Julie Considine1, Raúl J Gazmuri2, Gavin D Perkins3, Peter J Kudenchuk4, Theresa M Olasveengen5, Christian Vaillancourt6, Chika Nishiyama7, Tetsuo Hatanaka8, Mary E Mancini9, Sung Phil Chung10, Raffo Escalante-Kanashiro11, Peter Morley12. 1. Deakin University, School of Nursing and Midwifery/Centre for Quality and Patient Safety Research, 1 Gheringhap St, Geelong, Victoria, 3220, Australia; Centre for Quality and Patient Safety Research - Eastern Health Partnership, 5 Arnold St, Box Hill, Victoria, 3128, Australia; International Liaison Committee on Resuscitation, Basic Life Support Task Force, Dallas, TX, United States. Electronic address: julie.considine@deakin.edu.au. 2. Resuscitation Institute, Rosalind Franklin University of Medicine and Science, United States; Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL, United States; International Liaison Committee on Resuscitation, Basic Life Support Task Force, Dallas, TX, United States. 3. Warwick Clinical Trials Unit, University of Warwick, Coventry, CV4 7AL, UK; Critical Care Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B9 5SS, UK; International Liaison Committee on Resuscitation, Basic Life Support Task Force, Dallas, TX, United States. 4. Division of Cardiology/Electrophysiology Services, University of Washington, 1959 NE Pacific Street, Seattle, WA, 98195-6422, United States; King County Medic One, Public Health, Seattle & King County, WA, United States; International Liaison Committee on Resuscitation, Basic Life Support Task Force, Dallas, TX, United States. 5. Department of Anesthesiology, Oslo University Hospital, PO Box 4956 Nydalen, Oslo 0424, Norway; International Liaison Committee on Resuscitation, Basic Life Support Task Force, Dallas, TX, United States. 6. Emergency Medicine, University of Ottawa, United States; Ottawa Hospital Research Institute, Civic Campus, Clinical Epidemiology Unit, Rm F649, 1053 Carling Ave., Ottawa, Ontario, K1Y 4E9, Canada; International Liaison Committee on Resuscitation, Basic Life Support Task Force, Dallas, TX, United States. 7. Department of Critical Care Nursing, Kyoto University Graduate School of Human Health Science, 53 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan; International Liaison Committee on Resuscitation, Basic Life Support Task Force, Dallas, TX, United States. 8. Emergency Life-Saving Technique Academy, 3-8-1 Oura, Yahatanishi, Kitakyushu, 800-0213 Fukuoka, Japan; International Liaison Committee on Resuscitation, Basic Life Support Task Force, Dallas, TX, United States. 9. The University of Texas at Arlington, College of Nursing and Health Innovation, 411 S. Nedderman Drive, Box 19407, Arlington, TX 76019-0407, United States; International Liaison Committee on Resuscitation, Basic Life Support Task Force, Dallas, TX, United States. 10. Emergency Medicine, Gangnam Severance Hospital, Yonsei University, 211 Eonju-ro, Gangnam-gu, Seoul, Republic of Korea; International Liaison Committee on Resuscitation, Basic Life Support Task Force, Dallas, TX, United States. 11. Departamento de Emergencias y Áreas Críticas, Unidad de Cuidados Intensivos, Instituto Nacional de Salud del Niño, Lima, Peru; InterAmerican Heart Foundation/Emergency Cardiovascular Care, Peru; International Liaison Committee on Resuscitation, Basic Life Support Task Force, Dallas, TX, United States. 12. Intensive Care, The Royal Melbourne Hospital, 300 Grattan Street, Parkville, Victoria, 3050, Australia; Royal Melbourne Hospital Clinical School, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Grattan Street, Parkville, Victoria, 3010, Australia; International Liaison Committee on Resuscitation, Basic Life Support Task Force, Dallas, TX, United States.
