Loading…
The association between chest compression release velocity and outcomes from out-of-hospital cardiac arrest
Abstract Background Previous studies have demonstrated significant relationships between cardiopulmonary resuscitation (CPR) quality metrics and survival to hospital discharge from out-of-hospital cardiac arrest (OHCA). Recently, it has been suggested that a new metric, chest compression release vel...
Saved in:
| Published in: | Resuscitation 2015-01, Vol.86, p.38-43 |
|---|---|
| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c438t-38ece5fd50a8009fd906abd13885e3bc7297dee05610a5a27cc3f127344fbe4c3 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c438t-38ece5fd50a8009fd906abd13885e3bc7297dee05610a5a27cc3f127344fbe4c3 |
| container_end_page | 43 |
| container_issue | |
| container_start_page | 38 |
| container_title | Resuscitation |
| container_volume | 86 |
| creator | Cheskes, Sheldon Common, Matthew R Byers, Adam P Zhan, Cathy Silver, Annemarie Morrison, Laurie J |
| description | Abstract Background Previous studies have demonstrated significant relationships between cardiopulmonary resuscitation (CPR) quality metrics and survival to hospital discharge from out-of-hospital cardiac arrest (OHCA). Recently, it has been suggested that a new metric, chest compression release velocity (CCRV), may be associated with improved survival from OHCA. Methods and results We performed a retrospective review of all treated adult OHCA occurring over a two year period beginning January 1, 2012. CPR metrics were abstracted from accelerometer measurements during each resuscitation. Multivariable regression analysis was used to examine the impact of CCRV on survival to hospital discharge. Secondary outcome measures were the impact of CCRV on return of spontaneous circulation (ROSC) and neurologically intact survival (MRS ≤ 3). Among 1800 treated OHCA, 1137 met inclusion criteria. The median (IQR) age was 71.6 (60.6, 82.3) with 724 (64%) being male. The median (IQR) CCRV (mm/s) amongst 96 survivors was 334.5 (300.0, 383.2) compared to 304.0 (262.6, 354.1) in 1041 non survivors ( p < 0.001). When adjusted for Utstein variables, the odds of survival to hospital discharge for each 10 mm/s increase in CCRV was 1.02 (95% CI: 0.98, 1.06). Similarly the odds of ROSC and neurologically intact survival were 1.01 (95% CI: 0.99, 1.03) and 1.02 (95% CI: 0.98, 1.06), respectively. Conclusions When adjusted for Utstein variables, CCRV was not significantly associated with outcomes from OHCA. Further research in other EMS systems is required to clarify the potential impact of this variable on OHCA survival. |
| doi_str_mv | 10.1016/j.resuscitation.2014.10.020 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1684431951</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0300957214008041</els_id><sourcerecordid>1684431951</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-38ece5fd50a8009fd906abd13885e3bc7297dee05610a5a27cc3f127344fbe4c3</originalsourceid><addsrcrecordid>eNqNkV-L1DAUxYMo7rj6FSTgiy8db5pk0iIIsqx_YMEH1-eQJrdMZttmzG1X5tubOqugTz6FcH73nORcxl4J2AoQuzeHbUZayMfZzTFN2xqEKsoWanjENqIxshLawGO2AQlQtdrUF-wZ0QEApG7NU3ZRa6UMyHbD7m73yB1R8vGXG-9w_oE4cb9HmrlP47Gk0apkHNAR8nscCj2fuJsCT8tcGCTe5zSutyr11T7Rsbxu4N7lEJ3nLheT-Tl70ruB8MXDecm-fbi-vfpU3Xz5-Pnq_U3llWzmSjboUfdBg2sA2j60sHNdELJpNMrOm7o1ARH0ToDTrjbey17URirVd6i8vGSvz77HnL4vJdiOkTwOg5swLWTFrlFKilaLgr49oz4nooy9PeY4unyyAuzatj3Yv9q2a9urWNou0y8fgpZuxPBn9ne9Bbg-A1i-ex8x22KEk8cQM_rZhhT_M-jdPz5-iFP0brjDE9IhLXkqjVphqbZgv66LX_cuFEADSsif--CwTQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1684431951</pqid></control><display><type>article</type><title>The association between chest compression release velocity and outcomes from out-of-hospital cardiac arrest</title><source>Elsevier</source><creator>Cheskes, Sheldon ; Common, Matthew R ; Byers, Adam