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The optimal surface for delivery of CPR : a systematic review and meta-analysis

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Holt, Josephine, Ward, Abigail, Mohamed, Tay-Yibah, Chukowry, Priya, Grolmusova, Natalia, Couper, Keith, Morley, Peter and Perkins, Gavin D. (2020) The optimal surface for delivery of CPR : a systematic review and meta-analysis. Resuscitation, 155 . pp. 159-164. doi:10.1016/j.resuscitation.2020.07.020

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WRAP-optimal-surface-delivery-CPR-systematic-review-Perkins-2020.pdf - Accepted Version
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Official URL: https://doi.org/10.1016/j.resuscitation.2020.07.02...

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Abstract

Aim
To determine the effect of CPR delivery surface (e.g. firm mattress, floor, backboard) on patient outcomes and CPR delivery.

Methods
We searched Medline, Cochrane Library and Web of Science for studies published since 2009 that evaluated the effect of CPR delivery surface in adults and children on patient outcomes and quality of CPR. We included randomised controlled trials only. We identified pre-2010 studies from the 2010 ILCOR evaluation of this topic. Two reviewers independently screened titles/ abstracts and full-text papers, extracted data and assessed risk of bias. Evidence certainty for each outcome was evaluated using GRADE methodology. Where appropriate, we pooled data in a meta-analysis, using a random-effects model.

Results
Database searches identified 2701 citations. We included seven studies published since 2009. We analysed these studies together with the four studies included in the previous ILCOR review. All included studies were randomised controlled trials in manikins. Certainty of evidence was very low. Increasing mattress stiffness or moving the manikin from the bed to the floor did not improve compression depth. Use of a backboard marginally improved compression depth (mean difference 3 mm (95% CI 1–4).

Conclusion
The use of a backboard led to a small increase in chest compression depth in manikin trials. Different mattress types or delivery of CPR on the floor did not affect chest compression depth.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit
Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): CPR (First aid), Cardiovascular emergencies
Journal or Publication Title: Resuscitation
Publisher: Elsevier BV
ISSN: 0300-9572
Official Date: 1 October 2020
Dates:
DateEvent
1 October 2020Published
2 August 2020Available
16 July 2020Accepted
Date of first compliant deposit: 3 September 2020
Volume: 155
Page Range: pp. 159-164
DOI: 10.1016/j.resuscitation.2020.07.020
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Copyright Holders: Elsevier
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDNational Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272

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