The effect of standalone audio-visual feedback devices on the quality of chest compressions during laypersons' cardiopulmonary resuscitation training: a systematic review and meta-analysis

被引:3
作者
Kahsay, Desale Tewelde [1 ]
Peltonen, Laura-Maria [2 ]
Rosio, Riitta [2 ]
Tommila, Miretta [3 ,4 ]
Salantera, Sanna [4 ,5 ]
机构
[1] Univ Turku, Dept Anaesthesiol & Intens Care, Kiinamyllynkatu 10, Turku 20520, Finland
[2] Univ Turku, Dept Nursing Sci, Turku, Finland
[3] Univ Turku, Dept Anaesthesiol & Intens Care, Turku, Finland
[4] Turku Univ Hosp, Turku, Finland
[5] Univ Turku, Dept Nursing Sci, Turku, Finland
关键词
Audio-visual; Laypersons; CPR training; Feedback devices; HEART-ASSOCIATION GUIDELINES; HOSPITAL CARDIAC-ARREST; REAL-TIME FEEDBACK; EUROPEAN RESUSCITATION; COUNCIL GUIDELINES; EDUCATION; SURVIVAL; DEPTH; CPR; IMPLEMENTATION;
D O I
10.1093/eurjcn/zvad041
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims Individual studies that investigated the effect of standalone audio-visual feedback (AVF) devices during laypersons' cardiopulmonary resuscitation (CPR) training have yielded conflicting results. This review aimed to evaluate the effect of standalone AVF devices on the quality of chest compressions during laypersons' CPR training. Method and result Randomized controlled trials of simulation studies recruiting participants without actual patient CPR experience were included. The intervention evaluated was the quality of chest compressions with standalone AVF devices vs. without AVF devices. Databases, such as PubMed, Cochrane Central, Embase, Cumulative Index to Nursing & Allied Health Literature (CINAHL), Web of Science, and PsycINFO, were searched from January 2010 to January 2022. The risk of bias was assessed using the Cochrane risk of bias tool. A meta-analysis alongside a narrative synthesis was used for examining the effect of standalone AVF devices. Sixteen studies were selected for this systematic review. A meta-analysis revealed an increased compression depth of 2.22 mm [95% CI (Confidence Interval), 0.88-3.55, P = 0.001] when participants performed CPR using the feedback devices. Besides, AVF devices enabled laypersons to deliver compression rates closer to the recommended range of 100-120 per min. No improvement was noted in chest recoil and hand positioning when participants used standalone AVF devices. Conclusion The quality of the included studies was variable, and different standalone AVF devices were used. Standalone AVF devices were instrumental in guiding laypersons to deliver deeper compressions without compromising the quality of compression rates. However, the devices did not improve the quality of chest recoil and placement of the hands. Registration PROSPERO: CRD42020205754
引用
收藏
页码:11 / 20
页数:10
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