Rationale, methodology, and implementation of a dispatcher-assisted cardiopulmonary resuscitation trial in the Asia-Pacific (Pan-Asian resuscitation outcomes study phase 2)

Marcus Eng Hock Ong, Sang Do Shin, Hideharu Tanaka, Matthew Huei Ming Ma, Tatsuya Nishiuchi, Eui Jung Lee, Patrick Chow In Ko, Nausheen Edwin Doctor, Pairoj Khruekarnchana, Ghulam Yasin Naroo, Kwanhathai Darin Wong, Takashi Nakagawa, Hyun Wook Ryoo, Chih Hao Lin, E. Shaun Goh, Nalinas Khunkhlai, Omer Ahmed Alsakaf, Nik A B Rahman Nik Hisamuddin, Bentley J Bobrow, Bryan McNally & 2 others Pryseley Nkouibert Assam, Edwin S Y Chan

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background. Survival outcomes from out-of-hospital cardiac arrest (OHCA) in Asia are poor (2-11%). Bystander cardiopulmonary resuscitation (CPR) rates are relatively low in Asia. Dispatcher-assisted CPR (DA-CPR) has recently emerged as a potentially cost-effective intervention to increase bystander CPR and survival from OHCA. The Pan-Asian Resuscitation Outcomes Study (PAROS), an Asia-Pacific cardiac arrest registry, was set up in 2009, with the aim of understanding OHCA as a disease in Asia and improving OHCA survival. The network has adopted DA-CPR as part of its strategy to improve OHCA survival. Objective. This article aims to describe the conceptualization, study design, potential benefits, and difficulties for implementation of DA-CPR trial in the Asia-Pacific.

Methods. Two levels of intervention, basic and comprehensive, will be offered to PAROS participating sites. The basic level consists of implementation of a DA-CPR protocol and training program, while the comprehensive level consists of implementation of the basic level, with the addition of a dispatch quality measurement tool, quality improvement program, and community education program. Sites that are not able to implement the package will contribute control data. The primary outcome of the study is survival to hospital discharge or survival to 30 days post cardiac arrest. DA-CPR and bystander CPR are secondary outcomes. Conclusion. Implementation of DA-CPR requires concerted efforts by EMS leaders and supervisors, dispatchers, hospital stakeholders, policy makers, and the general public. The DA-CPR trial implemented by the PAROS sites, if successful, can serve as a model for other countries considering such an intervention in their EMS systems.

Original languageEnglish (US)
Pages (from-to)87-95
Number of pages9
JournalPrehospital Emergency Care
Volume19
Issue number1
DOIs
StatePublished - Jan 1 2015

Fingerprint

Cardiopulmonary Resuscitation
Resuscitation
Outcome Assessment (Health Care)
Out-of-Hospital Cardiac Arrest
Heart Arrest
Education
Quality Improvement
Administrative Personnel
Registries
Costs and Cost Analysis

Keywords

  • Dispatcher-assisted CPR
  • Out-of-hospital cardiac arrest
  • Prehospital emergency care

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency

Cite this

Rationale, methodology, and implementation of a dispatcher-assisted cardiopulmonary resuscitation trial in the Asia-Pacific (Pan-Asian resuscitation outcomes study phase 2). / Ong, Marcus Eng Hock; Shin, Sang Do; Tanaka, Hideharu; Ma, Matthew Huei Ming; Nishiuchi, Tatsuya; Lee, Eui Jung; Ko, Patrick Chow In; Edwin Doctor, Nausheen; Khruekarnchana, Pairoj; Naroo, Ghulam Yasin; Wong, Kwanhathai Darin; Nakagawa, Takashi; Ryoo, Hyun Wook; Lin, Chih Hao; Goh, E. Shaun; Khunkhlai, Nalinas; Alsakaf, Omer Ahmed; Hisamuddin, Nik A B Rahman Nik; Bobrow, Bentley J; McNally, Bryan; Assam, Pryseley Nkouibert; Chan, Edwin S Y.

In: Prehospital Emergency Care, Vol. 19, No. 1, 01.01.2015, p. 87-95.

