Universität zu Köln

Lukas, Roman-Patrik, Graesner, Jan Thorsten, Seewald, Stephan, Lefering, Rolf, Weber, Thomas Peter, Van Aken, Hugo, Fischer, Matthias and Bohn, Andreas (2012). Chest compression quality management and return of spontaneous circulation: A matched-pair registry study. Resuscitation, 83 (10). S. 1212 - 1219. CLARE: ELSEVIER IRELAND LTD. ISSN 1873-1570

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Abstract

Aims: Investigating the effects of any intervention during cardiac arrest remains difficult. The ROSC after cardiac arrest score was introduced to facilitate comparison of rates of return of spontaneous circulation (ROSC) between different ambulance services. To study the influence of chest compression quality management (including training, real-time feedback devices, and debriefing) in comparison with conventional cardiopulmonary resuscitation (CPR), a matched-pair analysis was conducted using data from the German Resuscitation Registry, with the calculated ROSC after cardiac arrest score as the baseline. Methods and results: Matching for independent ROSC after cardiac arrest score variables yielded 319 matched cases from the study period (January 2007-March 2011). The score predicted a 45% ROSC rate for the matched pairs. The observed ROSC increased significantly with chest compression quality management, to 52% (P = 0.013; 95% CI, 46-57%). No significant differences were seen in the conventional CPR group (47%; 95% CI, 42-53%). The difference between the observed ROSC rates was not statistically significant. Conclusions: Chest compression quality management leads to significantly higher ROSC rates than those predicted by the prognostic score (ROSC after cardiac arrest score). Matched-pair analysis shows that with conventional CPR, the observed ROSC rate was not significantly different from the predicted rate. Analysis shows a trend toward a higher ROSC rate for chest compression quality management in comparison with conventional CPR. It is unclear whether a single aspect of chest compression quality management or the combination of training, real-time feedback, and debriefing contributed to this result. (C) 2012 Elsevier Ireland Ltd. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lukas, Roman-Patrik UNSPECIFIED UNSPECIFIED UNSPECIFIED Graesner, Jan Thorsten UNSPECIFIED UNSPECIFIED UNSPECIFIED Seewald, Stephan UNSPECIFIED UNSPECIFIED UNSPECIFIED Lefering, Rolf UNSPECIFIED UNSPECIFIED UNSPECIFIED Weber, Thomas Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Van Aken, Hugo UNSPECIFIED UNSPECIFIED UNSPECIFIED Fischer, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Bohn, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-482006
DOI:	10.1016/j.resuscitation.2012.03.027
Journal or Publication Title:	Resuscitation
Volume:	83
Number:	10
Page Range:	S. 1212 - 1219
Date:	2012
Publisher:	ELSEVIER IRELAND LTD
Place of Publication:	CLARE
ISSN:	1873-1570
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HOSPITAL CARDIAC-ARREST; EUROPEAN-RESUSCITATION-COUNCIL; CARDIOPULMONARY-RESUSCITATION; AUDIOVISUAL FEEDBACK; CPR; PERFORMANCE; GUIDELINES; ASSOCIATION; OUTCOMES Multiple languages Critical Care Medicine; Emergency Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48200