Eintrag weiter verarbeiten
Tripling Survival From Sudden Cardiac Arrest Via Early Defibrillation Without Traditional Education in Cardiopulmonary Resuscitation
Gespeichert in:
Zeitschriftentitel: | Circulation |
---|---|
Personen und Körperschaften: | , , , , , |
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 |
facet_avail |
Online Free |
finc_class_facet |
Biologie Medizin |
format |
ElectronicArticle |
fullrecord |
blob:ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTE2MS8wMS5jaXIuMDAwMDAyODE0OC42MjMwNS42OQ |
id |
ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTE2MS8wMS5jaXIuMDAwMDAyODE0OC42MjMwNS42OQ |
institution |
DE-15 DE-Pl11 DE-Rs1 DE-14 DE-105 DE-Ch1 DE-L229 DE-D275 DE-Bn3 DE-Brt1 DE-Zwi2 DE-D161 DE-Zi4 DE-Gla1 |
imprint |
Ovid Technologies (Wolters Kluwer Health), 2002 |
imprint_str_mv |
Ovid Technologies (Wolters Kluwer Health), 2002 |
issn |
0009-7322 1524-4539 |
issn_str_mv |
0009-7322 1524-4539 |
language |
English |
mega_collection |
Ovid Technologies (Wolters Kluwer Health) (CrossRef) |
match_str |
capucci2002triplingsurvivalfromsuddencardiacarrestviaearlydefibrillationwithouttraditionaleducationincardiopulmonaryresuscitation |
publishDateSort |
2002 |
publisher |
Ovid Technologies (Wolters Kluwer Health) |
recordtype |
ai |
record_format |
ai |
series |
Circulation |
source_id |
49 |
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> |
container_issue |
9 |
container_start_page |
1065 |
container_title |
Circulation |
container_volume |
106 |
format_de105 |
Article, E-Article |
format_de14 |
Article, E-Article |
format_de15 |
Article, E-Article |
format_de520 |
Article, E-Article |
format_de540 |
Article, E-Article |
format_dech1 |
Article, E-Article |
format_ded117 |
Article, E-Article |
format_degla1 |
E-Article |
format_del152 |
Buch |
format_del189 |
Article, E-Article |
format_dezi4 |
Article |
format_dezwi2 |
Article, E-Article |
format_finc |
Article, E-Article |
format_nrw |
Article, E-Article |
_version_ |
1792343618883682305 |
geogr_code |
not assigned |
last_indexed |
2024-03-01T16:53:35.423Z |
geogr_code_person |
not assigned |
openURL |
url_ver=Z39.88-2004&ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fvufind.svn.sourceforge.net%3Agenerator&rft.title=Tripling+Survival+From+Sudden+Cardiac+Arrest+Via+Early+Defibrillation+Without+Traditional+Education+in+Cardiopulmonary+Resuscitation&rft.date=2002-08-27&genre=article&issn=1524-4539&volume=106&issue=9&spage=1065&epage=1070&pages=1065-1070&jtitle=Circulation&atitle=Tripling+Survival+From+Sudden+Cardiac+Arrest+Via+Early+Defibrillation+Without+Traditional+Education+in+Cardiopulmonary+Resuscitation&aulast=Arvedi&aufirst=Maurizio&rft_id=info%3Adoi%2F10.1161%2F01.cir.0000028148.62305.69&rft.language%5B0%5D=eng |
SOLR | |
_version_ | 1792343618883682305 |
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 |
container_start_page | 1065 |
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> |
doi_str_mv | 10.1161/01.cir.0000028148.62305.69 |
facet_avail | Online, Free |
finc_class_facet | Biologie, Medizin |
format | ElectronicArticle |
format_de105 | Article, E-Article |
format_de14 | Article, E-Article |
format_de15 | Article, E-Article |
format_de520 | Article, E-Article |
format_de540 | Article, E-Article |
format_dech1 | Article, E-Article |
format_ded117 | Article, E-Article |
format_degla1 | E-Article |
format_del152 | Buch |
format_del189 | Article, E-Article |
format_dezi4 | Article |
format_dezwi2 | Article, E-Article |
format_finc | Article, E-Article |
format_nrw | Article, E-Article |
geogr_code | not assigned |
geogr_code_person | not assigned |
id | ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTE2MS8wMS5jaXIuMDAwMDAyODE0OC42MjMwNS42OQ |
imprint | Ovid Technologies (Wolters Kluwer Health), 2002 |
imprint_str_mv | Ovid Technologies (Wolters Kluwer Health), 2002 |
institution | DE-15, DE-Pl11, DE-Rs1, DE-14, DE-105, DE-Ch1, DE-L229, DE-D275, DE-Bn3, DE-Brt1, DE-Zwi2, DE-D161, DE-Zi4, DE-Gla1 |
issn | 0009-7322, 1524-4539 |
issn_str_mv | 0009-7322, 1524-4539 |
language | English |
last_indexed | 2024-03-01T16:53:35.423Z |
match_str | capucci2002triplingsurvivalfromsuddencardiacarrestviaearlydefibrillationwithouttraditionaleducationincardiopulmonaryresuscitation |
mega_collection | Ovid Technologies (Wolters Kluwer Health) (CrossRef) |
physical | 1065-1070 |
publishDate | 2002 |
publishDateSort | 2002 |
publisher | Ovid Technologies (Wolters Kluwer Health) |
record_format | ai |
recordtype | ai |
series | Circulation |
source_id | 49 |
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 |