Research output: Contribution to journalArticle

Ong, MEH, Shin, SD, Tanaka, H, Ma, MHM, Nishiuchi, T, Lee, EJ, Ko, PCI, Edwin Doctor, N, Khruekarnchana, P, Naroo, GY, Wong, KD, Nakagawa, T, Ryoo, HW, Lin, CH, Goh, ES, Khunkhlai, N, Alsakaf, OA, Hisamuddin, NABRN, Bobrow, BJ, McNally, B, Assam, PN & Chan, ESY 2015, 'Rationale, methodology, and implementation of a dispatcher-assisted cardiopulmonary resuscitation trial in the Asia-Pacific (Pan-Asian resuscitation outcomes study phase 2)', Prehospital Emergency Care, vol. 19, no. 1, pp. 87-95. https://doi.org/10.3109/10903127.2014.942482
Ong, Marcus Eng Hock ; Shin, Sang Do ; Tanaka, Hideharu ; Ma, Matthew Huei Ming ; Nishiuchi, Tatsuya ; Lee, Eui Jung ; Ko, Patrick Chow In ; Edwin Doctor, Nausheen ; Khruekarnchana, Pairoj ; Naroo, Ghulam Yasin ; Wong, Kwanhathai Darin ; Nakagawa, Takashi ; Ryoo, Hyun Wook ; Lin, Chih Hao ; Goh, E. Shaun ; Khunkhlai, Nalinas ; Alsakaf, Omer Ahmed ; Hisamuddin, Nik A B Rahman Nik ; Bobrow, Bentley J ; McNally, Bryan ; Assam, Pryseley Nkouibert ; Chan, Edwin S Y. / Rationale, methodology, and implementation of a dispatcher-assisted cardiopulmonary resuscitation trial in the Asia-Pacific (Pan-Asian resuscitation outcomes study phase 2). In: Prehospital Emergency Care. 2015 ; Vol. 19, No. 1. pp. 87-95.
@article{fc338788c5244dd7bf52b7465e455036,
title = "Rationale, methodology, and implementation of a dispatcher-assisted cardiopulmonary resuscitation trial in the Asia-Pacific (Pan-Asian resuscitation outcomes study phase 2)",
abstract = "Background. Survival outcomes from out-of-hospital cardiac arrest (OHCA) in Asia are poor (2-11{\%}). Bystander cardiopulmonary resuscitation (CPR) rates are relatively low in Asia. Dispatcher-assisted CPR (DA-CPR) has recently emerged as a potentially cost-effective intervention to increase bystander CPR and survival from OHCA. The Pan-Asian Resuscitation Outcomes Study (PAROS), an Asia-Pacific cardiac arrest registry, was set up in 2009, with the aim of understanding OHCA as a disease in Asia and improving OHCA survival. The network has adopted DA-CPR as part of its strategy to improve OHCA survival. Objective. This article aims to describe the conceptualization, study design, potential benefits, and difficulties for implementation of DA-CPR trial in the Asia-Pacific.Methods. Two levels of intervention, basic and comprehensive, will be offered to PAROS participating sites. The basic level consists of implementation of a DA-CPR protocol and training program, while the comprehensive level consists of implementation of the basic level, with the addition of a dispatch quality measurement tool, quality improvement program, and community education program. Sites that are not able to implement the package will contribute control data. The primary outcome of the study is survival to hospital discharge or survival to 30 days post cardiac arrest. DA-CPR and bystander CPR are secondary outcomes. Conclusion. Implementation of DA-CPR requires concerted efforts by EMS leaders and supervisors, dispatchers, hospital stakeholders, policy makers, and the general public. The DA-CPR trial implemented by the PAROS sites, if successful, can serve as a model for other countries considering such an intervention in their EMS systems.",
keywords = "Dispatcher-assisted CPR, Out-of-hospital cardiac arrest, Prehospital emergency care",
author = "Ong, {Marcus Eng Hock} and Shin, {Sang Do} and Hideharu Tanaka and Ma, {Matthew Huei Ming} and Tatsuya Nishiuchi and Lee, {Eui Jung} and Ko, {Patrick Chow In} and {Edwin Doctor}, Nausheen and Pairoj Khruekarnchana and Naroo, {Ghulam Yasin} and Wong, {Kwanhathai Darin} and Takashi Nakagawa and Ryoo, {Hyun Wook} and Lin, {Chih Hao} and Goh, {E. Shaun} and Nalinas Khunkhlai and Alsakaf, {Omer Ahmed} and Hisamuddin, {Nik A B Rahman Nik} and Bobrow, {Bentley J} and Bryan McNally and Assam, {Pryseley Nkouibert} and Chan, {Edwin S Y}",
year = "2015",
month = "1",
day = "1",
doi = "10.3109/10903127.2014.942482",
language = "English (US)",
volume = "19",
pages = "87--95",
journal = "Prehospital Emergency Care",
issn = "1090-3127",
publisher = "Informa Healthcare",
number = "1",

}

TY - JOUR

T1 - Rationale, methodology, and implementation of a dispatcher-assisted cardiopulmonary resuscitation trial in the Asia-Pacific (Pan-Asian resuscitation outcomes study phase 2)

