Apr 3, 2012

Chest compression quality management and return of spontaneous circulation: a matched-pair registry study

Resuscitation
Roman-Patrik LukasAndreas Bohn

Abstract

Investigating the effects of any intervention during cardiac arrest remains difficult. The ROSC after cardiac arrest score was introduced to facilitate comparison of rates of return of spontaneous circulation (ROSC) between different ambulance services. To study the influence of chest compression quality management (including training, real-time feedback devices, and debriefing) in comparison with conventional cardiopulmonary resuscitation (CPR), a matched-pair analysis was conducted using data from the German Resuscitation Registry, with the calculated ROSC after cardiac arrest score as the baseline. Matching for independent ROSC after cardiac arrest score variables yielded 319 matched cases from the study period (January 2007-March 2011). The score predicted a 45% ROSC rate for the matched pairs. The observed ROSC increased significantly with chest compression quality management, to 52% (P=0.013; 95% CI, 46-57%). No significant differences were seen in the conventional CPR group (47%; 95% CI, 42-53%). The difference between the observed ROSC rates was not statistically significant. Chest compression quality management leads to significantly higher ROSC rates than those predicted by the prognostic score (ROSC after cardiac arr...Continue Reading

Mentioned in this Paper

Ventricular Fibrillation
Basic Cardiac Life Support
Anterior Thoracic Region
Anesthesiology
Paired Comparisons
Sternum
Chest
Blood Circulation
Cardiopulmonary
Total Quality Management

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