运用反馈装置辅助实施心肺复苏的Meta分析

何迪; 白雪; 胡翠环

doi:10.13201/j.issn.1009-5918.2018.04.007

运用反馈装置辅助实施心肺复苏的Meta分析

- 华中科技大学同济医学院护理学院(武汉, 430030)

详细信息

通讯作者: 胡翠环, E-mail:hucuihuan@hust.edu.cn

中图分类号: R459.7

收稿日期: 2018-03-25

Using feedback device during cardiopulmonary resuscitation:a Meta-analysis

- Nursing College, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China

More Information

Corresponding author: HU Cuihuan, E-mail: hucuihuan@hust.edu.cn

Received Date: 25 March 2018

摘要

摘要: 目的: 系统评价反馈装置对心肺复苏实施效果的影响。方法: 计算机检索Cochrane图书馆 (2017年第12期)、MEDLINE、EMBASE、中国生物医学文献数据库 (CBM)、中国知网 (CNKI) 数据库和万方数据库 (检索时限均从建库至2017年12月) 中关于运用反馈装置辅助实施心肺复苏的随机对照试验。由2名研究员分别筛选文献、提取资料和进行质量评价后, 使用RevMan 5.3软件进行Meta分析。结果: 纳入9项随机对照试验进行定量综合, 包括934例参与者, 其中实验组541例, 对照组393例。Meta分析结果显示, 运用反馈装置辅助实施心肺复苏能够改善按压深度[MD=0.27, 95%CI (0.12, 0.42), P=0.0004] ("2010年及以后"亚组) 和按压频率[MD=-5.44, 95%CI (-7.38, -3.50), P<0.001], 提高按压位置准确率[MD=6.37, 95%CI (1.54, 11.21), P=0.01]。结论: 运用反馈装置辅助实施CPR有助于提高心肺复苏质量, 建议推广使用。
- 心肺复苏 /
- 反馈装置 /
- 系统评价 /
- Meta分析
Abstract: Objective: To evaluate the effects of using feedback device during CPR.Method: A computerized search was conducted through Cochrane Library, Medline, EMBASE, CBM, CNKI and Wanfang Database to search RCTs about using feedback device to implement CPR.The Meta-analysis was performed after 2 researchers searching database, extracting data and assessing the quality of included studies.Result: Nine RCTs and 934 participants were included in the study, with 541 in the experimental group and 393 in the control group.Compared with standard CPR, using feedback device improved compression depth[MD=0.27, 95%CI (0.12, 0.42), P=0.0004], compression rate[MD=-5.44, 95%IC (-7.38, -3.50), P<0.001]and the rate of correct hand position[MD=6.37, 95%CI (1.54, 11.21), P=0.01].Conclusion: The review suggested that using feedback device can help to improve the quality of CPR and it is worth being popularized.
- cardiopulmonary resuscitation /
- feedback device /
- systematic review /
- Meta-analysis

HTML全文

参考文献(28)