AU - Ong, Marcus Eng Hock

AU - Shin, Sang Do

AU - Tanaka, Hideharu

AU - Ma, Matthew Huei Ming

AU - Nishiuchi, Tatsuya

AU - Lee, Eui Jung

AU - Ko, Patrick Chow In

AU - Edwin Doctor, Nausheen

AU - Khruekarnchana, Pairoj

AU - Naroo, Ghulam Yasin

AU - Wong, Kwanhathai Darin

AU - Nakagawa, Takashi

AU - Ryoo, Hyun Wook

AU - Lin, Chih Hao

AU - Goh, E. Shaun

AU - Khunkhlai, Nalinas

AU - Alsakaf, Omer Ahmed

AU - Hisamuddin, Nik A B Rahman Nik

AU - Bobrow, Bentley J

AU - McNally, Bryan

AU - Assam, Pryseley Nkouibert

AU - Chan, Edwin S Y

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Background. Survival outcomes from out-of-hospital cardiac arrest (OHCA) in Asia are poor (2-11%). Bystander cardiopulmonary resuscitation (CPR) rates are relatively low in Asia. Dispatcher-assisted CPR (DA-CPR) has recently emerged as a potentially cost-effective intervention to increase bystander CPR and survival from OHCA. The Pan-Asian Resuscitation Outcomes Study (PAROS), an Asia-Pacific cardiac arrest registry, was set up in 2009, with the aim of understanding OHCA as a disease in Asia and improving OHCA survival. The network has adopted DA-CPR as part of its strategy to improve OHCA survival. Objective. This article aims to describe the conceptualization, study design, potential benefits, and difficulties for implementation of DA-CPR trial in the Asia-Pacific.Methods. Two levels of intervention, basic and comprehensive, will be offered to PAROS participating sites. The basic level consists of implementation of a DA-CPR protocol and training program, while the comprehensive level consists of implementation of the basic level, with the addition of a dispatch quality measurement tool, quality improvement program, and community education program. Sites that are not able to implement the package will contribute control data. The primary outcome of the study is survival to hospital discharge or survival to 30 days post cardiac arrest. DA-CPR and bystander CPR are secondary outcomes. Conclusion. Implementation of DA-CPR requires concerted efforts by EMS leaders and supervisors, dispatchers, hospital stakeholders, policy makers, and the general public. The DA-CPR trial implemented by the PAROS sites, if successful, can serve as a model for other countries considering such an intervention in their EMS systems.

AB - Background. Survival outcomes from out-of-hospital cardiac arrest (OHCA) in Asia are poor (2-11%). Bystander cardiopulmonary resuscitation (CPR) rates are relatively low in Asia. Dispatcher-assisted CPR (DA-CPR) has recently emerged as a potentially cost-effective intervention to increase bystander CPR and survival from OHCA. The Pan-Asian Resuscitation Outcomes Study (PAROS), an Asia-Pacific cardiac arrest registry, was set up in 2009, with the aim of understanding OHCA as a disease in Asia and improving OHCA survival. The network has adopted DA-CPR as part of its strategy to improve OHCA survival. Objective. This article aims to describe the conceptualization, study design, potential benefits, and difficulties for implementation of DA-CPR trial in the Asia-Pacific.Methods. Two levels of intervention, basic and comprehensive, will be offered to PAROS participating sites. The basic level consists of implementation of a DA-CPR protocol and training program, while the comprehensive level consists of implementation of the basic level, with the addition of a dispatch quality measurement tool, quality improvement program, and community education program. Sites that are not able to implement the package will contribute control data. The primary outcome of the study is survival to hospital discharge or survival to 30 days post cardiac arrest. DA-CPR and bystander CPR are secondary outcomes. Conclusion. Implementation of DA-CPR requires concerted efforts by EMS leaders and supervisors, dispatchers, hospital stakeholders, policy makers, and the general public. The DA-CPR trial implemented by the PAROS sites, if successful, can serve as a model for other countries considering such an intervention in their EMS systems.

KW - Dispatcher-assisted CPR

KW - Out-of-hospital cardiac arrest

KW - Prehospital emergency care

UR - http://www.scopus.com/inward/record.url?scp=84917706647&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84917706647&partnerID=8YFLogxK

U2 - 10.3109/10903127.2014.942482

DO - 10.3109/10903127.2014.942482

M3 - Article

VL - 19

SP - 87

EP - 95

JO - Prehospital Emergency Care

JF - Prehospital Emergency Care

SN - 1090-3127

IS - 1

ER -