Shelley Kirkbright1, Judith Finn2, Hideo Tohira3, Alexandra Bremner4, Ian Jacobs5, Antonio Celenza4. 1. University of Western Australia, Australia. Electronic address: shelley.kirkbright@uwa.edu.au. 2. University of Western Australia, Australia; Curtin University, Perth, Australia; Monash University, Melbourne, Australia. 3. Curtin University, Perth, Australia. 4. University of Western Australia, Australia. 5. University of Western Australia, Australia; Curtin University, Perth, Australia.
Abstract
OBJECTIVES: A systematic appraisal of the literature to determine if audiovisual feedback devices can improve CPR quality delivered by health care practitioners (HCPs) and/or survival outcomes following cardiac arrest. METHODS: We searched the Cochrane Central Register of Controlled Studies (CENTRAL) on The Cochrane Library, MEDLINE, EMBASE, CIHAHL and AUSTHEALTH in May 2013 for experimental and observational (human or manikin) studies examining the effect of the use of audiovisual feedback devices by HCPs in simulated and actual cardiac arrest. The primary outcome for human studies was survival to hospital discharge with good neurologic outcome. Secondary outcomes were other survival data and quality of CPR performance; the latter was also reported for manikin studies. RESULTS: Three human interventional studies (n=2100) and 17 manikin studies met the inclusion criteria. Overall quality of included studies was poor, with significant clinical heterogeneity. All three human studies reported no significant change to any survival outcomes despite improvement in chest compression (CC) depth by 2.5 mm (95% CI 0.9-4.3), CC rate 6 min(-1) closer to 100 (95% CI 2.4-10.7) and a reduction in no-flow fraction by 1.9% on meta-analysis. Manikin studies showed similar improvements in CC parameters. CONCLUSION: In both manikin and human studies, feedback during resuscitation can result in rescuers providing CC parameters closer to recommendations. There is no evidence that this translates into improved patient outcomes. The reason for this is not yet evident and further patient centered research is warranted. Crown
OBJECTIVES: A systematic appraisal of the literature to determine if audiovisual feedback devices can improve CPR quality delivered by health care practitioners (HCPs) and/or survival outcomes following cardiac arrest. METHODS: We searched the Cochrane Central Register of Controlled Studies (CENTRAL) on The Cochrane Library, MEDLINE, EMBASE, CIHAHL and AUSTHEALTH in May 2013 for experimental and observational (human or manikin) studies examining the effect of the use of audiovisual feedback devices by HCPs in simulated and actual cardiac arrest. The primary outcome for human studies was survival to hospital discharge with good neurologic outcome. Secondary outcomes were other survival data and quality of CPR performance; the latter was also reported for manikin studies. RESULTS: Three human interventional studies (n=2100) and 17 manikin studies met the inclusion criteria. Overall quality of included studies was poor, with significant clinical heterogeneity. All three human studies reported no significant change to any survival outcomes despite improvement in chest compression (CC) depth by 2.5 mm (95% CI 0.9-4.3), CC rate 6 min(-1) closer to 100 (95% CI 2.4-10.7) and a reduction in no-flow fraction by 1.9% on meta-analysis. Manikin studies showed similar improvements in CC parameters. CONCLUSION: In both manikin and human studies, feedback during resuscitation can result in rescuers providing CC parameters closer to recommendations. There is no evidence that this translates into improved patient outcomes. The reason for this is not yet evident and further patient centered research is warranted. Crown
Authors: Paul S Chan; Sarah L Krein; Fengming Tang; Theodore J Iwashyna; Molly Harrod; Mary Kennedy; Jessica Lehrich; Steven Kronick; Brahmajee K Nallamothu Journal: JAMA Cardiol Date: 2016-05-01 Impact factor: 14.676
Authors: Alexander E White; Han Xian Ng; Wai Yee Ng; Eileen Kai Xin Ng; Stephanie Fook-Chong; Phek Hui Jade Kua; Marcus Eng Hock Ong Journal: Singapore Med J Date: 2017-07 Impact factor: 1.858
Authors: Jolanta Majer; Milosz J Jaguszewski; Michael Frass; Marcin Leskiewicz; Jacek Smereka; Jerzy R Ładny; Oliver Robak; Łukasz Szarpak Journal: Cardiol J Date: 2018-08-29 Impact factor: 2.737
Authors: Keith Couper; Peter K Kimani; Benjamin S Abella; Mehboob Chilwan; Matthew W Cooke; Robin P Davies; Richard A Field; Fang Gao; Sarah Quinton; Nigel Stallard; Sarah Woolley; Gavin D Perkins Journal: Crit Care Med Date: 2015-11 Impact factor: 7.598
Authors: Chiwon Ahn; Seungjae Lee; Jongshill Lee; Jaehoon Oh; Yeongtak Song; In Young Kim; Hyunggoo Kang Journal: Int J Environ Res Public Health Date: 2021-05-19 Impact factor: 3.390