[1]	Shao F, Li C S, Liang L R, et al.Outcome of out-ofhospital cardiac arrests in Beijing, China[J].Resuscitation, 2014, 85:1411-1417.
[2]	国家心血管病中心.中国心血管病报告2014[M].中国大百科全书出版社, 2014.
[3]	Institute O M.Strategies to Improve Cardiac Arrest Survival:A Time to Act[M].Washington, DC:The National Academies Press, 2015.
[4]	Kleinman M E, Brennan E E, Goldberger Z D, et al.Part 5:Adult Basic Life Support and Cardiopulmonary Resuscitation Quality[J].Circulation, 2015, 132:S414-S435.
[5]	Bobrow B J, Vadeboncoeur T F, Stolz U, et al.The influence of scenario-based training and real-time audiovisual feedback on out-of-hospital cardiopulmonary resuscitation quality and survival from out-of-hospital cardiac arrest[J].Ann Emerg Med, 2013, 62:47-56.
[6]	Ahn C, Lee J, Oh J, et al.Effectiveness of feedback with a smartwatch for high-quality chest compressions during adult cardiac arrest:a randomized controlled simulation study[J].PLoS One, 2017, 12:e169046-e169046.
[7]	李萍, 张岩, 潘龙飞, 等.心肺复苏实时反馈系统在心肺复苏培训中的效果研究[J].继续医学教育, 2017, 31 (10):20-22.
[8]	Fischer H, Gruber J, Neuhold S, et al.Effects and limitations of an AED with audiovisual feedback for cardiopulmonary resuscitation:a randomized manikin study[J].Resuscitation, 2011, 82:902-907.
[9]	Pozner C N, Almozlino A, Elmer J, et al.Cardiopulmonary resuscitation feedback improves the quality of chest compression provided by hospital health care professionals[J].Am J Emerg Med, 2011, 29:625-628.
[10]	Noordergraaf G J, Drinkwaard B W, van Berkom P F, et al.The quality of chest compressions by trained personnel:The effect of feedback, via the CPREzy, in a randomized controlled trial using a manikin model[J].Resuscitation, 2006, 69:241-252.
[11]	Handley A J, Handley S A.Improving CPR performance using an audible feedback system suitable for incorporation into an automated external defibrillator[J].Resuscitation, 2003, 57:57-62.
[12]	Sutton R M, Niles D, French B, et al.First quantitative analysis of cardiopulmonary resuscitation quality during in-hospital cardiac arrests of young children[J].Resuscitation, 2014, 85:70-74.
[13]	Yeung J, Meeks R, Edelson D, et al.The use of CPR feedback/prompt devices during training and CPR performance:A systematic review[J].Resuscitation, 2009, 80:743-751.
[14]	Kirkbrighta S, Judith F, Tohira H, et al.Audiovisual feedback device use by health care professionals during CPR:A systematic review and meta-analysis of randomised and non-randomised trials[J].Resuscitation, 2014, 85:460-471.
[15]	Cardiopulmonary Resuscitation Feedback Devices for Adult Patients in Cardiac Arrest:A Review of Clinical Effectiveness and Guidelines[M].Ottawa (ON):Canadian Agency for Drugs and Technologies in Health, 2015.
[16]	刘鸣.系统评价、Meta-分析设计与实施方法[M].人民卫生出版社, 2011.
[17]	Higgins J, Green S.Cochrane handbook for systematic reviews of interventions Version 5.1.0[updated March 2011] [M].Wiley-Blackwell, 2011.
[18]	Lyngeraa T S, Hjortrup P B, Wulff N B, et al.Effect of feedback on delaying deterioration in quality of compressions during 2 minutes of continuous chest compressions:a randomized manikin study investigating performance with and without feedback[J].Scandinavian J Trauma Res Emerg Med, 2012, 20:1-5.
[19]	Oh J H, Lee S J, Kim S E, et al.Effects of audio tone guidance on performance of CPR in simulated cardiac arrest with an advanced airway[J].Resuscitation, 2008, 79:293-293.
[20]	Yeung J, Davies R, Gao F, et al.A randomised control trial of prompt and feedback devices and their impact on quality of chest compressions-A simulation study[J].Resuscitation, 2014, 85:553-559.
[21]	Zapletal B, Greif R, Stumpf D, et al.Comparing three CPR feedback devices and standard BLS in a single rescuer scenario:A randomised simulation study[J].Resuscitation, 2014, 85:560-566.
[22]	Vadeboncoeur T, Stolz U, Panchal A, et al.Chest compression depth and survival in out-of-hospital cardiac arrest[J].Resuscitation, 2014, 85:182-188.
[23]	Buleon C, Delaunay J, Parienti J J, et al.Impact of a feedback device on chest compression quality during extended manikin CPR:a randomized crossover study[J].Am J Emerg Med, 2016, 34:1754-1760.
[24]	Idris A H, Guffey D, Pepe P E, et al.Chest Compression Rates and Survival Following Out-of-Hospital Cardiac Arrest.[J].Critical Care Med, 2015, 43:840-840.
[25]	White A E, Ng H X, Ng W Y, et al.Measuring the effectiveness of a novel CPRcard feedback device during simulated chest compressions by non-healthcare workers[J].Singapore Med J, 2017, 58:438-445.
[26]	崔庆宏, 王洋, 付阳阳, 等.北京协和医院急诊从业人员心肺复苏实施情况的研究[J].临床急诊杂志, 2016, 17 (7):535-537.
[27]	Wutzler A, von Ulmenstein S, Bannehr M, et al.Improvement of lay rescuer chest compressions with a novel audiovisual feedback device:a randomized trial[J].Med Klin Intensivmed Notfmed, 2018, 113:124-130.
[28]	Truszewski Z, Szarpak L, Kurowski A, et al.Randomized trial of the chest compressions effectiveness comparing 3feedback CPR devices and standard basic life support by nurses[J].Am J Emerg Med, 2016, 34:381-385.