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Effect of the Cardio First Angel™ device on CPR indices: a randomized controlled clinical trial

BACKGROUND: A number of cardiopulmonary resuscitation (CPR) adjunct devices have been developed to improve the consistency and quality of manual chest compressions. We investigated whether a CPR feedback device would improve CPR quality and consistency, as well as patient survival. METHODS: We condu...

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Autores principales: Vahedian-Azimi, Amir, Hajiesmaeili, Mohammadreza, Amirsavadkouhi, Ali, Jamaati, Hamidreza, Izadi, Morteza, Madani, Seyed J., Hashemian, Seyed M. R., Miller, Andrew C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869179/
https://www.ncbi.nlm.nih.gov/pubmed/27184664
http://dx.doi.org/10.1186/s13054-016-1296-3
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author Vahedian-Azimi, Amir
Hajiesmaeili, Mohammadreza
Amirsavadkouhi, Ali
Jamaati, Hamidreza
Izadi, Morteza
Madani, Seyed J.
Hashemian, Seyed M. R.
Miller, Andrew C.
author_facet Vahedian-Azimi, Amir
Hajiesmaeili, Mohammadreza
Amirsavadkouhi, Ali
Jamaati, Hamidreza
Izadi, Morteza
Madani, Seyed J.
Hashemian, Seyed M. R.
Miller, Andrew C.
author_sort Vahedian-Azimi, Amir
collection PubMed
description BACKGROUND: A number of cardiopulmonary resuscitation (CPR) adjunct devices have been developed to improve the consistency and quality of manual chest compressions. We investigated whether a CPR feedback device would improve CPR quality and consistency, as well as patient survival. METHODS: We conducted a randomized controlled study of patients undergoing CPR for cardiac arrest in the mixed medical-surgical intensive care units of four academic teaching hospitals. Patients were randomized to receive either standard manual CPR or CPR using the Cardio First Angel™ CPR feedback device. Recorded variables included guideline adherence, CPR quality, return of spontaneous circulation (ROSC) rates, and CPR-associated morbidity. RESULTS: A total of 229 subjects were randomized; 149 were excluded; and 80 were included. Patient demographics were similar. Adherence to published CPR guidelines and CPR quality was significantly improved in the intervention group (p < 0.0001), as were ROSC rates (72 % vs. 35 %; p = 0.001). A significant decrease was observed in rib fractures (57 % vs. 85 %; p = 0.02), but not sternum fractures (5 % vs. 17 %; p = 0.15). CONCLUSIONS: Use of the Cardio First Angel™ CPR feedback device improved adherence to published CPR guidelines and CPR quality, and it was associated with increased rates of ROSC. A decrease in rib but not sternum fractures was observed with device use. Further independent prospective validation is warranted to determine if these results are reproducible in other acute care settings. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT02394977. Registered on 5 Mar 2015.
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spelling pubmed-48691792016-05-18 Effect of the Cardio First Angel™ device on CPR indices: a randomized controlled clinical trial Vahedian-Azimi, Amir Hajiesmaeili, Mohammadreza Amirsavadkouhi, Ali Jamaati, Hamidreza Izadi, Morteza Madani, Seyed J. Hashemian, Seyed M. R. Miller, Andrew C. Crit Care Research BACKGROUND: A number of cardiopulmonary resuscitation (CPR) adjunct devices have been developed to improve the consistency and quality of manual chest compressions. We investigated whether a CPR feedback device would improve CPR quality and consistency, as well as patient survival. METHODS: We conducted a randomized controlled study of patients undergoing CPR for cardiac arrest in the mixed medical-surgical intensive care units of four academic teaching hospitals. Patients were randomized to receive either standard manual CPR or CPR using the Cardio First Angel™ CPR feedback device. Recorded variables included guideline adherence, CPR quality, return of spontaneous circulation (ROSC) rates, and CPR-associated morbidity. RESULTS: A total of 229 subjects were randomized; 149 were excluded; and 80 were included. Patient demographics were similar. Adherence to published CPR guidelines and CPR quality was significantly improved in the intervention group (p < 0.0001), as were ROSC rates (72 % vs. 35 %; p = 0.001). A significant decrease was observed in rib fractures (57 % vs. 85 %; p = 0.02), but not sternum fractures (5 % vs. 17 %; p = 0.15). CONCLUSIONS: Use of the Cardio First Angel™ CPR feedback device improved adherence to published CPR guidelines and CPR quality, and it was associated with increased rates of ROSC. A decrease in rib but not sternum fractures was observed with device use. Further independent prospective validation is warranted to determine if these results are reproducible in other acute care settings. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT02394977. Registered on 5 Mar 2015. BioMed Central 2016-05-17 2016 /pmc/articles/PMC4869179/ /pubmed/27184664 http://dx.doi.org/10.1186/s13054-016-1296-3 Text en © Vahedian-Azimi et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Vahedian-Azimi, Amir
Hajiesmaeili, Mohammadreza
Amirsavadkouhi, Ali
Jamaati, Hamidreza
Izadi, Morteza
Madani, Seyed J.
Hashemian, Seyed M. R.
Miller, Andrew C.
Effect of the Cardio First Angel™ device on CPR indices: a randomized controlled clinical trial
title Effect of the Cardio First Angel™ device on CPR indices: a randomized controlled clinical trial
title_full Effect of the Cardio First Angel™ device on CPR indices: a randomized controlled clinical trial
title_fullStr Effect of the Cardio First Angel™ device on CPR indices: a randomized controlled clinical trial
title_full_unstemmed Effect of the Cardio First Angel™ device on CPR indices: a randomized controlled clinical trial
title_short Effect of the Cardio First Angel™ device on CPR indices: a randomized controlled clinical trial
title_sort effect of the cardio first angel™ device on cpr indices: a randomized controlled clinical trial
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869179/
https://www.ncbi.nlm.nih.gov/pubmed/27184664
http://dx.doi.org/10.1186/s13054-016-1296-3
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