P ; Zhan, Cathy ; Silver, Annemarie ; Morrison, Laurie J</creator><creatorcontrib>Cheskes, Sheldon ; Common, Matthew R ; Byers, Adam P ; Zhan, Cathy ; Silver, Annemarie ; Morrison, Laurie J</creatorcontrib><description>Abstract Background Previous studies have demonstrated significant relationships between cardiopulmonary resuscitation (CPR) quality metrics and survival to hospital discharge from out-of-hospital cardiac arrest (OHCA). Recently, it has been suggested that a new metric, chest compression release velocity (CCRV), may be associated with improved survival from OHCA. Methods and results We performed a retrospective review of all treated adult OHCA occurring over a two year period beginning January 1, 2012. CPR metrics were abstracted from accelerometer measurements during each resuscitation. Multivariable regression analysis was used to examine the impact of CCRV on survival to hospital discharge. Secondary outcome measures were the impact of CCRV on return of spontaneous circulation (ROSC) and neurologically intact survival (MRS ≤ 3). Among 1800 treated OHCA, 1137 met inclusion criteria. The median (IQR) age was 71.6 (60.6, 82.3) with 724 (64%) being male. The median (IQR) CCRV (mm/s) amongst 96 survivors was 334.5 (300.0, 383.2) compared to 304.0 (262.6, 354.1) in 1041 non survivors ( p < 0.001). When adjusted for Utstein variables, the odds of survival to hospital discharge for each 10 mm/s increase in CCRV was 1.02 (95% CI: 0.98, 1.06). Similarly the odds of ROSC and neurologically intact survival were 1.01 (95% CI: 0.99, 1.03) and 1.02 (95% CI: 0.98, 1.06), respectively. Conclusions When adjusted for Utstein variables, CCRV was not significantly associated with outcomes from OHCA. Further research in other EMS systems is required to clarify the potential impact of this variable on OHCA survival.</description><identifier>ISSN: 0300-9572</identifier><identifier>EISSN: 1873-1570</identifier><identifier>DOI: 10.1016/j.resuscitation.2014.10.020</identifier><identifier>PMID: 25447039</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Aged ; Cardiopulmonary resuscitation ; Cardiopulmonary Resuscitation - methods ; Emergency ; Female ; Heart arrest ; Humans ; Male ; Middle Aged ; Out-of-Hospital Cardiac Arrest - mortality ; Out-of-Hospital Cardiac Arrest - therapy ; Patient Discharge ; Resuscitation ; Retrospective Studies ; Survival ; Survival Rate ; Time Factors</subject><ispartof>Resuscitation, 2015-01, Vol.86, p.38-43</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2014 Elsevier Ireland Ltd</rights><rights>Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-38ece5fd50a8009fd906abd13885e3bc7297dee05610a5a27cc3f127344fbe4c3</citedby><cites>FETCH-LOGICAL-c438t-38ece5fd50a8009fd906abd13885e3bc7297dee05610a5a27cc3f127344fbe4c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,783,787,27936,27937</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25447039$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheskes, Sheldon</creatorcontrib><creatorcontrib>Common, Matthew R</creatorcontrib><creatorcontrib>Byers, Adam P</creatorcontrib><creatorcontrib>Zhan, Cathy</creatorcontrib><creatorcontrib>Silver, Annemarie</creatorcontrib><creatorcontrib>Morrison, Laurie J</creatorcontrib><title>The association between chest compression release velocity and outcomes from out-of-hospital cardiac arrest</title><title>Resuscitation</title><addtitle>Resuscitation</addtitle><description>Abstract Background Previous studies have demonstrated significant relationships between cardiopulmonary resuscitation (CPR) quality metrics and survival to hospital discharge from out-of-hospital cardiac arrest (OHCA). Recently, it has been suggested that a new metric, chest compression release velocity (CCRV), may be associated with improved survival from OHCA. Methods and results We performed a