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Chest compression components (rate, depth, chest wall recoil and leaning) : a scoping review
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Considine, J., Gazmuri, R. J., Perkins, Gavin D., Kudenchuk, P. J., Olasveengen, T. M., Vaillancourt, C., Nishiyama, C., Hatanaka, T., Mancini, M. E., Chung, S. P. and Morley, P. (2021) Chest compression components (rate, depth, chest wall recoil and leaning) : a scoping review. Resuscitation, 146 . pp. 188-202. doi:10.1016/j.resuscitation.2019.08.042 ISSN 0300-9572.
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Official URL: https://doi.org/10.1016/j.resuscitation.2019.08.04...
Abstract
Aim
To understand whether the science to date has focused on single or multiple chest compression components and identify the evidence related to chest compression components to determine the need for a full systematic review.
Methods
This review was undertaken by members of the International Liaison Committee on Resuscitation and guided by a specific methodological framework and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). Studies were eligible for inclusion if they were peer-reviewed human studies that examined the effect of different chest compression depths or rates, or chest wall or leaning, on physiological or clinical outcomes. The databases searched were MEDLINE complete, Embase, and Cochrane.
Results
Twenty-two clinical studies were included in this review: five observational studies involving 879 patients examined both chest compression rate and depth; eight studies involving 14,285 patients examined chest compression rate only; seven studies involving 12001 patients examined chest compression depth only, and two studies involving 1848 patients examined chest wall recoil. No studies were identified that examined chest wall leaning. Three studies reported an inverse relationship between chest compression rate and depth.
Conclusion
This scoping review did not identify sufficient new evidence that would justify conducting new systematic reviews or reconsideration of current resuscitation guidelines. This scoping review does highlight significant gaps in the research evidence related to chest compression components, namely a lack of high-level evidence, paucity of studies of in-hospital cardiac arrest, and failure to account for the possibility of interactions between chest compression components.
Item Type: | Journal Article | ||||||||
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Subjects: | R Medicine > RC Internal medicine | ||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Resuscitation, CPR (First aid) , Life support systems (Critical care) , Cardiac resuscitation | ||||||||
Journal or Publication Title: | Resuscitation | ||||||||
Publisher: | Elsevier Ireland Ltd | ||||||||
ISSN: | 0300-9572 | ||||||||
Official Date: | 1 January 2021 | ||||||||
Dates: |
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Volume: | 146 | ||||||||
Page Range: | pp. 188-202 | ||||||||
DOI: | 10.1016/j.resuscitation.2019.08.042 | ||||||||
Status: | Peer Reviewed | ||||||||
Publication Status: | Published | ||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||
Date of first compliant deposit: | 12 September 2019 | ||||||||
Date of first compliant Open Access: | 16 September 2020 | ||||||||
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