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Original Research

Open Access

Impact of dual dispatch system implementation on response times and survival outcomes in out-of-hospital cardiac arrest in rural areas

  • Matej Strnad1,2,3
  • Pia Jerot4
  • Vesna Borovnik Lesjak1

1Center for Emergency Medicine, Prehospital unit, Community healthcare center, 2000 Maribor, Slovenia

2Emergency department, University Clinical Centre Maribor, 2000 Maribor, Slovenia

3Department of Emergency Medicine, Medical faculty, University of Maribor, 2000 Maribor, Slovenia

4Community healthcare center, 2360 Radlje ob Dravi, Slovenia

DOI: 10.22514/sv.2021.134

Submitted: 12 May 2021 Accepted: 17 July 2021

Online publish date: 09 August 2021

*Corresponding Author(s): Matej Strnad E-mail: strnad.matej78@gmail.com

Abstract

Objectives: Dual dispatch early defibrillation in out-of-hospital cardiac arrest (OHCA) victims provided by firefighters in addition to Emergency medical services (EMS) has proven to increase rate of return of spontaneous circulation (ROSC) and thus survival in the metropolitan or suburban areas whereas the data in rural areas are scarce.

Methods: This was a retrospective observational cohort study of EMS resuscitated OHCA victims in regions with dual dispatch of volunteer firefighters as first responders (intervention group). Historical group was based on all OHCAs occurring in these regions before the implementation of first responders (EMS response only). Multivariate logistic regression with following variables: intervention, age, gender, witnessed status, bystander cardiopulmonary resuscitation (CPR), first rhythm and etiology were used to control for confounding factors affecting ROSC.

Results: A total of 312 OHCAs were included in the study (historical group, n = 115 and intervention group, n = 197). Median time to arrival of first help shortened significantly for all patients, patients with ROSC and patients with Cerebral Performance Category 1/2 (CPC 1/2) in intervention vs historical group (8 vs 12 min, p < 0.001; 7.5 vs 11 min, p = 0.002; 7 vs 10 min, p = 0.011; respectively). The proportion of patients with ROSC, 30-day survival and CPC 1/2 at hospital discharge remained unchanged in intervention vs historical group (21% vs 23%, p = 0.808; 7% vs 6%, p = 0.914; 6% vs 3%, p = 0.442; respectively). The logistic regression model of adjustment confirms the absence of improvement in the ROSC rate after the implementation of first responders.

Conclusions: Introduction of a dual dispatch of local first responders in addition to EMS in cases of OHCA significantly shortened response times. However, reduced response times were not associated with better survival outcomes.


Keywords

Out-of-hospital cardiac arrest; First responder; Survival rate; Sudden cardiac death; Automated external defibrillator; Cardiopulmonary resuscitation; Firefighters


Cite and Share

Matej Strnad,Pia Jerot,Vesna Borovnik Lesjak. Impact of dual dispatch system implementation on response times and survival outcomes in out-of-hospital cardiac arrest in rural areas. Signa Vitae. 2021.doi:10.22514/sv.2021.134.

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