Dispatcher-Activated Neighborhood Access Defibrillation and Cardiopulmonary Resuscitation

NCT02010151 | Completed Results DMC

• 1 other identifier: SNUEMS201309
• Study Type: interventional
• Target: 3,194
• Locations: 1 country
• Sites: 1

Brief Summary

The hypothesis of this study is Dispatcher-Activated Neighborhood Access Defibrillation and Cardiopulmonary Resuscitation (NAD-CPR) would improve survival of out-of-hospital cardiac arrest (OHCA).

Conditions

Out of Hospital Cardiac Arrest

Keywords

Out of Hospital Cardiac Arrest; Cardiopulmonary Resuscitation; dispatch; emergency medicine

Outcome Measures

Primary Outcomes (1)

• Number of Participants Surviving at Hospital Discharge

  we compared the survival to discharge rate between before intervention period and intervention period. Survival to discharge checked at the discharge point of hospital.

  discharge time from first admission from emergency department within 2 month

Secondary Outcomes (2)

• Number of Participants With Pre-Hospital Return of Spontaneous Circulation (ROSC)

  hospital arriving time from ambulance within 2 hours

• Number of Participants With Good Neurological Recovery

  discharge time from first admission from emergency department within 2 month

Study Arms (2)

NAD-CPR

EXPERIMENTAL

When dispatcher detects a patient with OHCA, the dispatcher activates trained neighborhoods by informing events nearby using short message service via cellular phone. The neighborhood within geographically accessible area who could perform effective CPR and defibrillation would be alerted with event of OHCA and the nearest AED.

Other: NAD-CPR

Conventional dispatcher assisted CPR

NO INTERVENTION

When dispatcher detects OHCA, they instruct the caller with CPR instructions. This is conventional dispatcher assisted CPR performed in Seoul.

Interventions

NAD-CPR OTHER

When Dispatcher detects OHCA, short message service (SMS)about the OHCA event and information about the location of nearest AED is sent to trained laypersons within geographically accessible area.

NAD-CPR

Eligibility Criteria

• Age: 15 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• all OHCA with presumed cardiac etiology more than 15 years old
• assessed by emergency medical service (EMS) providers dispatched by dispatch center
• dispatcher detected OHCA patients

You may not qualify if:

• OHCA with non-cardiac etiology
• prolonged cardiac arrest with a suspected duration more than 30 minutes
• cases with rigor mortis or rivor mortis, decapitated or decomposed body
• Non detected cases by dispatcher

Sponsors & Collaborators

• Seoul National University Hospital: lead
• Korean Center for Disease Control and Prevention: collaborator
• Seoul Metropolitan Government Health and Welfare Office: collaborator
• Seoul Metropolitan Fire and Disaster Headquater: collaborator
• Korea Association for Safety Community: collaborator

Study Sites (1)

Seoul Metropolitan City

Seoul, South Korea

Location

Related Publications (1)

• Lee SY, Shin SD, Lee YJ, Song KJ, Hong KJ, Ro YS, Lee EJ, Kong SY. Text message alert system and resuscitation outcomes after out-of-hospital cardiac arrest: A before-and-after population-based study. Resuscitation. 2019 May;138:198-207. doi: 10.1016/j.resuscitation.2019.01.045. Epub 2019 Mar 19.

  PMID: 30902689 DERIVED

MeSH Terms

Conditions

Out-of-Hospital Cardiac Arrest

Condition Hierarchy (Ancestors)

Heart Arrest; Heart Diseases; Cardiovascular Diseases

Limitations and Caveats

It's not randomized trial, it's before-after study.

Results Point of Contact

• Title: Dr. Sun Young Lee
• Organization: Seoul National University Hospital

sy2376@gmail.com

+82-10-9269-2376

Study Officials

• Sang Do Shin, MD, PhD

  Seoul National University Hospital

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associated Professor

Study Record Dates

• First Submitted: December 9, 2013
• First Posted: December 12, 2013
• Study Start: March 1, 2015
• Primary Completion: December 1, 2017
• Study Completion: December 1, 2017
• Last Updated: March 30, 2020
• Results First Posted: March 30, 2020

Record last verified: 2020-03

Locations

KR (1)