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    Audiovisual feedback device use by health care professionals during CPR: A systematic review and meta-analysis of randomised and non-randomised trials

    199695_127362_Audiovisual_feedback_device_use_by_health_care.pdf (1.417Mb)
    Access Status
    Open access
    Authors
    Kirkbright, S.
    Finn, Judith
    Tohira, Hideo
    Bremner, A.
    Jacobs, Ian
    Celenza, A.
    Date
    2014
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Kirkbright, S. and Finn, J. and Tohira, H. and Bremner, A. and Jacobs, I. and Celenza, A. 2014. Audiovisual feedback device use by health care professionals during CPR: A systematic review and meta-analysis of randomised and non-randomised trials. Resuscitation. 85 (4): pp. 460-471.
    Source Title
    Resuscitation
    DOI
    10.1016/j.resuscitation.2013.12.012
    ISSN
    0300-9572
    Remarks

    NOTICE: this is the author’s version of a work that was accepted for publication in Resuscitation. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Resuscitation, Vol. 85, No. 4 (2014). DOI: 10.1016/j.resuscitation.2013.12.012

    URI
    http://hdl.handle.net/20.500.11937/45208
    Collection
    • Curtin Research Publications
    Abstract

    Objectives: A systematic appraisal of the literature to determine if audiovisual feedback devices can improve CPR quality delivered by health care practitioners (HCPs) and/or survival outcomes following cardiac arrest. Methods: We searched the Cochrane Central Register of Controlled Studies (CENTRAL) on The Cochrane Library, MEDLINE, EMBASE, CIHAHL and AUSTHEALTH in May 2013 for experimental and observational (human or manikin) studies examining the effect of the use of audiovisual feedback devices by HCPs in simulated and actual cardiac arrest. The primary outcome for human studies was survival to hospital discharge with good neurologic outcome. Secondary outcomes were other survival data and quality of CPR performance; the latter was also reported for manikin studies. Results: Three human interventional studies (n = 2100) and 17 manikin studies met the inclusion criteria. Overall quality of included studies was poor, with significant clinical heterogeneity. All three human studies reported no significant change to any survival outcomes despite improvement in chest compression(CC) depth by 2.5 mm (95% CI 0.9–4.3), CC rate 6 min-1 closer to 100 (95% CI 2.4–10.7) and a reduction in no-flow fraction by 1.9% on meta-analysis. Manikin studies showed similar improvement sin CC parameters. Conclusion: In both manikin and human studies, feedback during resuscitation can result in rescuers providing CC parameters closer to recommendations. There is no evidence that this translates into improved patient outcomes. The reason for this is not yet evident and further patient centered research is warranted.

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