Conventional and chest-compression-only cardiopulmonary resuscitation by bystanders for children who have out-of-hospital cardiac arrests: a prospective, nationwide, population-based cohort study

@article{Kitamura2010ConventionalAC,
  title={Conventional and chest-compression-only cardiopulmonary resuscitation by bystanders for children who have out-of-hospital cardiac arrests: a prospective, nationwide, population-based cohort study},
  author={Tetsuhisa Kitamura and Taku Iwami and Takashi Kawamura and Ken Nagao and Hideharu Tanaka and Vinay M. Nadkarni and Robert A. Berg and Atsushi Hiraide},
  journal={The Lancet},
  year={2010},
  volume={375},
  pages={1347-1354}
}
BACKGROUND The American Heart Association recommends cardiopulmonary resuscitation (CPR) by bystanders with chest compression only for adults who have cardiac arrests, but not for children. We assessed the effect of CPR (conventional with rescue breathing or chest compression only) by bystanders on outcomes after out-of-hospital cardiac arrests in children. METHODS In a nationwide, prospective, population-based, observational study, we enrolled 5170 children aged 17 years and younger who had… Expand
Conventional versus chest-compression-only cardiopulmonary resuscitation by bystanders for children with out-of-hospital cardiac arrest.
TLDR
CC-CPR was associated with 30-day neurologically intact survival similar to conventional CPR for children with OHCA aged ≥8 years, for children aged 1-17 years with cardiac aetiology or initial shockable rhythm, and for infants with cardiacAETiology or witnessed arrest. Expand
Chest Compression–Only Cardiopulmonary Resuscitation for Out-of-Hospital Cardiac Arrest With Public-Access Defibrillation: A Nationwide Cohort Study
TLDR
Compression-only CPR is more effective than conventional CPR for patients in whom out-of-hospital cardiac arrest is witnessed and shocked with public-access defibrillation. Expand
Conventional Versus Compression-Only Versus No-Bystander Cardiopulmonary Resuscitation for Pediatric Out-of-Hospital Cardiac Arrest
TLDR
The findings of this population-based study of pediatric OHCA in Japan support randomized clinical trials comparing conventional versus compression-only CPR in children, with conventional CPR preferred until such controlled comparative data are available, and either method preferred over no-bystander CPR. Expand
Chest compression-only versus conventional cardiopulmonary resuscitation for bystander-witnessed out-of-hospital cardiac arrest of medical origin: A propensity score-matched cohort from 143,500 patients.
TLDR
CCCPR is an acceptable resuscitation technique for lay-rescuers responding to bystander witnessed OHCA of presumed medical origin and shows a more favorable neurological outcome than the CCRB group. Expand
Chest-compression-only versus conventional cardiopulmonary resuscitation by bystanders for children with out-of-hospital cardiac arrest: A systematic review and meta-analysis.
TLDR
Children who receive conventional CPR for out-of-hospital cardiac arrest may have better outcomes than those who receive CC-CPR, and more evidence is needed to confirm the findings. Expand
Time-dependent effectiveness of chest compression-only and conventional cardiopulmonary resuscitation for out-of-hospital cardiac arrest of cardiac origin.
TLDR
For prolonged OHCA of cardiac origin, conventional CPR with rescue breathing provided incremental benefit compared with either no CPR or compression-only CPR, but the absolute survival was low regardless of type of CPR. Expand
Outcomes of chest compression only CPR versus conventional CPR conducted by lay people in patients with out of hospital cardiopulmonary arrest witnessed by bystanders: nationwide population based observational study
TLDR
Conventional CPR is associated with better outcomes than chest compression only CPR for selected patients with out of hospital cardiopulmonary arrest, such as those with arrests of non-cardiac origin and younger people, and people in whom there was delay in the start of CPR. Expand
Chest-compression-only versus standard cardiopulmonary resuscitation: a meta-analysis
TLDR
Combined data from three randomised trials showed that chest-compression-only CPR was associated with improved chance of survival compared with standard CPR, and instructions to bystanders from emergency medical services dispatch should focus on chest- Compression- only CPR. Expand
Association of Bystander Cardiopulmonary Resuscitation With Overall and Neurologically Favorable Survival After Pediatric Out-of-Hospital Cardiac Arrest in the United States: A Report From the Cardiac Arrest Registry to Enhance Survival Surveillance Registry
TLDR
Bystander CPR is associated with improved outcomes in pediatric OHCAs and improving the provision of BCPR in minority communities and increasing the use of conventional BCPR may improve outcomes for children with OHCA. Expand
Cardiac resuscitation: Bystander CPR improves outcomes in children after cardiac arrest
  • J. Osorio
  • Medicine
  • Nature Reviews Cardiology
  • 2010
TLDR
For pediatric oHCas from noncardiac causes, bystander-initiated conventional CPr with rescue breathing is preferable [to] compression-only CPr, says taku iwami. Expand
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