Evidence map›Paper›PMID 30338845›Full record

Trial reportCardiology journal2019

The effect of chest compression frequency on the quality of resuscitation by lifeguards. A prospective randomized crossover multicenter simulation trial.

Jacek Smereka, Łukasz Iskrzycki, Elżbieta Makomaska-Szaroszyk, Karol Bielski, Michael Frass, Oliver Robak, Kurt Ruetzler, Michael Czekajło, Antonio Rodríguez-Núnez, Jesús López-Herce and 1 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cardiology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
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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

11 authors.

Jacek SmerekaDepartment of Emergency Medical Service, Wroclaw Medical University, Wroclaw, Poland., Wroclaw, Poland.
Łukasz IskrzyckiDepartment of Emergency Medical Service, Wroclaw Medical University, Wroclaw, Poland., Wroclaw, Poland.
Elżbieta Makomaska-SzaroszykLazarski University, Warsaw, Poland.
Karol BielskiLazarski University, Warsaw, Poland.
Michael FrassDepartment of Internal Medicine I, Medical University of Vienna, Vienna, Austria.
Oliver RobakDepartment of Internal Medicine I, Medical University of Vienna, Vienna, Austria.
Kurt RuetzlerDepartments of Outcomes Research and General Anesthesia, Cleveland Clinic, Cleveland, OH, USA., Cleveland, United States.
Michael CzekajłoHounter Holmes McGuire Center for Simulation and Healthcare, Virginia Commonwealth University, Richmond, VA, USA, Richmond, United States.
Antonio Rodríguez-NúnezPaediatric Emergency and Critical Care Division, Paediatric Area Hospital Clinico Universitario de Santiago de Compostela, Santiago de Compostela, Spain., Santiago de Compostela, Spain.
Jesús López-HercePaediatric Intensive Care Department, Hospital General Universitario Gregorio Marannón, Medical School, Complutense University of Madrid, Madrid, Spain., Madrid, Spain.
Łukasz SzarpakLazarski University, Warsaw, Poland. lukasz.szarpak@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ability to perform high-quality cardiopulmonary resuscitation is one of the basic skills for lifeguards. The aim of the study was to assess the influence of chest compression frequency on the quality of the parameters of chest compressions performed by lifeguards.

methodsThis prospective observational, randomized, crossover simulation study was performed with 40 lifeguards working in Warsaw, Wroclaw, and Poznan, Poland. The subjects then participated in a target study, in which they were asked to perform 2-min cycles of metronome-guided chest compressions at different rates: 80, 90, 100, 110, 120, 130, 140, and 150 compressions per minute (CPM).

resultsThe study involved 40 lifeguards. Optimal chest compression score calculated by manikin software was achieved for 110-120 CPM. Chest compression depth achieved 53 (interquartile range [IQR] 52-54) mm, 56 (IQR 54-57) mm, 52.5 (IQR 50-54) mm, 53 (IQR 52-53) mm, 50 (IQR 49-51) mm, 47 (IQR 44-51) mm, 41 (IQR 40-42) mm, 38 (IQR 38-43) mm for 80, 90, 100, 110, 120, 130, 140 and 150 CPM, respectively. The percentage of chest compressions with the correct depth was lower for rates exceeding 120 CPM.

conclusionsThe rate of 100-120 CPM, as recommended by international guidelines, is the optimal chest compression rate for cardiopulmonary resuscitation performed by lifeguards. A rate above 120 CPM was associated with a dramatic decrease in chest compression depth and overall chest compression quality. The role of full chest recoil should be emphasized in basic life support training.

Indexed as

Cardiopulmonary ResuscitationEmergency RespondersHeart MassageManikinsSimulation TrainingSwimming PoolsAdultCross-Over StudiesDeath, Sudden, CardiacFemaleHumansMalePolandPressureProspective StudiesTask Performance and Analysiscardiopulmonary resuscitationchest compressionlifeguardmedical simulationquality

Identifiers

PMID30338845
PMCPMC8083023

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.