Dispatcher assisted cardiopulmonary resuscitation implementation in Kuwait: A before and after study examining the impact on outcomes of out of hospital cardiac arrest victims

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dc.contributor.authorHasan, Dalal Al
dc.contributor.authorDrennan, Jonathan
dc.contributor.authorMonger, Eloise
dc.contributor.authorMahmid, Salim Al
dc.contributor.authorAhmad, Haitham
dc.contributor.authorAmeen, Mohmmad
dc.contributor.authorMazen, Sayed
dc.date.accessioned2019-12-04T12:36:05Z
dc.date.available2019-12-04T12:36:05Z
dc.date.issued2019-11-01
dc.description.abstractDispatcher assisted cardiopulmonary resuscitation (DACPR) by Emergency medical services has been shown to improve rates of early out of hospital cardiac arrest (OHCA) recognition and early cardiopulmonary resuscitation (CPR) for OHCA. This study measures the impact of introducing DACPR on OHCA recognition, CPR rates and on patient outcomes in a pilot region in Kuwait. EMS treated OHCA data over 10 months period (February 21–December 31, 2017) before and after the intervention was prospectively collected and analyzed. Comprehensive DACPR in the form of: a standardized dispatch protocol, 1-day training package and quality assurance and improvement measures were applied to Kuwait EMS central Dispatch unit only for pilot region. Primary outcomes: OHCA recognition rate, CPR instruction rate, and Bystander CPR rate. Secondary outcome: survival to hospital discharge. A total of 332 OHCA cases from the EMS archived data were extracted and after exclusion 176 total OHCA cases remain. After DACPR implementation OHCA recognition rate increased from 2% to 12.9% (P = .037), CPR instruction rate increased from 0% to 10.4% (P = .022); however, no significant change was noted for bystander CPR rates or prehospital return of spontaneous circulation. Also, survival to hospital discharge rate did not change significantly (0% before, and 0.8% after, P = .53) In summary, DACPR implementation had positive impacts on Kuwait EMS system operational outcomes; early OHCA recognition and CPR instruction rates in a pilot region of Kuwait. Expanding this initiative to other regions in Kuwait and coupling it with other OHCA system of care interventions are needed to improve OHCA survival rates.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleide17752en
dc.identifier.citationHasan, D. A., Drennan, J., Monger, E., Mahmid, S. A., Ahmad, H., Ameen, M. and Sayed, M. E. (2019) 'Dispatcher assisted cardiopulmonary resuscitation implementation in Kuwait: A before and after study examining the impact on outcomes of out of hospital cardiac arrest victims', Medicine, 98(44), e17752. (5pp.) doi: 10.1097/MD.0000000000017752en
dc.identifier.doi10.1097/MD.0000000000017752en
dc.identifier.endpage5en
dc.identifier.issn0025-7974
dc.identifier.issued44en
dc.identifier.journaltitleMedicineen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/9325
dc.identifier.volume98en
dc.language.isoenen
dc.publisherWolters Kluwer Health, Inc.en
dc.rights©2019 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0en
dc.subjectDispatcher-assisted cardiopulmonary resuscitationen
dc.subjectKuwaiten
dc.subjectOut of hospital cardiac arresten
dc.subjectReturn of spontaneous circulationen
dc.subjectSurvival to hospital dischargeen
dc.titleDispatcher assisted cardiopulmonary resuscitation implementation in Kuwait: A before and after study examining the impact on outcomes of out of hospital cardiac arrest victimsen
dc.typeArticle (peer-reviewed)en
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