retrospective review of all treated adult OHCA occurring over a two year period beginning January 1, 2012. CPR metrics were abstracted from accelerometer measurements during each resuscitation. Multivariable regression analysis was used to examine the impact of CCRV on survival to hospital discharge. Secondary outcome measures were the impact of CCRV on return of spontaneous circulation (ROSC) and neurologically intact survival (MRS ≤ 3). Among 1800 treated OHCA, 1137 met inclusion criteria. The median (IQR) age was 71.6 (60.6, 82.3) with 724 (64%) being male. The median (IQR) CCRV (mm/s) amongst 96 survivors was 334.5 (300.0, 383.2) compared to 304.0 (262.6, 354.1) in 1041 non survivors ( p < 0.001). When adjusted for Utstein variables, the odds of survival to hospital discharge for each 10 mm/s increase in CCRV was 1.02 (95% CI: 0.98, 1.06). Similarly the odds of ROSC and neurologically intact survival were 1.01 (95% CI: 0.99, 1.03) and 1.02 (95% CI: 0.98, 1.06), respectively. Conclusions When adjusted for Utstein variables, CCRV was not significantly associated with outcomes from OHCA. Further research in other EMS systems is required to clarify the potential impact of this variable on OHCA survival.</description><subject>Aged</subject><subject>Cardiopulmonary resuscitation</subject><subject>Cardiopulmonary Resuscitation - methods</subject><subject>Emergency</subject><subject>Female</subject><subject>Heart arrest</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Out-of-Hospital Cardiac Arrest - mortality</subject><subject>Out-of-Hospital Cardiac Arrest - therapy</subject><subject>Patient Discharge</subject><subject>Resuscitation</subject><subject>Retrospective Studies</subject><subject>Survival</subject><subject>Survival Rate</subject><subject>Time Factors</subject><issn>0300-9572</issn><issn>1873-1570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNqNkV-L1DAUxYMo7rj6FSTgiy8db5pk0iIIsqx_YMEH1-eQJrdMZttmzG1X5tubOqugTz6FcH73nORcxl4J2AoQuzeHbUZayMfZzTFN2xqEKsoWanjENqIxshLawGO2AQlQtdrUF-wZ0QEApG7NU3ZRa6UMyHbD7m73yB1R8vGXG-9w_oE4cb9HmrlP47Gk0apkHNAR8nscCj2fuJsCT8tcGCTe5zSutyr11T7Rsbxu4N7lEJ3nLheT-Tl70ruB8MXDecm-fbi-vfpU3Xz5-Pnq_U3llWzmSjboUfdBg2sA2j60sHNdELJpNMrOm7o1ARH0ToDTrjbey17URirVd6i8vGSvz77HnL4vJdiOkTwOg5swLWTFrlFKilaLgr49oz4nooy9PeY4unyyAuzatj3Yv9q2a9urWNou0y8fgpZuxPBn9ne9Bbg-A1i-ex8x22KEk8cQM_rZhhT_M-jdPz5-iFP0brjDE9IhLXkqjVphqbZgv66LX_cuFEADSsif--CwTQ</recordid><startdate>20150101</startdate><enddate>20150101</enddate><creator>Cheskes, Sheldon</creator><creator>Common, Matthew R</creator><creator>Byers, Adam P</creator><creator>Zhan, Cathy</creator><creator>Silver, Annemarie</creator><creator>Morrison, Laurie J</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150101</creationdate><title>The association between chest compression release velocity and outcomes from out-of-hospital cardiac arrest</title><author>Cheskes, Sheldon ; Common, Matthew R ; Byers, Adam P ; Zhan, Cathy ; Silver, Annemarie ; Morrison, Laurie J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-38ece5fd50a8009fd906abd13885e3bc7297dee05610a5a27cc3f127344fbe4c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Cardiopulmonary resuscitation</topic><topic>Cardiopulmonary Resuscitation - methods</topic><topic>Emergency</topic><topic>Female</topic><topic>Heart arrest</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Out-of-Hospital Cardiac Arrest - mortality</topic><topic>Out-of-Hospital Cardiac Arrest - therapy</topic><topic>Patient Discharge</topic><topic>Resuscitation</topic><topic>Retrospective Studies</topic><topic>Survival</topic><topic>Survival Rate</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheskes, Sheldon</creatorcontrib><creatorcontrib>Common, Matthew R</creatorcontrib><creatorcontrib>Byers, Adam P</creatorcontrib><creatorcontrib>Zhan, Cathy</creatorcontrib><creatorcontrib>Silver, Annemarie</creatorcontrib><creatorcontrib>Morrison, Laurie