Cochrane · systematic review · CD012764

Community first responders for out‐of‐hospital cardiac arrest in adults and children

Barry, T, Doheny, MC, Masterson, S, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

Emergency and Critical CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 28.6%Moderate 3 · 42.9%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Mobilization of community first responders (CFRs) in addition to routine emergency medical services (EMS) care compared to routine EMS care for out‐of‐hospital cardiac arrest (OHCA)

Population: adults and children more than 4 weeks old suffering from OHCA
7 questions
OutcomeEffectEvidenceStatus / GRADE
Survival at hospital discharge
Mobilization of community first responders (CFRs) in addition to routine emergency medical services (EMS) care vs routine EMS care
no estimate extracted469 participantsLow
Downgraded: risk of bias
Survival at 30 days
Mobilization of community first responders (CFRs) in addition to routine emergency medical services (EMS) care vs routine EMS care
no estimate extracted1 study · 612 participantsLow
Downgraded: risk of bias
Neurological function at hospital discharge, measured by cerebral performance category (CPC)
Mobilization of community first responders (CFRs) in addition to routine emergency medical services (EMS) care vs routine EMS care
no estimate extractedNRNo studies
Neurological function at 30 days, measured by cerebral performance category (CPC)
Mobilization of community first responders (CFRs) in addition to routine emergency medical services (EMS) care vs routine EMS care
no estimate extractedNRNo studies
Cardiopulmonary resuscitation performed before EMS arrival
Mobilization of community first responders (CFRs) in addition to routine emergency medical services (EMS) care vs routine EMS care
no estimate extracted1 study · 665 participantsModerate
Downgraded: risk of bias
Defibrillation performed before EMS arrival
Mobilization of community first responders (CFRs) in addition to routine emergency medical services (EMS) care vs routine EMS care
no estimate extracted469 participantsModerate
Downgraded: risk of bias
Survival to hospital admission
Mobilization of community first responders (CFRs) in addition to routine emergency medical services (EMS) care vs routine EMS care
no estimate extracted469 participantsModerate
Downgraded: risk of bias