Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

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

Publikation: Bidrag til tidsskriftReviewForskningpeer review

Harvard

APA

CBE

MLA

Vancouver

Author

Bibtex

@article{0807a6f4b5ec4baaa2f7974e2531621f,
title = "Effect of real-time and post-event feedback in out-of-hospital cardiac arrest attended by EMS - A systematic review and meta-analysis",
abstract = "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.",
keywords = "Out-of-hospital cardiac arrest, Real-time feedback, Post-event feedback, CPR quality",
author = "Lyngby, {Rasmus Meyer} and H{\"a}ndel, {Mina Nicole} and Christensen, {Anne Mielke} and Dimitra Nikoletou and Fredrik Folke and Christensen, {Helle Collatz} and Charlotte Barfod and Tom Quinn",
note = "{\textcopyright} 2021 The Authors.",
year = "2021",
month = jun,
doi = "10.1016/j.resplu.2021.100101",
language = "English",
volume = "6",
pages = "100101",
journal = "Resuscitation plus",
issn = "2666-5204",

}

RIS

TY - JOUR

T1 - Effect of real-time and post-event feedback in out-of-hospital cardiac arrest attended by EMS - A systematic review and meta-analysis

AU - Lyngby, Rasmus Meyer

AU - Händel, Mina Nicole

AU - Christensen, Anne Mielke

AU - Nikoletou, Dimitra

AU - Folke, Fredrik

AU - Christensen, Helle Collatz

AU - Barfod, Charlotte

AU - Quinn, Tom

N1 - © 2021 The Authors.

PY - 2021/6

Y1 - 2021/6

N2 - 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.

AB - 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.

KW - Out-of-hospital cardiac arrest

KW - Real-time feedback

KW - Post-event feedback

KW - CPR quality

U2 - 10.1016/j.resplu.2021.100101

DO - 10.1016/j.resplu.2021.100101

M3 - Review

C2 - 34223363

VL - 6

SP - 100101

JO - Resuscitation plus

JF - Resuscitation plus

SN - 2666-5204

ER -

ID: 67552104