Chest compression components (rate, depth, chest wall recoil and leaning): a scoping review
Considine, Julie Gazmuri, Raúl J Perkins, Gavin D Kudenchuk, Peter J Olasveengen, Theresa M Vaillancourt, Christian Nishiyama, Chika Hatanaka, Tetsuo Mancini, Mary E Chung, Sung Phil
Considine, Julie
Gazmuri, Raúl J
Perkins, Gavin D
Kudenchuk, Peter J
Olasveengen, Theresa M
Vaillancourt, Christian
Nishiyama, Chika
Hatanaka, Tetsuo
Mancini, Mary E
Chung, Sung Phil
Abstract
Aim: To understand whether the science to date has focused on single or multiple chest compression components and identify the evidence related to chest compression components to determine the need for a full systematic review.
Methods: This review was undertaken by members of the International Liaison Committee on Resuscitation and guided by a specific methodological framework and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). Studies were eligible for inclusion if they were peer-reviewed human studies that examined the effect of different chest compression depths or rates, or chest wall or leaning, on physiological or clinical outcomes. The databases searched were MEDLINE complete, Embase, and Cochrane.
Results: Twenty-two clinical studies were included in this review: five observational studies involving 879 patients examined both chest compression rate and depth; eight studies involving 14,285 patients examined chest compression rate only; seven studies involving 12001 patients examined chest compression depth only, and two studies involving 1848 patients examined chest wall recoil. No studies were identified that examined chest wall leaning. Three studies reported an inverse relationship between chest compression rate and depth.
Conclusion: This scoping review did not identify sufficient new evidence that would justify conducting new systematic reviews or reconsideration of current resuscitation guidelines. This scoping review does highlight significant gaps in the research evidence related to chest compression components, namely a lack of high-level evidence, paucity of studies of in-hospital cardiac arrest, and failure to account for the possibility of interactions between chest compression components.
MIDER Authors
Affiliations
Deakin University; Centre for Quality and Patient Safety Research - Eastern Health Partnership; International Liaison Committee on Resuscitation Basic Life Support Task Force; Rosalind Franklin University; Captain James A. Lovell Federal Health Care Center; University of Warwick; University Hospitals Birmingham NHS Foundation Trust; University of Washington; King County Medic One; Oslo University Hospital; University of Ottawa; Ottawa Hospital Research Institute; Kyoto University; Emergency Life-Saving Technique Academy; The University of Texas at Arlington; Gangnam Severance Hospital; Yonsei University; Instituto Nacional de Salud del Niño; InterAmerican Heart Foundation/Emergency Cardiovascular Care; The Royal Melbourne Hospital; University of Melbourne
Date
2019-09-16
Type
Article
Collections
Citation
Considine J, Gazmuri RJ, Perkins GD, Kudenchuk PJ, Olasveengen TM, Vaillancourt C, Nishiyama C, Hatanaka T, Mancini ME, Chung SP, Escalante-Kanashiro R, Morley P. Chest compression components (rate, depth, chest wall recoil and leaning): A scoping review. Resuscitation. 2020 Jan 1;146:188-202. doi: 10.1016/j.resuscitation.2019.08.042. Epub 2019 Sep 16.