Abstract
AIM: To understand whether the science to date has focused on single or multiple chest compression components and identify the evidence related to chest compression components to determine the need for a full systematic review. METHODS: This review was undertaken by members of the International Liaison Committee on Resuscitation and guided by a specific methodological framework and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). Studies were eligible for inclusion if they were peer-reviewed human studies that examined the effect of different chest compression depths or rates, or chest wall or leaning, on physiological or clinical outcomes. The databases searched were MEDLINE complete, Embase, and Cochrane. RESULTS: Twenty-two clinical studies were included in this review: five observational studies involving 879 patients examined both chest compression rate and depth; eight studies involving 14,285 patients examined chest compression rate only; seven studies involving 12001 patients examined chest compression depth only, and two studies involving 1848 patients examined chest wall recoil. No studies were identified that examined chest wall leaning. Three studies reported an inverse relationship between chest compression rate and depth. CONCLUSION: This scoping review did not identify sufficient new evidence that would justify conducting new systematic reviews or reconsideration of current resuscitation guidelines. This scoping review does highlight significant gaps in the research evidence related to chest compression components, namely a lack of high-level evidence, paucity of studies of in-hospital cardiac arrest, and failure to account for the possibility of interactions between chest compression components.
AIM: To understand whether the science to date has focused on single or multiple chest compression components and identify the evidence related to chest compression components to determine the need for a full systematic review. METHODS: This review was undertaken by members of the International Liaison Committee on Resuscitation and guided by a specific methodological framework and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). Studies were eligible for inclusion if they were peer-reviewed human studies that examined the effect of different chest compression depths or rates, or chest wall or leaning, on physiological or clinical outcomes. The databases searched were MEDLINE complete, Embase, and Cochrane. RESULTS: Twenty-two clinical studies were included in this review: five observational studies involving 879 patients examined both chest compression rate and depth; eight studies involving 14,285 patients examined chest compression rate only; seven studies involving 12001 patients examined chest compression depth only, and two studies involving 1848 patients examined chest wall recoil. No studies were identified that examined chest wall leaning. Three studies reported an inverse relationship between chest compression rate and depth. CONCLUSION: This scoping review did not identify sufficient new evidence that would justify conducting new systematic reviews or reconsideration of current resuscitation guidelines. This scoping review does highlight significant gaps in the research evidence related to chest compression components, namely a lack of high-level evidence, paucity of studies of in-hospital cardiac arrest, and failure to account for the possibility of interactions between chest compression components.
Authors: Theresa M Olasveengen; Federico Semeraro; Giuseppe Ristagno; Maaret Castren; Anthony Handley; Artem Kuzovlev; Koenraad G Monsieurs; Violetta Raffay; Michael Smyth; Jasmeet Soar; Hildigunnur Svavarsdóttir; Gavin D Perkins Journal: Notf Rett Med Date: 2021-06-02 Impact factor: 0.826
Authors: Lone Due Vestergaard; Kasper Glerup Lauridsen; Niels Henrik Vinther Krarup; Jane Uhrenholt Kristensen; Lone Kaerslund Andersen; Bo Løfgren Journal: Open Access Emerg Med Date: 2021-12-16
Authors: Theresa M Olasveengen; Mary E Mancini; Gavin D Perkins; Suzanne Avis; Steven Brooks; Maaret Castrén; Sung Phil Chung; Julie Considine; Keith Couper; Raffo Escalante; Tetsuo Hatanaka; Kevin K C Hung; Peter Kudenchuk; Swee Han Lim; Chika Nishiyama; Giuseppe Ristagno; Federico Semeraro; Christopher M Smith; Michael A Smyth; Christian Vaillancourt; Jerry P Nolan; Mary Fran Hazinski; Peter T Morley Journal: Resuscitation Date: 2020-10-21 Impact factor: 5.262
Authors: Gene Yong-Kwang Ong; Aloysius Jian Feng Ang; Amirzeb S O Aurangzeb; Elisabeth Sue Shuen Fong; Jun Yuan Tan; Zhao Jin Chen; Yiong Huak Chan; Phua Hwee Tang; Jen Heng Pek; Ian Maconochie; Kee Chong Ng; Vinay Nadkarni Journal: Resusc Plus Date: 2021-03-27