Impact of an emergency medical dispatch system on survival from out-of-hospital cardiac arrest: a population-based study.

Details

Serval ID
serval:BIB_4AA22DBAEC75
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of an emergency medical dispatch system on survival from out-of-hospital cardiac arrest: a population-based study.
Journal
Scandinavian journal of trauma, resuscitation and emergency medicine
Author(s)
Ageron F.X., Debaty G., Gayet-Ageron A., Belle L., Gaillard A., Monnet M.F., Bare S., Richard J.C., Danel V., Perfus J.P., Savary D.
ISSN
1757-7241 (Electronic)
ISSN-L
1757-7241
Publication state
Published
Issued date
22/04/2016
Peer-reviewed
Oui
Volume
24
Pages
53
Language
english
Notes
Publication types: Journal Article ; Multicenter Study ; Observational Study
Publication Status: epublish
Abstract
In countries where a single public emergency telephone number is not in operation, different emergency telephone numbers corresponding to multiple dispatch centres (police, fire, emergency medical service) may create confusion for the population about the most appropriate service to call. In particular, out-of-hospital cardiac arrest (OHCA) requires a prompt and effective response. We compare two different dispatch systems on OHCA patient survival at 30 days in a national system with multiple emergency telephone numbers.
We conducted an observational retrospective study of 6871 patients aged 18 years or older with presumed OHCA of cardiac origin between 2005 and 2013 in three counties of the Northern French Alps region. One county had a single dispatch centre combining medical and fire emergencies, and two had multiple dispatch centres. Propensity score matching analyses were performed to compare patient survival at 30 days.
A total of 2257 emergency calls for OHCA were managed by a single dispatch centre and 4614 by a multiple dispatch centre. A single dispatch centre was associated with an increase in survival (adjusted odds ratio [OR] for all patients: 1.7; 95 % confidence interval [CI] = 1.3-2.2; p <0.001; adjusted OR for propensity-matched patients: 2.0; 95 % CI = 1.2-3.4; p = 0.012).
A single dispatch centre was associated with a markedly improved increase of survival among OHCA patients at 30 days in a system with several emergency telephone numbers.
Keywords
Aged, Cardiopulmonary Resuscitation/methods, Emergency Medical Dispatch/organization & administration, Emergency Medical Services/organization & administration, Female, Follow-Up Studies, France/epidemiology, Humans, Male, Out-of-Hospital Cardiac Arrest/mortality, Out-of-Hospital Cardiac Arrest/therapy, Population Surveillance/methods, Retrospective Studies, Survival Rate/trends, Time Factors, Cardiopulmonary resuscitation, Dispatch centre, Emergency phone number, Out-of-hospital cardiac arrest, Survival
Pubmed
Web of science
Open Access
Yes
Create date
09/03/2021 12:16
Last modification date
02/03/2022 7:35
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