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Sood N, Sangari A, Goyal A, Sun C, Horinek M, Hauger JA, Perry L. Do cardiopulmonary resuscitation real-time audiovisual feedback devices improve patient outcomes? A systematic review and meta-analysis. World J Cardiol 2023; 15:531-541. [PMID: 37900903 PMCID: PMC10600786 DOI: 10.4330/wjc.v15.i10.531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Revised: 07/23/2023] [Accepted: 08/03/2023] [Indexed: 10/24/2023] Open
Abstract
BACKGROUND Cardiac arrest is a leading cause of mortality in America and has increased in the incidence of cases over the last several years. Cardiopulmonary resuscitation (CPR) increases survival outcomes in cases of cardiac arrest; however, healthcare workers often do not perform CPR within recommended guidelines. Real-time audiovisual feedback (RTAVF) devices improve the quality of CPR performed. This systematic review and meta-analysis aims to compare the effect of RTAVF-assisted CPR with conventional CPR and to evaluate whether the use of these devices improved outcomes in both in-hospital cardiac arrest (IHCA) and out-of-hospital cardiac arrest (OHCA) patients. AIM To identify the effect of RTAVF-assisted CPR on patient outcomes and CPR quality with in- and OHCA. METHODS We searched PubMed, SCOPUS, the Cochrane Library, and EMBASE from inception to July 27, 2020, for studies comparing patient outcomes and/or CPR quality metrics between RTAVF-assisted CPR and conventional CPR in cases of IHCA or OHCA. The primary outcomes of interest were return of spontaneous circulation (ROSC) and survival to hospital discharge (SHD), with secondary outcomes of chest compression rate and chest compression depth. The methodological quality of the included studies was assessed using the Newcastle-Ottawa scale and Cochrane Collaboration's "risk of bias" tool. Data was analyzed using R statistical software 4.2.0. results were statistically significant if P < 0.05. RESULTS Thirteen studies (n = 17600) were included. Patients were on average 69 ± 17.5 years old, with 7022 (39.8%) female patients. Overall pooled ROSC in patients in this study was 37% (95% confidence interval = 23%-54%). RTAVF-assisted CPR significantly improved ROSC, both overall [risk ratio (RR) 1.17 (1.001-1.362); P = 0.048] and in cases of IHCA [RR 1.36 (1.06-1.80); P = 0.002]. There was no significant improvement in ROSC for OHCA (RR 1.04; 0.91-1.19; P = 0.47). No significant effect was seen in SHD [RR 1.04 (0.91-1.19); P = 0.47] or chest compression rate [standardized mean difference (SMD) -2.1; (-4.6-0.5)]; P = 0.09]. A significant improvement was seen in chest compression depth [SMD 1.6; (0.02-3.1); P = 0.047]. CONCLUSION RTAVF-assisted CPR increases ROSC in cases of IHCA and chest compression depth but has no significant effect on ROSC in cases of OHCA, SHD, or chest compression rate.
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Affiliation(s)
- Nitish Sood
- Medical College of Georgia, Augusta University, Augusta, GA 30912, United States.
| | - Anish Sangari
- Medical College of Georgia, Augusta University, Augusta, GA 30912, United States
| | - Arnav Goyal
- Medical College of Georgia, Augusta University, Augusta, GA 30912, United States
| | - Christina Sun
- Dental College of Georgia, Augusta University, Augusta, GA 30912, United States
| | - Madison Horinek
- Medical College of Georgia, Augusta University, Augusta, GA 30912, United States
| | - Joseph Andy Hauger
- Department of Chemistry and Physics, Augusta University, Augusta, GA 30912, United States
| | - Lane Perry
- Medical College of Georgia, Augusta University, Augusta, GA 30912, United States
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Elliott JB, Moretto LG, Phair L, Wozniak GJ, Albergo S, Bieser F, Brady FP, Caccia Z, Cebra DA, Chacon AD, Chance JL, Choi Y, Costa S, Gilkes ML, Hauger JA, Hirsch AS, Hjort EL, Insolia A, Justice M, Keane D, Kintner JC, Lindenstruth V, Lisa MA, Matis HS, McMahan M, McParland C. Nuclear multifragmentation, percolation, and the fisher droplet model: common features of reducibility and thermal scaling. Phys Rev Lett 2000; 85:1194-1197. [PMID: 10991510 DOI: 10.1103/physrevlett.85.1194] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2000] [Indexed: 05/23/2023]
Abstract
It is shown that the Fisher droplet model, percolation, and nuclear multifragmentation share the common features of reducibility (stochasticity in multiplicity distributions) and thermal scaling (one-fragment production probabilities are Boltzmann factors). Barriers obtained, for cluster production on percolation lattices, from the Boltzmann factors show a power-law dependence on cluster size with an exponent of 0.42+/-0.02. The EOS Collaboration Au multifragmentation data yield barriers with a power-law exponent of 0.68+/-0.03. Values of the surface energy coefficient of a low density nuclear system are also extracted.
