Evidence map›Paper›PMID 25329643›Full record

Trial reportPloS one2014

A stabilization device that promotes the efficiency of cardiopulmonary resuscitation during ambulance transportation to the level as under non-moving conditions.

Ning-Ping Foo, Jer-Hao Chang, Shih-Bin Su, Kow-Tong Chen, Ching-Fa Cheng, Pei-Chung Chen, Tsung-Yi Lin, How-Ran Guo

Abstract readClinical Trial, Phase IIRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ning-Ping FooDepartment of Emergency Medicine, China Medical University-An Nan Hospital, Taichung, Taiwan; Department of Environmental and Occupational Health College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Emergency Medicine, Ditmanson Medical Foundation, Chiayi Christian Hospital, Chia-Yi, Taiwan.
Jer-Hao ChangDepartment of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Shih-Bin SuDepartment of Occupational Medicine, Chi-Mei Medical Center, Tainan, Taiwan; Department of Leisure, Recreation and Tourism Management, Southern Taiwan University of Science and Technology, Tainan, Taiwan.
Kow-Tong ChenDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Occupational Medicine, Tainan Municipal Hospital, Tainan, Taiwan.
Ching-Fa ChengDivision of Emergency Medical Services, Tainan City Fire Bureau, Tainan, Taiwan.
Pei-Chung ChenDepartment of Mechanical Engineering, Southern Taiwan University of Science and Technology,Tainan, Taiwan.
Tsung-Yi LinDepartment of Mechanical Engineering, Southern Taiwan University of Science and Technology,Tainan, Taiwan.
How-Ran GuoDepartment of Environmental and Occupational Health College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Occupational and Environmental Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe survival rate of patients with out-of-hospital cardiac arrest is low, and measures to improve the quality of cardiopulmonary resuscitation (CPR) during ambulance transportation are desirable. We designed a stabilization device, and in a randomized crossover trial we found performing CPR in a moving ambulance with the device (MD) could achieve better efficiency than that without the device (MND), but the efficiency was lower than that in a non-moving ambulance (NM). PURPOSE: To evaluate whether a modified version of the stabilization device, can promote further the quality of CPR during ambulance transportation.

methodsParticipants of the previous study were recruited, and they performed CPR for 10 minutes in a moving ambulance with the modified version of the stabilization device (MVSD). The primary outcomes were effective chest compressions and no-flow fraction recorded by a skill-reporter manikin. The secondary outcomes included back pain, physiological parameters, and the participants' rating about the device after performing CPR.

resultsThe overall effective compressions in 10 minutes were 86.4±17.5% for NM, 60.9±14.6% for MND, 69.7±22.4% for MD, and 86.6%±13.2% for MVSD (p<0.001). Whereas changes in back pain severity and physiology parameters were similar under all conditions, MVSD had the lowest no-flow fraction. Differences in effective compressions and the no-flow fraction between MVSD and NM did not reach statistical significance.

conclusionsThe use of the modified device can improve quality of CPR in a moving ambulance to a level similar to that in a non-moving condition without increasing the severity of back pain.

Indexed as

AmbulancesAgedBlood PressureCardiopulmonary ResuscitationFemaleHeart ArrestHeart RateHumansMaleMiddle AgedOut-of-Hospital Cardiac ArrestTransportation of Patients

Identifiers

PMID25329643
PMCPMC4198082

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.