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Tytuł pozycji:

Effect of real-time and post-event feedback in out-of-hospital cardiac arrest attended by EMS — A systematic review and meta-analysis

Tytuł:
Effect of real-time and post-event feedback in out-of-hospital cardiac arrest attended by EMS — A systematic review and meta-analysis
Autorzy:
Rasmus Meyer Lyngby
Mina Nicole Händel
Anne Mielke Christensen
Dimitra Nikoletou
Fredrik Folke
Helle Collatz Christensen
Charlotte Barfod
Tom Quinn
Temat:
Out-of-hospital cardiac arrest
Real-time feedback
Post-event feedback
CPR quality
Specialties of internal medicine
RC581-951
Źródło:
Resuscitation Plus, Vol 6, Iss , Pp 100101- (2021)
Wydawca:
Elsevier, 2021.
Rok publikacji:
2021
Kolekcja:
LCC:Specialties of internal medicine
Typ dokumentu:
article
Opis pliku:
electronic resource
Język:
English
ISSN:
2666-5204
Relacje:
http://www.sciencedirect.com/science/article/pii/S2666520421000266; https://doaj.org/toc/2666-5204
DOI:
10.1016/j.resplu.2021.100101
Dostęp URL:
https://doaj.org/article/56fdf29a8d3a421e9d9c946df53fdcde  Link otwiera się w nowym oknie
Numer akcesji:
edsdoj.56fdf29a8d3a421e9d9c946df53fdcde
Czasopismo naukowe
Objectives: A systematic review to determine if cardiopulmonary resuscitation (CPR) guided by either real-time or post-event feedback could improve CPR quality or patient outcome compared to unguided CPR in out-of-hospital cardiac arrest (OHCA). Methods: Four databases were searched; PubMed, Embase, CINAHL, and Cochrane Library in August 2020 for post 2010 literature on OHCA in adults. Critical outcomes were chest compression depth, rate and fraction. Important outcomes were any return of spontaneous circulation, survival to hospital and survival to discharge. Results: A total of 9464 studies were identified with 61 eligibility for full text screening. A total of eight studies was included in the meta-analysis. Five studies investigated real-time feedback and three investigated post-event feedback. Meta-analysis revealed that real-time feedback statistically improves compression depth and rate while post-event feedback improved depth and fraction. Feedback did not statistically improve patient outcome but an improvement in absolute numbers revealed a clinical effect of feedback. Heterogenity varied from “might not be important” to “considerable”. Conclusion: To significantly improve CPR quality real-time and post-event feedback should be combined. Neither real-time nor post event feedback could statistically be associated with patient outcome however, a clinical effect was detected. The conclusions reached were based on few studies of low to very low quality. PROSPERO registration: CRD42019133881.

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