Intervention effects of old and new editions of cardiopulmonary resuscitation guideline on out-of-hospital sudden cardiac death
GUO Xiang-yun
KANG Guo-ping
LI Guo
WU Long-fei
Abstract：Objective To compare the rescue results of out-of-hospital (OOH) sudden cardiac death (SCD) guided by 2005 AHA CPR Guideline and 2010 AHA CPR Guideline. Methods The patients (n=248) with OOH CPR rescue guided by 2005 AHA CPR Guideline were chosen from July, 2008 to Sept. 2010 as 2005 group, and the patients (n=282) with OOH CPR rescue guided by 2010 AHA CPR Guideline were chosen from Jan. 2011 to Mar. 2013as 2010 group. The recovery rate of spontaneous circulation, one-month survival rate and survival rate without cerebral injury after one month were compared between two groups. Results Compared with 2005 group, the recovery rate of spontaneous circulation increased significantly in 2010 group (12.77% vs. 7.66%, P=0.045). Among the patients accepted CPR within 10 minutes after SCD attack, the recovery rate of spontaneous circulation was significantly higher in 2010 group than that in 2005 group (36.23%vs. 19.35%, P=0.032), while among those accepted CPR after 10 minutes, the recovery rate of spontaneous circulation had no difference between two groups (5.16%vs. 3.76%, P=0.501). The proportion of one-month survival rate and survival rate without cerebral injury after one month were all higher in 2010 group than those in 2005 group but the difference was not statistically significant (P>0.05). Conclusion The success rate of rescuing SCD patients guided by 2010 AHA CPR Guideline is higher, and at the same time the survival rate of the patients without cerebral injury is improved.
Keywords：Cardiopulmonary resuscitationGuidelineSudden cardiac deathSpontaneous circulation
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 476-478 )