Table 4.
Odds ratios of variables known to affect outcome from cardiac arrest, and the odds ratio of chest compression rate by category. The reference rate category is 80 to 140 compressions/minute.
ROSC OR (95% CI)* | P-Value | Survival to Discharge OR (95% CI)* | P-Value | |
---|---|---|---|---|
Chest compression rate, categories | ||||
Unadjusted Model | ||||
0–80 compressions/min | 1.12 (0.77,1.62) | 0.57 | 1.24 (0.69,2.24) | 0.47 |
80–140 compressions/min | Reference | Reference | ||
140+ compressions/min | 0.79 (0.58,1.072) | 0.13 | 0.51 (0.27,0.98) | 0.04 |
Adjusted Model † | ||||
0–80 compressions/min | 1.18 (0.78,1.79) | 0.79 | 1.32 (0.67,2.62) | 0.42 |
80–140 compressions/min | Reference | Reference | ||
140+ compressions/min | 1.01 (0.72,1.41) | 0.96 | 0.61 (0.29,1.25) | 0.18 |
Global test for chest compression rate categories | vs ROSC | 0.73 | vs Survival | 0.25 |
Male sex | 0.72 (0.60,0.86) | <0.001 | 0.83 (0.60,1.17) | 0.29 |
Age (10-year increase) | 0.96 (0.91,1.01) | 0.1 | 0.77 (0.71,0.84) | <0.001 |
Bystander witnessed arrest | 2.05 (1.71,2.47) | <0.001 | 2.18 (1.54, 3.09) | <0.001 |
EMS witnessed arrest | 2.04 (1.39, 2.98) | <0.001 | 3.18 (1.68, 6.02) | <0.001 |
Bystander CPR | 0.93 (0.78, 1.11) | 0.41 | 1.15 (0.85, 1.56) | 0.36 |
Public location | 1.25 (1.01, 1.55) | 0.04 | 1.83 (1.34, 2.50) | <0.001 |
Rhythm | ||||
VT/VF | Reference | Reference | ||
PEA | 0.43 (0.34,0.54) | <0.001 | 0.22 (0.15,0.32) | <0.001 |
Asystole | 0.22 (0.17, 0.27) | <0.001 | 0.04 (0.02, 0.07) | <0.001 |
AED – no shock advised | 0.30 (0.17, 0.52) | <0.001 | 0.07 (0.01, 0.52) | 0.01 |
Can’t Determine | 0.59 (0.31, 1.12) | 0.11 | 0.24 (0.07, 0.85) | 0.03 |
OR, odds ratio; CI, confidence interval; ROSC, return of spontaneous circulation; EMS, emergency medical services; CPR, cardiopulmonary resuscitation; VT, ventricular tachycardia; VF, ventricular fibrillation; PEA, pulseless electrical activity; AED, automated external defibrillator.
Model includes sex, age, bystander witnessed arrest, EMS witnessed arrest, first known EMS rhythm, attempted bystander CPR, public location, and site location. The number of patients in each category of compressions/min are: <80/min, n = 122 (3.9%); 80 – 140/min, n = 2,763 (89.2%; >140/min, n = 213 (6.9%).