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Issue: Vol. 561 No. 1 (2026)
Section: Các bài báo
DOI: 10.51298/vmj.v561i1.18093
Date Published: 06/06/2026
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Vũ , T. L., & Nguyễn , T. A. (2026). THE IMPACT OF BYSTANDER CARDIOPULMONARY RESUSCITATION ON OUTCOMES OF PATIENTS WITH OUT - OF - HOSPITAL CARDIAC ARREST IN EMERGENCY DEPARTMENTS OF SELECTED HOSPITALS IN HANOI. Vietnam Medical Journal, 561(1). https://doi.org/10.51298/vmj.v561i1.18093

THE IMPACT OF BYSTANDER CARDIOPULMONARY RESUSCITATION ON OUTCOMES OF PATIENTS WITH OUT - OF - HOSPITAL CARDIAC ARREST IN EMERGENCY DEPARTMENTS OF SELECTED HOSPITALS IN HANOI

Tưởng Lân Vũ 1,2, Tiến Anh Nguyễn 1,2,
1 Bach Mai Hospital
2 Hanoi Medical University

Main Article Content

Abstract

Objective: To evaluate the impact of bystander cardiopulmonary resuscitation (CPR) on the outcomes of out-of-hospital cardiac arrest (OHCA) patients in emergency departments in Hanoi. Methods: This cross-sectional descriptive study was conducted in emergency departments of Bach Mai Hospital, Hanoi University of Medicine Hospital, Thanh Nhan Hospital, and Agricultural General Hospital from June 2024 to July 2025. Patients with OHCA witnessed by bystanders and treated in these hospitals were included. Data were collected from medical records and interviews with bystanders. The outcomes measured were ROSC (return of spontaneous circulation), survival to discharge, and CPC (Cerebral Performance Category). Univariate and multivariate logistic regression analyses were used to assess the impact of bystander CPR on resuscitation outcomes and neurological recovery. Results: Of the 168 OHCA patients, 18.8% received bystander CPR. The ROSC rate in the emergency department was 59.5%, survival to discharge was 16.7%, and CPC 1–2 was 6.5%. The group with bystander CPR had a 5.4-fold higher ROSC rate before arrival (p = 0.01), a 4-fold higher survival to discharge rate (p = 0.01), and a 7.5-fold higher CPC 1 rate (p = 0.04) compared to those without bystander CPR. Conclusion: Bystander CPR is an independent predictor of favorable neurological outcomes and survival in OHCA patients. Community-based CPR training is essential to improve survival rates and neurological recovery for OHCA patients in Vietnam.

Keywords

CPR, bystander, out-of-hospital cardiac arrest, neurological outcome, CPC, cardiopulmonary resuscitation.

Article Details

References

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