A Randomized Trial Comparing Survival After of a Simplified Form of Cardiopulmonary Resuscitation (CPR) Consisting of Compressions Only Compared to CPR With Compressions and Rescue Breaths

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Out-of-hospital cardiac arrest (OHCA) is one of the leading causes of mortality in the industrialized world. Bystander CPR before arrival of the Emergency Medical Service (EMS) is associated with an increased chance of survival. During the last decade, the best form of bystander CPR has been debated. Chest Compression Only CPR (CO-CPR) has been advocated as a preferable method in situations where the bystander has no previous knowledge in CPR, both because its believed to be equally efficient but also a simplified form of CPR that could lead to a higher incidence of bystander-CPR. In an initiative to increase CPR rates the American Heart Association has launched public campaigns such as the hands-only CPR promoting CO-CPR as an option to S-CPR for adult non-asphyxic cardiac arrest. In the 2015 updates of the European resuscitation council guidelines it states that the confidence in the equivalence between the two methods is not sufficient to change current practice. Whether CO-CPR leads to a survival rate no worse than, equally effective, or even superior to standard CPR in situations where the bystander has previous CPR training however remains unclear. This clinical question remains unanswered while millions of people are trained in CPR worldwide each year. The overall purpose with this research project is to investigate whether instructions to perform a simplified form of CPR consisting of compressions only (CO-CPR) to bystanders with prior CPR-training is non-inferior, or better than, standard CPR (S- CPR) in witnessed Out-of-Hospital Cardiac Arrest (OHCA).

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Unconsciousness with no, abnormal or agonal breathing (suspected OHCA)

• The suspected OHCA is witnessed (seen or heard)

• Any Bystander at the scene has previous training in CPR

Locations
Other Locations
Italy
AREU, Agenzia Regionale Emergenza Urgenza
RECRUITING
Bergamo
Sweden
SOS Alarm AB
RECRUITING
Stockholm
Contact Information
Primary
Erik Boberg, MD
erik.b.boberg@ki.se
0046735992842
Backup
Jacob Hollenberg, MD, PhD
Jacob.hollenberg@ki.se
004686163816
Time Frame
Start Date: 2017-01-01
Estimated Completion Date: 2028-12-31
Participants
Target number of participants: 3260
Treatments
Experimental: Chest Compression Only CPR (CO-CPR)
Instructions from a dispatcher at the dispatch center to trained bystanders to perform CO-CPR with chest compressions only.
Active_comparator: Standard CPR (S-CPR)
Instructions from a dispatcher at the dispatch center to trained bystanders to perform S-CPR with chest compressions and rescue breaths in a 30:2 ratio.
Related Therapeutic Areas
Sponsors
Collaborators: Azienda Regionale Emergenza Urgenza - AREU Lombardia, SOS Alarm, Swedish Heart Lung Foundation, The Swedish Research Council
Leads: Karolinska Institutet

This content was sourced from clinicaltrials.gov