{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T13:56:26Z","timestamp":1792158986393,"version":"4.4.0"},"reference-count":13,"publisher":"Akademiai Kiado Zrt.","issue":"3","license":[{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["PHYSINT"],"published-print":{"date-parts":[[2026,10,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) is a key strategy to reduce no-flow time in out-of-hospital cardiac arrest (OHCA), yet its impact on long-term survival remains various across emergency medical systems.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>We aimed to evaluate the association between DA-CPR and resuscitation outcomes in a nationwide cohort of OHCA patients presenting with an initial shockable rhythm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective observational study including all adult OHCA cases with ventricular fibrillation or pulseless ventricular tachycardia (VF\/VT) in which resuscitation was carried out by emergency medical services in Hungary during 2019, 2022, and 2023. Patients were stratified according to whether DA-CPR was ongoing upon ambulance arrival, or initiated by the ambulance crew. Primary outcomes were return of spontaneous circulation (ROSC) and hospital admission with sustained circulation. Utstein-style consensus reporting guidelines were followed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 3,674 VF\/VT OHCA cases were included, of whom 1,744 (47.5%) received DA-CPR. Patients in the DA-CPR group had significantly higher rates of ROSC (92.0% vs. 12.4%), hospital admission with sustained circulation (90.8% vs. 11.7%), 30-day survival (54.6% vs. 7.1%), and one-year survival (45.8% vs. 6.2%) compared with those without DA-CPR (all\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). DA-CPR occurrence increased over time, while declined in 2022 followed by partial recovery in 2023.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this nationwide cohort of OHCA patients with shockable rhythms, dispatcher-assisted CPR was strongly associated with improved early resuscitation success and long-term survival. These findings support DA-CPR as a critical system-level intervention and highlight the importance of centralised protocols and continuous performance monitoring.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1556\/2060.2026.00960","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T10:52:36Z","timestamp":1791888756000},"page":"415-430","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["From call to home: The role of dispatcher-assisted CPR in patient survival"],"prefix":"10.1556","volume":"113","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5487-3638","authenticated-orcid":true,"given":"Ferenc","family":"Moln\u00e1r","sequence":"first","affiliation":[{"name":"University of P\u00e9cs Medical Skills Education and Innovation Centre, P\u00e9cs, Hungary"},{"name":"Hungarian National Ambulance Service - Aur\u00e9l G\u00e1bor's Scientific Research Group, Budapest, Hungary"},{"name":"College of Remote and Offshore Medicine Foundation (CoROM), Soteria Buildings, Dawret Hal Ghaxaq, GXQ 9011, Malta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00e1bor","family":"G\u0151bl","sequence":"additional","affiliation":[{"name":"Hungarian National Ambulance Service - Aur\u00e9l G\u00e1bor's Scientific Research Group, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s","family":"Szab\u00f3","sequence":"additional","affiliation":[{"name":"Hungarian National Ambulance Service - Aur\u00e9l G\u00e1bor's Scientific Research Group, Budapest, Hungary"},{"name":"Hungarian Air Ambulance Ltd., Buda\u00f6rs, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1kos","family":"Csom\u00f3s","sequence":"additional","affiliation":[{"name":"Hungarian National Ambulance Service - Aur\u00e9l G\u00e1bor's Scientific Research Group, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"H\u0151nyi","sequence":"additional","affiliation":[{"name":"Hungarian National Ambulance Service - Aur\u00e9l G\u00e1bor's Scientific Research Group, Budapest, Hungary"},{"name":"Hungarian Air Ambulance Ltd., Buda\u00f6rs, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gy\u00f6rgy","family":"P\u00e1pai","sequence":"additional","affiliation":[{"name":"Hungarian National Ambulance Service - Aur\u00e9l G\u00e1bor's Scientific Research Group, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferenc","family":"Toldi","sequence":"additional","affiliation":[{"name":"Hungarian National Ambulance Service - Aur\u00e9l G\u00e1bor's Scientific Research Group, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00e1bor","family":"Csat\u00f3","sequence":"additional","affiliation":[{"name":"Hungarian National Ambulance Service - Aur\u00e9l G\u00e1bor's Scientific Research Group, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikl\u00f3s","family":"Constantinovits","sequence":"additional","affiliation":[{"name":"Hungarian National Ambulance Service - Aur\u00e9l G\u00e1bor's Scientific Research Group, Budapest, Hungary"},{"name":"Hungarian Air Ambulance Ltd., Buda\u00f6rs, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominika","family":"Szab\u00f3","sequence":"additional","affiliation":[{"name":"Hungarian National Ambulance Service - Aur\u00e9l G\u00e1bor's Scientific Research Group, Budapest, Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"B1","series-title":"Resuscitation","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1016\/j.resuscitation.2020.06.009","article-title":"The relationship between no-flow interval and survival with favourable neurological outcome in out-of-hospital cardiac arrest: implications for outcomes and ECPR eligibility","volume":"155","author":"Guy A","year":"2020","unstructured":"Guy A, Kawano T, Besserer F, Scheuermeyer F, Kanji HD, Christenson J, et\u00a0al. 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