Meta-analysis of chest compression-only versus conventional cardiopulmonary resuscitation by bystanders for adult with out-of-hospital cardiac arrest

被引:11
作者
Bielski, Karol [1 ,2 ]
Smereka, Jacek [2 ,3 ]
Chmielewski, Jaroslaw [4 ]
Pruc, Michal [2 ]
Chirico, Francesco [5 ,6 ]
Gasecka, Aleksandra [7 ,8 ]
Litvinova, Nataliia [9 ]
Jaguszewski, Milosz J. [10 ]
Nowak-Starz, Grazyna [11 ]
Rafique, Zubaid [12 ]
Peacock, Frank W. [12 ]
Szarpak, Lukasz [2 ,13 ,14 ]
机构
[1] Polonia Acad, Inst Outcomes Res, Czestochowa, Poland
[2] Polish Soc Disaster Med, Warsaw, Poland
[3] Med Univ Wroclaw, Dept Emergency Med Serv, Wroclaw, Poland
[4] Coll Rehabil, Warsaw, Poland
[5] Univ Cattolica Sacro Cuore, Postgrad Sch Occupat Med, Rome, Italy
[6] Minist Interior, Hlth Serv Dept, State Police, Milan, Italy
[7] Univ Amsterdam, Lab Expt Clin Chem, Med Ctr, Amsterdam, Netherlands
[8] Med Univ Warsaw, Chair & Dept Cardiol 1, Warsaw, Poland
[9] Int European Univ, European Med Sch, Kiev, Ukraine
[10] Med Univ Gdansk, Dept Cardiol 1, Gdansk, Poland
[11] Kochanowski Univ, Coll Med, Inst Hlth Sci, Kielce, Poland
[12] Baylor Coll Med, Henry JN Taub Dept Emergency Med, Houston, TX 77030 USA
[13] Maria Sklodowska Curie Med Acad, Ul Solidarnosci 12, PL-03411 Warsaw, Poland
[14] Maria Sklodowska Curie Bialystok Oncol Ctr, Bialystok, Poland
关键词
out-of-hospital cardiac arrest; cardiopulmonary resuscitation; chest compression; continuous compressions; CPR; SURVIVAL; GUIDELINES; COVID-19;
D O I
10.5603/CJ.a2021.0115
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: According to the guidelines of cardiopulmonary resuscitation (CPR) conducted by bystanders, two methods of CPR are feasible: standard CPR (sCPR) with mouth-to-mouth ventilations and continuous chest compression-only CPR (CCC) without rescue breathing. The goal herein, was to evaluate the effect of sCPR (30:2) and CCC on resuscitation outcomes in patients with out-of-hospital cardiac arrest (OHCA) patients. Methods: This study was a systematic review and meta-analysis. Using standardized criteria, PubMed, Web of Science, Scopus, EMBASE and Cochrane Collaboration were searched for trials assessing the effect of sCPR vs. CCC on resuscitation outcomes after adult OHCA. Random-effects model meta-analysis was applied to calculate the mean deviation (MD), odds ratio (OR) and 95% confidence Results: Overall, 3 randomized controlled trials and 12 non-randomized trials met the inclusion criteria. Survival to hospital discharge with sCPR was 10.2% compared to 9.3% in the CCC group (OR = 1.04; 95% CI: 0.93-1.16; p = 0.46). Survival to hospital discharge with good neurological outcome measured with the cerebral performance category (CPC 1 or 2) was 6.5% for sCPR vs. 5.8% for CCC (OR = 1.00; 95% CI: 0.84-1.20; p = 0.98). Prehospital return of spontaneous circulation (ROSC) in sCPR and CCC groups was 15.9% and 14.8%, respectively (OR = 1.13; 95% CI: 0.91-1.39; p = 0.26). Survival to hospital admission with ROSC occurred in 29.5% of the sCPR group compared to 28.4% in CCC group (OR = 1.20; 95% CI: 0.89-1.63; p = 0.24). Conclusions: This systematic review and meta-analysis concluded that there were no significant dif- ferences in the resuscitation outcomes between the use of standard cardiopulmonary resuscitation and chest compression only. (Cardiol J)
引用
收藏
页码:606 / 613
页数:8
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