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Dispatch of Firefighters and Police Officers in Out-of-Hospital Cardiac Arrest: A Nationwide Prospective Cohort Trial Using Propensity Score Analysis.
J Am Heart Assoc. 2017 Oct 04; 6(10):
Publication Type
Clinical Trial
Comparative Study
Journal Article
Multicenter Study
Ingela Hasselqvist-Ax
Per Nordberg
Johan Herlitz
Leif Svensson
Martin Jonsson
Jonny Lindqvist
Mattias Ringh
Andreas Claesson
Johan Björklund
Jan-Otto Andersson
Caroline Ericson
Pär Lindblad
Lars Engerström
Mårten Rosenqvist
Jacob Hollenberg
Author Affiliation
Department of Medicine, Center for Resuscitation Science, Karolinska Institutet, Solna, Sweden.
J Am Heart Assoc. 2017 Oct 04; 6(10):
Publication Type
Clinical Trial
Comparative Study
Journal Article
Multicenter Study
Cardiopulmonary Resuscitation - adverse effects - mortality
Electric Countershock - adverse effects - instrumentation - mortality
Emergency Medical Dispatch
Emergency medical services
Hospital Mortality
Kaplan-Meier Estimate
Logistic Models
Odds Ratio
Out-of-Hospital Cardiac Arrest - diagnosis - mortality - therapy
Process Assessment (Health Care)
Propensity Score
Prospective Studies
Risk factors
Time Factors
Treatment Outcome
Dispatch of basic life support-trained first responders equipped with automated external defibrillators in addition to advanced life support-trained emergency medical services personnel in out-of-hospital cardiac arrest (OHCA) has, in some minor cohort studies, been associated with improved survival. The aim of this study was to evaluate the association between basic life support plus advanced life support response and survival in OHCA at a national level.
This prospective cohort study was conducted from January 1, 2012, to December 31, 2014. People who experienced OHCA in 9 Swedish counties covered by basic life support plus advanced life support response were compared with a propensity-matched contemporary control group of people who experienced OHCA in 12 counties where only emergency medical services was dispatched, providing advanced life support. Primary outcome was survival to 30 days. The analytic sample consisted of 2786 pairs (n=5572) derived from the total cohort of 7308 complete cases. The median time from emergency call to arrival of emergency medical services or first responder was 9 minutes in the intervention group versus 10 minutes in the controls (P
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PubMed ID
28978527 View in PubMed
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