Bohm Katarina, Rosenqvist Mårten, Herlitz Johan, Hollenberg Jacob, Svensson Leif
Department of Cardiology and Stockholm Prehospital Centre, Karolinska Institute, South General Hospital, Stockholm, Sweden.
Circulation. 2007 Dec 18;116(25):2908-12. doi: 10.1161/CIRCULATIONAHA.107.710194. Epub 2007 Dec 10.
We sought to compare the 1-month survival rates among patients after out-of-hospital cardiac arrest who had been given bystander cardiopulmonary resuscitation (CPR) in relation to whether they had received standard CPR with chest compression plus mouth-to-mouth ventilation or chest compression only.
All patients with out-of-hospital cardiac arrest who received bystander CPR and who were reported to the Swedish Cardiac Arrest Register between 1990 and 2005 were included. Crew-witnessed cases were excluded. Among 11,275 patients, 73% (n=8209) received standard CPR, and 10% (n=1145) received chest compression only. There was no significant difference in 1-month survival between patients who received standard CPR (1-month survival=7.2%) and those who received chest compression only (1-month survival=6.7%).
Among patients with out-of-hospital cardiac arrest who received bystander CPR, there was no significant difference in 1-month survival between a standard CPR program with chest compression plus mouth-to-mouth ventilation and a simplified version of CPR with chest compression only.
我们试图比较院外心脏骤停患者在接受旁观者心肺复苏（CPR）后1个月的生存率，比较对象为接受标准心肺复苏（胸外按压加口对口通气）与仅接受胸外按压的患者。
纳入1990年至2005年间接受旁观者心肺复苏并上报至瑞典心脏骤停登记处的所有院外心脏骤停患者。排除急救人员目击的病例。在11275例患者中，73%（n = 8209）接受标准心肺复苏，10%（n = 1145）仅接受胸外按压。接受标准心肺复苏的患者（1个月生存率 = 7.2%）与仅接受胸外按压的患者（1个月生存率 = 6.7%）1个月生存率无显著差异。
在接受旁观者心肺复苏的院外心脏骤停患者中，胸外按压加口对口通气的标准心肺复苏方案与仅胸外按压的简化心肺复苏方案在1个月生存率上无显著差异。
