-1070
description <jats:p> <jats:bold> <jats:italic>Background—</jats:italic> </jats:bold> Early defibrillation is the most important intervention affecting survival from sudden cardiac arrest (SCA). To improve public access to early defibrillation, we established Piacenza Progetto Vita (PPV), the first system of out-of-hospital early defibrillation by first-responder volunteers. </jats:p> <jats:p> <jats:bold> <jats:italic>Methods and Results—</jats:italic> </jats:bold> The system serves a population of 173 114 residents in the Piacenza region of Italy. Equipment for the system comprises 39 semiautomatic external biphasic defibrillators (AEDs): 12 placed in high-risk locations, 12 in lay-staffed ambulances, and 15 in police cars; 1285 lay volunteers trained in use of the AED, without traditional education in cardiac pulmonary resuscitation, responded to all cases of suspected SCA, in coordination with the Emergency Medical System (EMS). During the first 22 months, 354 SCA occurred (72±12 years, 73% witnessed). The PPV volunteers treated 143 SCA cases (40.4%), with an EMS call-to-arrival time of 4.8±1.2 minutes (versus 6.2±2.3 minutes for EMS, <jats:italic>P</jats:italic> =0.05). Overall survival rate to hospital discharge was tripled from 3.3% (7 of 211) for EMS intervention to 10.5% (15 of 143) for PPV intervention ( <jats:italic>P</jats:italic> =0.006). The survival rate for witnessed SCA was tripled by PPV: 15.5% versus 4.3% in the EMS-treated group ( <jats:italic>P</jats:italic> =0.002). A “shockable” rhythm was present in 23.8% (34 of 143) of the PPV patients versus 15.6% (33 of 211) of the EMS patients ( <jats:italic>P</jats:italic> =0.055). The survival rate from shockable dysrhythmias was higher for PPV versus EMS: 44.1% (15 of 34) versus 21.2% (7 of 33), <jats:italic>P</jats:italic> =0.046. The neurologically intact survival rate was higher in PPV-treated versus EMS-treated patients: 8.4% (12 of 143) versus 2.4% (5 of 211), <jats:italic>P</jats:italic> =0.009. </jats:p> <jats:p> <jats:bold> <jats:italic>Conclusions—</jats:italic> </jats:bold> Broad dissemination of AEDs for use by nonmedical volunteers enabled early defibrillation and tripled the survival rate for out-of-hospital SCA. </jats:p>
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author Capucci, Alessandro, Aschieri, Daniela, Piepoli, Massimo F., Bardy, Gust H., Iconomu, Efrosini, Arvedi, Maurizio
author_facet Capucci, Alessandro, Aschieri, Daniela, Piepoli, Massimo F., Bardy, Gust H., Iconomu, Efrosini, Arvedi, Maurizio, Capucci, Alessandro, Aschieri, Daniela, Piepoli, Massimo F., Bardy, Gust H., Iconomu, Efrosini, Arvedi, Maurizio
author_sort capucci, alessandro
container_issue 9
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container_title Circulation
container_volume 106
description <jats:p> <jats:bold> <jats:italic>Background—</jats:italic> </jats:bold> Early defibrillation is the most important intervention affecting survival from sudden cardiac arrest (SCA). To improve public access to early defibrillation, we established Piacenza Progetto Vita (PPV), the first system of out-of-hospital early defibrillation by first-responder volunteers. </jats:p> <jats:p> <jats:bold> <jats:italic>Methods and Results—</jats:italic> </jats:bold> The system serves a population of 173 114 residents in the Piacenza region of Italy. Equipment for the system comprises 39 semiautomatic external biphasic defibrillators (AEDs): 12 placed in high-risk locations, 12 in lay-staffed ambulances, and 15 in police cars; 1285 lay volunteers trained in use of the AED, without traditional education in cardiac pulmonary resuscitation, responded to all cases of suspected SCA, in coordination with the Emergency Medical System (EMS). During the first 22 months, 354 SCA occurred (72±12 years, 73% witnessed). The PPV volunteers treated 143 SCA cases (40.4%), with an EMS call-to-arrival time of 4.8±1.2 minutes (versus 6.2±2.3 minutes for EMS, <jats:italic>P</jats:italic> =0.05). Overall survival rate to hospital discharge was tripled from 3.3% (7 of 211) for EMS intervention to 10.5% (15 of 143) for PPV intervention ( <jats:italic>P</jats:italic> =0.006). The survival rate for witnessed SCA was tripled by PPV: 15.5% versus 4.3% in the EMS-treated group ( <jats:italic>P</jats:italic> =0.002). A “shockable” rhythm was present in 23.8% (34 of 143) of the PPV patients versus 15.6% (33 of 211) of the EMS patients ( <jats:italic>P</jats:italic> =0.055). The survival rate from shockable dysrhythmias was higher for PPV versus EMS: 44.1% (15 of 34) versus 21.2% (7 of 33), <jats:italic>P</jats:italic> =0.046. The neurologically intact survival rate was higher in PPV-treated versus EMS-treated patients: 8.4% (12 of 143) versus 2.4% (5 of 211), <jats:italic>P</jats:italic> =0.009. </jats:p> <jats:p> <jats:bold> <jats:italic>Conclusions—</jats:italic> </jats:bold> Broad dissemination of AEDs for use by nonmedical volunteers enabled early defibrillation and tripled the survival rate for out-of-hospital SCA. </jats:p>
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spelling Capucci, Alessandro Aschieri, Daniela Piepoli, Massimo F. Bardy, Gust H. Iconomu, Efrosini Arvedi, Maurizio 0009-7322 1524-4539 Ovid Technologies (Wolters Kluwer Health) Physiology (medical) Cardiology and Cardiovascular Medicine http://dx.doi.org/10.1161/01.cir.0000028148.62305.69 <jats:p> <jats:bold> <jats:italic>Background—</jats:italic> </jats:bold> Early defibrillation is the most important intervention affecting survival from sudden cardiac arrest (SCA). To improve public access to early defibrillation, we established Piacenza Progetto Vita (PPV), the first system of out-of-hospital early defibrillation by first-responder volunteers. </jats:p> <jats:p> <jats:bold> <jats:italic>Methods and Results—</jats:italic> </jats:bold> The system serves a population of 173 114 residents in the Piacenza region of Italy. Equipment for the system comprises 39 semiautomatic external biphasic defibrillators (AEDs): 12 placed in high-risk locations, 12 in lay-staffed ambulances, and 15 in police cars; 1285 lay volunteers trained in use of the AED, without traditional education in cardiac pulmonary resuscitation, responded to all cases of suspected SCA, in coordination with the Emergency Medical System (EMS). During the first 22 months, 354 SCA occurred (72±12 years, 73% witnessed). The PPV volunteers treated 143 SCA cases (40.4%), with an EMS call-to-arrival time of 4.8±1.2 minutes (versus 6.2±2.3 minutes for EMS, <jats:italic>P</jats:italic> =0.05). Overall survival rate to hospital discharge was tripled from 3.3% (7 of 211) for EMS intervention to 10.5% (15 of 143) for PPV intervention ( <jats:italic>P</jats:italic> =0.006). The survival rate for witnessed SCA was tripled by PPV: 15.5% versus 4.3% in the EMS-treated group ( <jats:italic>P</jats:italic> =0.002). A “shockable” rhythm was present in 23.8% (34 of 143) of the PPV patients versus 15.6% (33 of 211) of the EMS patients ( <jats:italic>P</jats:italic> =0.055). The survival rate from shockable dysrhythmias was higher for PPV versus EMS: 44.1% (15 of 34) versus 21.2% (7 of 33), <jats:italic>P</jats:italic> =0.046. The neurologically intact survival rate was higher in PPV-treated versus EMS-treated patients: 8.4% (12 of 143) versus 2.4% (5 of 211), <jats:italic>P</jats:italic> =0.009. </jats:p> <jats:p> <jats:bold> <jats:italic>Conclusions—</jats:italic> </jats:bold> Broad dissemination of AEDs for use by nonmedical volunteers enabled early defibrillation and tripled the survival rate for out-of-hospital SCA. </jats:p> Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation Circulation
spellingShingle Capucci, Alessandro, Aschieri, Daniela, Piepoli, Massimo F., Bardy, Gust H., Iconomu, Efrosini, Arvedi, Maurizio, Circulation, Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation, Physiology (medical), Cardiology and Cardiovascular Medicine
title Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation
title_full Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation
title_fullStr Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation
title_full_unstemmed Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation
title_short Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation
title_sort tripling survival from sudden cardiac arrest via early defibrillation without traditional education in cardiopulmonary resuscitation
title_unstemmed Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation
topic Physiology (medical), Cardiology and Cardiovascular Medicine
url http://dx.doi.org/10.1161/01.cir.0000028148.62305.69