Trial reportCritical care (London, England)2016
Effect of the Cardio First Angel™ device on CPR indices: a randomized controlled clinical trial.
Trial report in Critical care (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02394977 (Pilot Study of the Effect of Cardio First Angel), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Pilot Study of the Effect of Cardio First Angel (CFA) Device on CPR Outcomes:
Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Rib fractures and other injuries after cardiopulmonary resuscitation for non-traumatic cardiac arrest: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- Outcomes of in-hospital cardiac arrest in COVID-19 patients: A proportional prevalence meta-analysis.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2022Pooled it
- Effect of air blowing inside isolated hospital clothing on perceptual and physiological heat strain in laboratory conditions.International journal of biometeorology · 2023Trial
- Survival to intensive care unit discharge among in-hospital cardiac arrest patients by applying audiovisual feedback device.ESC heart failure · 2021Trial
- Effect of a feedback system on the quality of 2-minute chest compression-only cardiopulmonary resuscitation: a randomised crossover simulation study.The Journal of international medical research · 2020Trial
- Trial
- Clinical Utility of a Feedback Device in High-Quality Cardiopulmonary Resuscitation: The Guardian Angel.Journal of clinical medicine · 2026Article
- Comparison of the quality of chest compressions during cardiopulmonary resuscitation with two models of automated external defibrillators: a manikin-based randomized trial.World journal of emergency medicine · 2025Article
- Release velocity ImprovemenT with a new Metronome guIding chest COmpressions: The RITMICO simulation study.Resuscitation plus · 2025Article
- The Role of Different Feedback Devices in the Survival of Patients in Cardiac Arrest: Systematic Review with Meta-Analysis.Journal of clinical medicine · 2024Review
- Real-time feedback for CPR quality - A scoping review.Resuscitation plus · 2024Article
- Application of Technology in Cardiopulmonary Resuscitation, a Narrative Review.Journal of clinical medicine · 2023Review
- Chest compression quality and patient outcomes with the use of a CPR feedback device: A retrospective study.Scientific reports · 2023Article
- Do cardiopulmonary resuscitation real-time audiovisual feedback devices improve patient outcomes? A systematic review and meta-analysis.World journal of cardiology · 2023Article
- The effect of audiovisual feedback of monitor/defibrillators on percentage of appropriate compression depth and rate during cardiopulmonary resuscitation.BMC anesthesiology · 2023Article
- Simulation-Based Training in High-Quality Cardiopulmonary Resuscitation Among Neonatal Intensive Care Unit Providers.Frontiers in pediatrics · 2022Article
- Effects of airway management and tidal volume feedback ventilation during pediatric resuscitation in piglets with asphyxial cardiac arrest.Scientific reports · 2021Article
- Do automated real-time feedback devices improve CPR quality? A systematic review of literature.Resuscitation plus · 2021Article
- [Basic life support].Notfall & rettungsmedizin · 2021Review
- Adult Basic Life Support: International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations.Resuscitation · 2020Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA number of cardiopulmonary resuscitation (CPR) adjunct devices have been developed to improve the consistency and quality of manual chest compressions. We investigated whether a CPR feedback device would improve CPR quality and consistency, as well as patient survival.
methodsWe conducted a randomized controlled study of patients undergoing CPR for cardiac arrest in the mixed medical-surgical intensive care units of four academic teaching hospitals. Patients were randomized to receive either standard manual CPR or CPR using the Cardio First Angel™ CPR feedback device. Recorded variables included guideline adherence, CPR quality, return of spontaneous circulation (ROSC) rates, and CPR-associated morbidity.
resultsA total of 229 subjects were randomized; 149 were excluded; and 80 were included. Patient demographics were similar. Adherence to published CPR guidelines and CPR quality was significantly improved in the intervention group (p < 0.0001), as were ROSC rates (72 % vs. 35 %; p = 0.001). A significant decrease was observed in rib fractures (57 % vs. 85 %; p = 0.02), but not sternum fractures (5 % vs. 17 %; p = 0.15).
conclusionsUse of the Cardio First Angel™ CPR feedback device improved adherence to published CPR guidelines and CPR quality, and it was associated with increased rates of ROSC. A decrease in rib but not sternum fractures was observed with device use. Further independent prospective validation is warranted to determine if these results are reproducible in other acute care settings.
trial registrationClinicalTrials.gov identifier: NCT02394977 . Registered on 5 Mar 2015.
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Registered trials
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.