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Affiliation(s)
- JB Elliott
- Nuclear Science Division, Lawrence Berkeley National Laboratory, Berkeley, California 94720, USA
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Hauger JA, Albergo S, Bieser F, Brady FP, Caccia Z, Cebra DA, Chacon AD, Chance JL, Choi Y, Costa S, Elliott JB, Gilkes ML, Hirsch AS, Hjort EL, Insolia A, Justice M, Keane D, Kintner JC, Lindenstruth V, Lisa MA, Lynen U, Matis HS, McMahan M, McParland C, Müller WF, Olson DL, Partlan MD, Porile NT, Potenza R, Rai G, Rasmussen J, Ritter HG, Romanski J, Romero JL, Russo GV, Sann H, Scharenberg R, Scott A, Shao Y, Srivastava BK, Symons TJ, Tincknell M, Tuvé C, Wang S, Warren P, Wieman HH, Wienold T, Wolf K. Dynamics of the Multifragmentation of 1A GeV Gold on Carbon. Phys Rev Lett 1996; 77:235-238. [PMID: 10062400 DOI: 10.1103/physrevlett.77.235] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Wang S, Lisa MA, Albergo S, Bieser F, Brady FP, Caccia Z, Cebra DA, Chacon AD, Chance JL, Choi Y, Costa S, Elliott JB, Gilkes ML, Hauger JA, Hirsch AS, Hjort EL, Insolia A, Justice M, Keane D, Kintner J, Lindenstruth V, Liu H, Matis HS, McMahan M, McParland C, Olson DL, Partlan MD, Porile NT, Potenza R, Rai G, Rasmussen J, Ritter HG, Romanski J, Romero JL, Russo GV, Scharenberg RP, Scott A, Shao Y, Srivastava BK, Symons TJ, Tincknell ML, Tuvè C, Warren PG, Weerasundara D, Wieman HH, Wolf KL. In-plane retardation of collective expansion in Au+Au collisions. Phys Rev Lett 1996; 76:3911-3914. [PMID: 10061144 DOI: 10.1103/physrevlett.76.3911] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Lisa MA, Albergo S, Bieser F, Brady FP, Caccia Z, Cebra DA, Chacon AD, Chance JL, Choi Y, Costa S, Elliott JB, Gilkes ML, Hauger JA, Hirsch AS, Hjort EL, Insolia A, Justice M, Keane D, Kintner J, Matis HS, McMahan M, McParland C, Olson DL, Partlan MD, Porile NT, Potenza R, Rai G, Rasmussen J, Ritter HG, Romanski J, Romero JL, Russo GV, Scharenberg R, Scott A, Shao Y, Srivastava BK, Symons TJ, Tincknell M, Tuvé C, Wang S, Warren P, Westfall GD, Wieman HH, Wolf K. Radial flow in Au+Au collisions at E=(0.25-1.15)A GeV. Phys Rev Lett 1995; 75:2662-2665. [PMID: 10059373 DOI: 10.1103/physrevlett.75.2662] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Partlan MD, Albergo S, Bieser F, Brady FP, Caccia Z, Cebra D, Chacon AD, Chance J, Choi Y, Costa S, Elliott JB, Gilkes ML, Hauger JA, Hirsch AS, Hjort EL, Insolia A, Justice M, Keane D, Kintner J, Lisa MA, Matis HS, McMahan M, McParland C, Olson DL, Peilert G, Porile NT, Potenza R, Rai G, Rasmussen J, Ritter HG, Romanski J, Romero JL, Russo GV, Scharenberg RP, Scott A, Shao Y, Srivastava BK, Symons TJ, Tincknell ML, Tuvé C, Wang S, Warren PG, Wieman HH, Wolf K. Fragment flow in Au+Au collisions. Phys Rev Lett 1995; 75:2100-2103. [PMID: 10059214 DOI: 10.1103/physrevlett.75.2100] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Gilkes ML, Choi Y, Elliott JB, Hauger JA, Hirsch AS, Hjort EL, Porile NT, Scharenberg R, Srivastava BK, Tincknell M, Warren P. Gilkes et al. reply for the EOS Collaboration. Phys Rev Lett 1995; 75:768. [PMID: 10060110 DOI: 10.1103/physrevlett.75.768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Wang S, Albergo S, Bieser F, Brady FP, Caccia Z, Cebra DA, Chacon AD, Chance JL, Choi Y, Costa S, Elliott JB, Gilkes ML, Hauger JA, Hirsch AS, Hjort EL, Insolia A, Justice M, Keane D, Kintner J, Lisa MA, Matis HS, McMahan M, McParland C, Olson DL, Partlan MD, Porile NT, Potenza R, Rai G, Rasmussen J, Ritter HG, Romanski J, Romero JL, Russo GV, Scharenberg RP, Scott A, Shao Y, Srivastava BK, Symons TJ, Tincknell ML, Tuvè C, Warren PG, Weerasundara D, Wieman HH, Wolf KL. Light Fragment Production and Power Law Behavior in Au + Au Collisions. Phys Rev Lett 1995; 74:2646-2649. [PMID: 10057982 DOI: 10.1103/physrevlett.74.2646] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Gilkes ML, Albergo S, Bieser F, Brady FP, Caccia Z, Cebra DA, Chacon AD, Chance JL, Choi Y, Costa S, Elliott JB, Hauger JA, Hirsch AS, Hjort EL, Insolia A, Justice M, Keane D, Kintner JC, Lindenstruth V, Lisa MA, Lynen U, Matis HS, McMahan M, McParland C, Müller WF, Olson DL, Partlan MD, Porile NT, Potenza R, Rai G, Rasmussen J, Ritter HG, Romanski J, Romero JL, Russo GV, Sann H, Scharenberg R, Scott A, Shao Y, Srivastava BK, Symons TJ, Tincknell M, Tuvé C, Wang S, Warren P, Wieman HH, Wolf K. Determination of critical exponents from the multifragmentation of gold nuclei. Phys Rev Lett 1994; 73:1590-1593. [PMID: 10056833 DOI: 10.1103/physrevlett.73.1590] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Elliott JB, Gilkes ML, Hauger JA, Hirsch AS, Hjort E, Porile NT, Scharenberg RP, Srivastava BK, Tincknell ML, Warren PG. Extraction of critical exponents from very small percolation lattices. Phys Rev C Nucl Phys 1994; 49:3185-3191. [PMID: 9969597 DOI: 10.1103/physrevc.49.3185] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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