Pre-arrival Instructions Effect on Bystander Cardiopulmonary Resuscitation (CPR).

This study is currently recruiting participants. (see Contacts and Locations)
Verified December 2013 by Medical College of Wisconsin
Sponsor:
Information provided by (Responsible Party):
Khalid A. Ateyyah, MD, Medical College of Wisconsin
ClinicalTrials.gov Identifier:
NCT02007499
First received: November 25, 2013
Last updated: December 5, 2013
Last verified: December 2013
  Purpose

The investigators hypothesized that pre-arrival instructions would increase the likelihood of bystanders performing Cardiopulmonary Resuscitation (CPR).


Condition
Heart Arrest
Cardiac Arrest
Cardiopulmonary Arrest
Out of Hospital Cardiac Arrest
Sudden Cardiac Death

Study Type: Observational
Study Design: Observational Model: Ecologic or Community
Time Perspective: Retrospective
Official Title: The Effect of Pre-arrival Instructions on the Rate of Bystander Cardiopulmonary Resuscitation (CPR) for Patients in "Out of Hospital Cardiac Arrest (OHCA)".

Resource links provided by NLM:


Further study details as provided by Medical College of Wisconsin:

Primary Outcome Measures:
  • Incidence of bystander Cardiopulmonary Resuscitation (CPR) in Out of Hospital Cardiac Arrest (OHCA) [ Time Frame: January, 01 2009 - December, 31 2013 ] [ Designated as safety issue: No ]
    The overall goal of this study is to determine the rate of bystander Cardiopulmonary Resuscitation (CPR) before and after implementation of Cardiopulmonary Resuscitation (CPR) pre-arrival instructions program in Milwaukee County


Secondary Outcome Measures:
  • Survival to hospital discharge or to December, 31 2013 whichever comes first [ Time Frame: January, 01 2009 - December, 31 2013 ] [ Designated as safety issue: No ]
    Explore any relationship to age and gender of the patient, location of arrest, time of year, and other indicators known to affect survival on the overall difference in patient discharge.


Estimated Enrollment: 4000
Study Start Date: January 2009
Estimated Study Completion Date: December 2013
Estimated Primary Completion Date: December 2013 (Final data collection date for primary outcome measure)
Groups/Cohorts
Cardiac Arrest, Out of hospital
Pre-arrival Cardiopulmonary Resuscitation (CPR) instruction for bystander.

Detailed Description:

The City of Milwaukee and surrounding communities combine to form Milwaukee County covering 241 square miles and serving approximately 959,521 people. Milwaukee County includes 19 separate municipalities. Community demographics and other characteristics have remained largely stable for the past decade.

The study will take place in Milwaukee County from 2009 - 2013 in the communities providing Cardiopulmonary Resuscitation (CPR) pre-arrival instructions: West Allis and Oak Creek.

In Milwaukee County Basic Live Support (BLS) shall be started on all patients in cardiac arrest with the exception of victims with: decapitation; rigor mortis; evidence of tissue decomposition; dependent lividity; presence of a valid Do-Not-Resuscitate (DNR) or Physician Orders for Life-Sustaining Treatment (POLST); fire victim with full thickness burns to 90% or greater body surface area; hypothermic patients with signs of frozen tissue, rigid airway, ice formation in mouth, or chest noncompliant for Cardiopulmonary Resuscitation (CPR). The system standard is: Cardiopulmonary Resuscitation (CPR) will be provided whenever patient is pulseless; compressions at least 100/minute; hands on chest more than 75% of time; minimum compression depth of 2 inches in adults 75% of the time.

Therefore, the investigators will analyze data to assess how Cardiopulmonary Resuscitation (CPR) pre-arrival instructions may have affected the probability of receiving bystander Cardiopulmonary Resuscitation (CPR).

  Eligibility

Ages Eligible for Study:   21 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

The population of this study will be all patients with OHCA (absence of a detectable pulse, unresponsiveness, and apnea) occurring in the select communities, from January 1, 2009, to December 31, 2013 (five years).

Criteria

Inclusion Criteria:

  • Patients 21 years old or older
  • Presumed cardiac origin as indicated on the Milwaukee County Emergency Medical Services (MCEMS) report
  • Non-Emergency Medical Services (EMS) witnessed arrest

Exclusion Criteria:

  • Patients younger than 21 years old
  • Patients who are "obviously dead" (decomposition, rigor mortis, decapitation, or other)
  • Trauma victims, including hanging and burns
  • Patients with cardiac arrests clearly of other non-cardiac origin including drug overdose, carbon monoxide poisoning, drowning, exsanguination, electrocution, asphyxia, hypoxia related to respiratory disease, cerebrovascular accident and documented terminal illness
  • Patients determined to be a do-not-resuscitate (DNR) upon arrival of Emergency Medical Services (EMS) providers
  • Cardiopulmonary Resuscitation (CPR) by someone other than Emergency Medical Services (EMS) who is a trained first responder or health care provider with a predetermined duty to provide care.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02007499

Contacts
Contact: Khalid A. Ateyyah, MD, SBEM +1 (414) 324-2995 dr.k3321@gmail.com
Contact: Ronald G. Pirrallo, MD, MHSA +1 (414) 805-9923 pirrallo@mcw.edu

Locations
United States, Wisconsin
Medical College of Wisconsin Recruiting
Milwaukee, Wisconsin, United States, 53226
Contact: Khalid A. Ateyyah, MD, SBEM    414-324-2995    dr.k3321@gmail.com   
Contact: Ronald G. Pirrallo, MD, MHSA    +1 (414) 805-9923    pirrallo@mcw.edu   
Principal Investigator: Khalid A. Ateyyah, MD, SBEM         
Sponsors and Collaborators
Medical College of Wisconsin
Investigators
Principal Investigator: Khalid A. Ateyyah, MD, SBEM Medical College of Wisconsin
  More Information

Publications:
Nichol G, Rumsfeld J, Eigel B, Abella BS, Labarthe D, Hong Y, O'Connor RE, Mosesso VN, Berg RA, Leeper BB, Weisfeldt ML; American Heart Association Emergency Cardiovascular Care Committee; American Heart Association Council on Cardiopulmonary, Perioperative, and Critical Care; American Heart Association Council on Cardiovascular Nursing; American Heart Association Council on Clinical Cardiology; Quality of Care and Outcomes Research Interdisciplinary Working Group. Essential features of designating out-of-hospital cardiac arrest as a reportable event: a scientific statement from the American Heart Association Emergency Cardiovascular Care Committee; Council on Cardiopulmonary, Perioperative, and Critical Care; Council on Cardiovascular Nursing; Council on Clinical Cardiology; and Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation. 2008 Apr 29;117(17):2299-308. doi: 10.1161/CIRCULATIONAHA.107.189472. Epub 2008 Apr 14.

Responsible Party: Khalid A. Ateyyah, MD, Emergency Medical Service (EMS) Fellow, Medical College of Wisconsin
ClinicalTrials.gov Identifier: NCT02007499     History of Changes
Other Study ID Numbers: PRO00021202
Study First Received: November 25, 2013
Last Updated: December 5, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by Medical College of Wisconsin:
Prehospital emergency care
Out of hospital cardiac arrest
Cardiopulmonary resuscitation
CPR
Heart arrest
Outcome
Bystander

Additional relevant MeSH terms:
Heart Arrest
Death, Sudden, Cardiac
Death
Out-of-Hospital Cardiac Arrest
Heart Diseases
Cardiovascular Diseases
Death, Sudden
Pathologic Processes

ClinicalTrials.gov processed this record on July 22, 2014