Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel
Journal cover image

Impact of dispatcher-assisted cardiopulmonary resuscitation on performance of termination of resuscitation criteria.

Publication ,  Journal Article
Limkakeng, AT; Ye, JJ; Staton, C; Ng, YY; Leong, BSH; Shahidah, N; Yazid, M; Gordee, A; Kuchibhatla, M; Ong, MEH; Singapore PAROS Investigators,
Published in: Resuscitation
January 2022

BACKGROUND: Current Advanced Life Support Termination of Resuscitation (TOR) guidelines suggest when to cease cardiopulmonary resuscitation (CPR). With the significant increase of Dispatch-Assisted CPR (DA-CPR) programs, the impact of DA-CPR on the TOR criteria performance is not clear. METHODS: We conducted a secondary analysis of a prospectively collected registry, the Pan-Asian Resuscitation Outcomes Study. We included patients >15 years old with out-of-hospital cardiac arrest between 2014 and 2017 (after implementation of Singapore's DA-CPR program). We excluded patients with non-cardiac etiology, known do-not-resuscitate status, and healthcare provider bystanders. All cases were collected in accordance to Utstein standards. We evaluated the addition of DA-CPR to the diagnostic performance of TOR criteria using logistic regression modeling. The primary outcome was performance for predicting non-survival at 30 days. Sensitivity, specificity, and positive and negative predictive values were calculated. RESULTS: Of the 6009 cases, 319 (5.3%) were still alive at 30 days. Patients had a mean age of 67.9 (standard deviation 15.7) years and were mostly male and Chinese. Almost half of patients had no bystander CPR. The TOR criteria differentiating DA-CPR from unassisted bystander CPR has a specificity of 94% and predictive value of death of 99%, which was not significantly different from undifferentiated CPR criteria. There were differences in adjusted association with survival between unassisted and DA-CPR. CONCLUSION: Advanced life support TOR criteria retain high specificity and predictive value of death in the context of DA-CPR. Further research should explore the differences between unassisted CPR and DA-CPR to understand differential survival outcomes.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Resuscitation

DOI

EISSN

1873-1570

Publication Date

January 2022

Volume

170

Start / End Page

160 / 166

Location

Ireland

Related Subject Headings

  • Registries
  • Out-of-Hospital Cardiac Arrest
  • Male
  • Logistic Models
  • Humans
  • Female
  • Emergency Medical Services
  • Emergency & Critical Care Medicine
  • Cardiopulmonary Resuscitation
  • Aged
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Limkakeng, A. T., Ye, J. J., Staton, C., Ng, Y. Y., Leong, B. S. H., Shahidah, N., … Singapore PAROS Investigators, . (2022). Impact of dispatcher-assisted cardiopulmonary resuscitation on performance of termination of resuscitation criteria. Resuscitation, 170, 160–166. https://doi.org/10.1016/j.resuscitation.2021.11.034
Limkakeng, Alexander T., Jinny J. Ye, Catherine Staton, Yih Yng Ng, Benjamin S. H. Leong, Nur Shahidah, Muhammad Yazid, et al. “Impact of dispatcher-assisted cardiopulmonary resuscitation on performance of termination of resuscitation criteria.Resuscitation 170 (January 2022): 160–66. https://doi.org/10.1016/j.resuscitation.2021.11.034.
Limkakeng AT, Ye JJ, Staton C, Ng YY, Leong BSH, Shahidah N, et al. Impact of dispatcher-assisted cardiopulmonary resuscitation on performance of termination of resuscitation criteria. Resuscitation. 2022 Jan;170:160–6.
Limkakeng, Alexander T., et al. “Impact of dispatcher-assisted cardiopulmonary resuscitation on performance of termination of resuscitation criteria.Resuscitation, vol. 170, Jan. 2022, pp. 160–66. Pubmed, doi:10.1016/j.resuscitation.2021.11.034.
Limkakeng AT, Ye JJ, Staton C, Ng YY, Leong BSH, Shahidah N, Yazid M, Gordee A, Kuchibhatla M, Ong MEH, Singapore PAROS Investigators. Impact of dispatcher-assisted cardiopulmonary resuscitation on performance of termination of resuscitation criteria. Resuscitation. 2022 Jan;170:160–166.
Journal cover image

Published In

Resuscitation

DOI

EISSN

1873-1570

Publication Date

January 2022

Volume

170

Start / End Page

160 / 166

Location

Ireland

Related Subject Headings

  • Registries
  • Out-of-Hospital Cardiac Arrest
  • Male
  • Logistic Models
  • Humans
  • Female
  • Emergency Medical Services
  • Emergency & Critical Care Medicine
  • Cardiopulmonary Resuscitation
  • Aged