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Volume 18
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Article

The Effect of Implementing Mechanical Cardiopulmonary Resuscitation Devices on Out-of-Hospital Cardiac Arrest Patients in an Urban City of Taiwan

by
Yi-Rong Chen
1,†,
Chi-Jiang Liao
1,†,
Han-Chun Huang
1,
Cheng-Han Tsai
2,
Yao-Sing Su
3,
Chung-Hsien Liu
1,
Chi-Feng Hsu
1,*,‡ and
Ming-Jen Tsai
1,*,‡
1
Department of Emergency Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi City 600, Taiwan
2
Department of Emergency Medicine, Taichung Veteran’s General Hospital, Chia-Yi Branch, Chiayi City 600, Taiwan
3
Fire Bureau, Chiayi City Government, Chiayi City 600, Taiwan
*
Authors to whom correspondence should be addressed.
†
These authors contributed equally to this work.
‡
These authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2021, 18(7), 3636; https://doi.org/10.3390/ijerph18073636
Submission received: 10 March 2021 / Revised: 24 March 2021 / Accepted: 29 March 2021 / Published: 31 March 2021
(This article belongs to the Section Global Health)
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Abstract

High-quality cardiopulmonary resuscitation (CPR) is a key element in out-of-hospital cardiac arrest (OHCA) resuscitation. Mechanical CPR devices have been developed to provide uninterrupted and high-quality CPR. Although human studies have shown controversial results in favor of mechanical CPR devices, their application in pre-hospital settings continues to increase. There remains scant data on the pre-hospital use of mechanical CPR devices in Asia. Therefore, we conducted a retrospective cohort study between September 2018 and August 2020 in an urban city of Taiwan to analyze the effects of mechanical CPR devices on the outcomes of OHCA; the primary outcome was attainment of return of spontaneous circulation (ROSC). Of 552 patients with OHCA, 279 received mechanical CPR and 273 received manual CPR, before being transferred to the hospital. After multivariate adjustment for the influencing factors, mechanical CPR was independently associated with achievement of any ROSC (OR = 1.871; 95%CI:1.195–2.930) and sustained (≥24 h) ROSC (OR = 2.353; 95%CI:1.427–3.879). Subgroup analyses demonstrated that mechanical CPR is beneficial in shorter emergency medical service response time (≤4 min), witnessed cardiac arrest, and non-shockable cardiac rhythm. These findings support the importance of early EMS activation and high-quality CPR in OHCA resuscitation.
Keywords: mechanical CPR device; out-of-hospital cardiac arrest; resuscitation; return of spontaneous circulation mechanical CPR device; out-of-hospital cardiac arrest; resuscitation; return of spontaneous circulation

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MDPI and ACS Style

Chen, Y.-R.; Liao, C.-J.; Huang, H.-C.; Tsai, C.-H.; Su, Y.-S.; Liu, C.-H.; Hsu, C.-F.; Tsai, M.-J. The Effect of Implementing Mechanical Cardiopulmonary Resuscitation Devices on Out-of-Hospital Cardiac Arrest Patients in an Urban City of Taiwan. Int. J. Environ. Res. Public Health 2021, 18, 3636. https://doi.org/10.3390/ijerph18073636

AMA Style

Chen Y-R, Liao C-J, Huang H-C, Tsai C-H, Su Y-S, Liu C-H, Hsu C-F, Tsai M-J. The Effect of Implementing Mechanical Cardiopulmonary Resuscitation Devices on Out-of-Hospital Cardiac Arrest Patients in an Urban City of Taiwan. International Journal of Environmental Research and Public Health. 2021; 18(7):3636. https://doi.org/10.3390/ijerph18073636

Chicago/Turabian Style

Chen, Yi-Rong, Chi-Jiang Liao, Han-Chun Huang, Cheng-Han Tsai, Yao-Sing Su, Chung-Hsien Liu, Chi-Feng Hsu, and Ming-Jen Tsai. 2021. "The Effect of Implementing Mechanical Cardiopulmonary Resuscitation Devices on Out-of-Hospital Cardiac Arrest Patients in an Urban City of Taiwan" International Journal of Environmental Research and Public Health 18, no. 7: 3636. https://doi.org/10.3390/ijerph18073636

APA Style

Chen, Y.-R., Liao, C.-J., Huang, H.-C., Tsai, C.-H., Su, Y.-S., Liu, C.-H., Hsu, C.-F., & Tsai, M.-J. (2021). The Effect of Implementing Mechanical Cardiopulmonary Resuscitation Devices on Out-of-Hospital Cardiac Arrest Patients in an Urban City of Taiwan. International Journal of Environmental Research and Public Health, 18(7), 3636. https://doi.org/10.3390/ijerph18073636

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