Mechanical versus manual chest compressions for cardiac arrest: a systematic review and meta-analysis

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Hui LiXiaoli Jing

Abstract

The aim of this paper was to conduct a systematic review of the published literatures comparing the use of mechanical chest compression device and manual chest compression during cardiac arrest (CA) with respect to short-term survival outcomes and neurological function. Databases including MEDLINE, EMBASE, Web of Science and the ClinicalTrials.gov registry were systematically searched. Further references were gathered from cross-references from articles by handsearch. The inclusion criteria for this review must be human prospective controlled studies of adult CA. Random effects models were used to assess the risk ratios and 95% confidence intervals for return of spontaneous circulation (ROSC), survival to admission and discharge, and neurological function. Twelve trials (9 out-of-hospital and 3 in-hospital studies), involving 11,162 participants, were included in the review. The results of this meta-analysis indicated no differences were found in Cerebral Performance Category (CPC) scores, survival to hospital admission and survival to discharge between manual cardiopulmonary resuscitation (CPR) and mechanical CPR for out-of-hospital CA (OHCA) patients. The data on achieving ROSC in both of in-hospital and out-of-hospital setti...Continue Reading

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Citations

Dec 3, 2014·The American Journal of Emergency Medicine·Michael E WintersWilliam J Brady
Apr 7, 2018·Der Anaesthesist·M DerwallA Brücken
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