Implementation of Gold Standard EMS CPR Programs for 2% Improvement in Survival Rates of Out-of-Hospital Cardiac Arrest in a Metropolitan City

NCT02540629 | Terminated Results DMC

• 1 other identifier: SNUH-EM-2015-3
• Study Type: interventional
• Target: 12,670
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to improve the survival rate of out-of-hospital cardiac arrest patients by 2% through a bundle of three intervention measures including: 1) dispatcher-assisted CPR, 2) multi-tiered response team CPR, and 3) feedback CPR.

Conditions

Out-of-Hospital Cardiac Arrest

Keywords

Cardiopulmonary resuscitation; Emergency Medicine

Outcome Measures

Primary Outcomes (1)

• Number of Participants With Survival to Hospital Discharge

  Number of EMS-assessed out-of-hospital cardiac arrest patients who survive to hospital discharge will be recorded.

  At hospital discharge, up to 28 weeks from hospital admission

Secondary Outcomes (1)

• Number of Participants With Good Neurological Recovery at Discharge

  At hospital discharge, up to 28 weeks from hospital admission

Study Arms (2)

Before intervention

NO INTERVENTION

The before intervention group will include patients from January, 2013 through December, 2014, as to refer to the historic control population who did not receive any of study interventions.

After intervention

EXPERIMENTAL

The main study phase was planned to begin in January, 2016 through December, 2017, for a total of two years. Patients during the main study phase will have received one or more study interventions as applicable. However, because we could not continue our project in 2017, we changed after period. We included implementation period (2015) in after period. Therefore, final after period begins in January 2015 to December 2016.

Procedure: Bundled EMS CPR approach including dispatcher-assisted CPR, 3-person team CPR, and feedback CPR monitoring device

Interventions

Bundled EMS CPR approach including dispatcher-assisted CPR, 3-person team CPR, and feedback CPR monitoring device PROCEDURE

Gold standard EMS CPR refers to our bundled approach to providing high quality EMS CPR through one or more intervention(s) as applicable including 1) dispatcher-assisted CPR, 2) multi-tiered team CPR, and 3) feedback CPR.

After intervention

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:

• EMS-assessed OHCA
• Cardiac etiology
• Above 15 years of age

You may not qualify if:

• Patients who do not receive EMS resuscitation
• Patients with signs of evident death (decapitation, evident livor mortis or rigor mortis)
• Do-Not-Resuscitate cases
• Pregnant patients
• Patients whom the mechanical devices cannot be applied to

Sponsors & Collaborators

• Seoul National University Hospital: lead

Study Sites (1)

Seoul National University Hospital

Seoul, 110-744, South Korea

Location

MeSH Terms

Conditions

Out-of-Hospital Cardiac Arrest

Condition Hierarchy (Ancestors)

Heart Arrest; Heart Diseases; Cardiovascular Diseases

Results Point of Contact

• Title: Dr. Jeong Ho Park
• Organization: Seoul National University Hospital

timthe@gmail.com

+821035426282

Publication Agreements

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: August 6, 2015
• First Posted: September 4, 2015
• Study Start: January 1, 2016
• Primary Completion: December 31, 2018
• Study Completion: December 31, 2018
• Last Updated: March 30, 2020
• Results First Posted: March 30, 2020

Record last verified: 2020-03

Locations

KR (1)