TWELVE-YEAR FOLLOW-UP OF OUT OF HOSPITAL CARDIAC ARREST RESUSCITATION WITHOUT CHEST COMPRESSIONS
A. Capucci (1), D. Aschieri (2), V. Pelizzoni (2), F. Guerra (1), G.H. Bardy (3)
(1) Clinica di Cardiologia, Marche Polytechnic University, Ancona, Italy (2) Divisione di Cardiologia, Guglielmo da Saliceto Hospital, Piacenza, Italy (3) Seattle Institute for Cardiac Research, University of Washington, Seattle, WA, USA
Introduction: The aim was to examine survival in a population of out-of-hospital cardiac arrest (OOHCA) victims where responders do not always perform CPR.
Methods: Prospective, observational study involving all OOHCA victims in Piacenza, Italy. Of the two parallel systems set for OOHCA reply, one set of rescuers (Progetto Vita) only used automated external defibrillators (AEDs) and did not perform CPR, while standard EMS personnel performed CPR according to the current guidelines.
Results: On 2735 OOHCAs, survival to hospital discharge occurred in 53.2% of the Progetto Vita patients and in 7.9% of the EMS patients (p<0.001). Progetto Vita intervention was independently associated with a 4.7-fold risk of survival to discharge, as shown in Table 1. The estimates of survival for 12-years follow-up are 32.4% for Progetto Vita versus 3.7% for EMS (Figure 1).
Conclusions: Progetto Vita provides the first demonstration of excellent survival from OOHCA without CPR of any sort. The superior outcome of AED-only, compared to CPR based resuscitation, holds true even when confounders are considered. Finally, true long-term outcome of OOHCA survival are recorded here for the first time.
