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- Title
Effect of the Cardio First Angel™ device on CPR indices: a randomized controlled clinical trial.
- Authors
Vahedian-Azimi, Amir; Hajiesmaeili, Mohammadreza; Amirsavadkouhi, Ali; Jamaati, Hamidreza; Izadi, Morteza; Madani, Seyed J.; Hashemian, Seyed M. R.; Miller, Andrew C.
- Abstract
<bold>Background: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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).<bold>Conclusions: </bold>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.<bold>Trial Registration: </bold>ClinicalTrials.gov identifier: NCT02394977 . Registered on 5 Mar 2015.
- Subjects
CARDIAC arrest; COMPARATIVE studies; CARDIOPULMONARY resuscitation; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; RESEARCH; SURVIVAL analysis (Biometry); PRODUCT design; EVALUATION research; RANDOMIZED controlled trials; EQUIPMENT &; supplies
- Publication
Critical Care, 2016, Vol 20, p1
- ISSN
1364-8535
- Publication type
journal article
- DOI
10.1186/s13054-016-1296-3