The use of CPR feedback/prompt devices during training and CPR performance : a systematic review
Yeung, Joyce, Meeks, Reylon, Edelson, Dana, Smith, F. Gao (Fang Gao), Soar, Jasmeet and Perkins, Gavin D. (2009) The use of CPR feedback/prompt devices during training and CPR performance : a systematic review. Resuscitation, Vol.80 (No.7). pp. 743-751. ISSN 0300-9572
WRAP_Perkins_1070268-lb-190511-perkins_the_use_of_cpr_feedback-revision_v1-13-4-091.pdf - Accepted Version - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Official URL: http://dx.doi.org/10.1016/j.resuscitation.2009.04....
Objectives: In lay persons and health care providers performing cardiopulmonary resuscitation (CPR), does the use of CPR feedback/prompt devices when compared to no device improve CPR skill acquisition, retention, and real life performance?
Methods: The Cochrane database of systematic reviews; Medline (1950-Dec 2008): EmBASE (1988-Dec 2008) and Psychinfo (1988-Dec 2008) were searched using ("Prompt$" or "Feedback" as text words) AND ("Cardiopulmonary Resuscitation" [Mesh] OR "Heart Arrest" [Mesh]). Inclusion criteria were articles describing the effect of audio or visual feedback/prompts on CPR skill acquisition, retention or performance.
Results: 509 papers were identified of which 33 were relevant. There were no randomised controlled studies in humans (LOE 1). Two non-randomised cross-over studies (LOE 2) and four with retrospective controls (LOE 3) in humans and 20 animal/manikin (LOE 5) studies contained data supporting the use of feedback/prompt devices. Two LOE 5 studies were neutral. Six LOE 5 manikin studies provided opposing evidence.
Conclusions: There is good evidence supporting the use of CPR feedback/prompt devices during CPR training to improve CPR skill acquisition and retention. Their use in clinical practice as part of an overall strategy to improve the quality of CPR may be beneficial. The accuracy of devices to measure compression depth should be calibrated to take account of the stiffness of the support surface upon which CPR is being performed (e.g. floor/mattress). Further studies are needed to determine if these devices improve patient outcomes.
|Item Type:||Journal Item|
|Subjects:||R Medicine > RC Internal medicine|
|Divisions:||Faculty of Medicine > Warwick Medical School|
|Library of Congress Subject Headings (LCSH):||CPR (First aid) -- Technological innovations, CPR (First aid) -- Study and teaching, CPR (First aid) -- Methodology, Medical technology|
|Journal or Publication Title:||Resuscitation|
|Publisher:||Elsevier Ireland Ltd|
|Official Date:||July 2009|
|Number of Pages:||9|
|Page Range:||pp. 743-751|
|Access rights to Published version:||Restricted or Subscription Access|
|Funder:||National Institute for Health Research (Great Britain) (NIHR)|
1. Nichol G, Thomas E, Callaway CW, et al. Regional variation in out-of-hospital cardiac arrest incidence and outcome. JAMA 2008;300:1423-31.
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