Chest compression rates and survival following out-of-hospital cardiac arrest

Ahamed H. Idris, Danielle Guffey, Paul E. Pepe, Siobhan P. Brown, Steven C. Brooks, Clifton W. Callaway, Jim Christenson, Daniel P. Davis, Mohamud Ramzan Daya, Randal Gray, Peter J. Kudenchuk, Jonathan Larsen, Steve Lin, James J. Menegazzi, Kellie Sheehan, George Sopko, Ian Stiell, Graham Nichol, Tom P. Aufderheide

Research output: Contribution to journalArticle

146 Citations (Scopus)

Abstract

Objective: Guidelines for cardiopulmonary resuscitation recommend a chest compression rate of at least 100 compressions/min. A recent clinical study reported optimal return of spontaneous circulation with rates between 100 and 120/min during cardiopulmonary resuscitation for out-of-hospital cardiac arrest. However, the relationship between compression rate and survival is still undetermined. Design: Prospective, observational study. Setting: Data is from the Resuscitation Outcomes Consortium Prehospital Resuscitation IMpedance threshold device and Early versus Delayed analysis clinical trial. Participants: Adults with out-of-hospital cardiac arrest treated by emergency medical service providers. Interventions: None. Measurements Main Results: Data were abstracted from monitor-defibrillator recordings for the first five minutes of emergency medical service cardiopulmonary resuscitation. Multiple logistic regression assessed odds ratio for survival by compression rate categories (

Original languageEnglish (US)
Pages (from-to)840-848
Number of pages9
JournalCritical Care Medicine
Volume43
Issue number4
DOIs
StatePublished - Apr 20 2015

Fingerprint

Out-of-Hospital Cardiac Arrest
Cardiopulmonary Resuscitation
Thorax
Emergency Medical Services
Resuscitation
Defibrillators
Electric Impedance
Observational Studies
Logistic Models
Odds Ratio
Clinical Trials
Prospective Studies
Guidelines
Equipment and Supplies

Keywords

  • Cardiac arrest
  • Cardiopulmonary resuscitation
  • Compression rate
  • Guidelines
  • Heart arrest
  • Outcomes

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Medicine(all)

Cite this

Idris, A. H., Guffey, D., Pepe, P. E., Brown, S. P., Brooks, S. C., Callaway, C. W., ... Aufderheide, T. P. (2015). Chest compression rates and survival following out-of-hospital cardiac arrest. Critical Care Medicine, 43(4), 840-848. https://doi.org/10.1097/CCM.0000000000000824

Chest compression rates and survival following out-of-hospital cardiac arrest. / Idris, Ahamed H.; Guffey, Danielle; Pepe, Paul E.; Brown, Siobhan P.; Brooks, Steven C.; Callaway, Clifton W.; Christenson, Jim; Davis, Daniel P.; Daya, Mohamud Ramzan; Gray, Randal; Kudenchuk, Peter J.; Larsen, Jonathan; Lin, Steve; Menegazzi, James J.; Sheehan, Kellie; Sopko, George; Stiell, Ian; Nichol, Graham; Aufderheide, Tom P.

In: Critical Care Medicine, Vol. 43, No. 4, 20.04.2015, p. 840-848.

Research output: Contribution to journalArticle

Idris, AH, Guffey, D, Pepe, PE, Brown, SP, Brooks, SC, Callaway, CW, Christenson, J, Davis, DP, Daya, MR, Gray, R, Kudenchuk, PJ, Larsen, J, Lin, S, Menegazzi, JJ, Sheehan, K, Sopko, G, Stiell, I, Nichol, G & Aufderheide, TP 2015, 'Chest compression rates and survival following out-of-hospital cardiac arrest', Critical Care Medicine, vol. 43, no. 4, pp. 840-848. https://doi.org/10.1097/CCM.0000000000000824
Idris AH, Guffey D, Pepe PE, Brown SP, Brooks SC, Callaway CW et al. Chest compression rates and survival following out-of-hospital cardiac arrest. Critical Care Medicine. 2015 Apr 20;43(4):840-848. https://doi.org/10.1097/CCM.0000000000000824
Idris, Ahamed H. ; Guffey, Danielle ; Pepe, Paul E. ; Brown, Siobhan P. ; Brooks, Steven C. ; Callaway, Clifton W. ; Christenson, Jim ; Davis, Daniel P. ; Daya, Mohamud Ramzan ; Gray, Randal ; Kudenchuk, Peter J. ; Larsen, Jonathan ; Lin, Steve ; Menegazzi, James J. ; Sheehan, Kellie ; Sopko, George ; Stiell, Ian ; Nichol, Graham ; Aufderheide, Tom P. / Chest compression rates and survival following out-of-hospital cardiac arrest. In: Critical Care Medicine. 2015 ; Vol. 43, No. 4. pp. 840-848.
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