J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Resuscitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheskes, Sheldon</au><au>Common, Matthew R</au><au>Byers, Adam P</au><au>Zhan, Cathy</au><au>Silver, Annemarie</au><au>Morrison, Laurie J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The association between chest compression release velocity and outcomes from out-of-hospital cardiac arrest</atitle><jtitle>Resuscitation</jtitle><addtitle>Resuscitation</addtitle><date>2015-01-01</date><risdate>2015</risdate><volume>86</volume><spage>38</spage><epage>43</epage><pages>38-43</pages><issn>0300-9572</issn><eissn>1873-1570</eissn><abstract>Abstract Background Previous studies have demonstrated significant relationships between cardiopulmonary resuscitation (CPR) quality metrics and survival to hospital discharge from out-of-hospital cardiac arrest (OHCA). Recently, it has been suggested that a new metric, chest compression release velocity (CCRV), may be associated with improved survival from OHCA. Methods and results We performed a retrospective review of all treated adult OHCA occurring over a two year period beginning January 1, 2012. CPR metrics were abstracted from accelerometer measurements during each resuscitation. Multivariable regression analysis was used to examine the impact of CCRV on survival to hospital discharge. Secondary outcome measures were the impact of CCRV on return of spontaneous circulation (ROSC) and neurologically intact survival (MRS ≤ 3). Among 1800 treated OHCA, 1137 met inclusion criteria. The median (IQR) age was 71.6 (60.6, 82.3) with 724 (64%) being male. The median (IQR) CCRV (mm/s) amongst 96 survivors was 334.5 (300.0, 383.2) compared to 304.0 (262.6, 354.1) in 1041 non survivors ( p < 0.001). When adjusted for Utstein variables, the odds of survival to hospital discharge for each 10 mm/s increase in CCRV was 1.02 (95% CI: 0.98, 1.06). Similarly the odds of ROSC and neurologically intact survival were 1.01 (95% CI: 0.99, 1.03) and 1.02 (95% CI: 0.98, 1.06), respectively. Conclusions When adjusted for Utstein variables, CCRV was not significantly associated with outcomes from OHCA. Further research in other EMS systems is required to clarify the potential impact of this variable on OHCA survival.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>25447039</pmid><doi>10.1016/j.resuscitation.2014.10.020</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0300-9572 |
| ispartof | Resuscitation, 2015-01, Vol.86, p.38-43 |
| issn | 0300-9572 1873-1570 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1684431951 |
| source | Elsevier |
| subjects | Aged Cardiopulmonary resuscitation Cardiopulmonary Resuscitation - methods Emergency Female Heart arrest Humans Male Middle Aged Out-of-Hospital Cardiac Arrest - mortality Out-of-Hospital Cardiac Arrest - therapy Patient Discharge Resuscitation Retrospective Studies Survival Survival Rate Time Factors |
| title | The association between chest compression release velocity and outcomes from out-of-hospital cardiac arrest |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-11-13T22%3A58%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20association%20between%20chest%20compression%20release%20velocity%20and%20outcomes%20from%20out-of-hospital%20cardiac%20arrest&rft.jtitle=Resuscitation&rft.au=Cheskes,%20Sheldon&rft.date=2015-01-01&rft.volume=86&rft.spage=38&rft.epage=43&rft.pages=38-43&rft.issn=0300-9572&rft.eissn=1873-1570&rft_id=info:doi/10.1016/j.resuscitation.2014.10.020&rft_dat=%3Cproquest_cross%3E1684431951%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c438t-38ece5fd50a8009fd906abd13885e3bc7297dee05610a5a27cc3f127344fbe4c3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1684431951&rft_id=info:pmid/25447039&rfr_iscdi=true |