Evidence map›Paper›PMID 30759140›Full record

SynthesisPloS one2019

Interventions to improve the quality of bystander cardiopulmonary resuscitation: A systematic review.

Kuan-Yu Chen, Ying-Chih Ko, Ming-Ju Hsieh, Wen-Chu Chiang, Matthew Huei-Ming Ma

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. How to evaluate first aid skills after training: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022
    Pooled it
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  5. Relief Alternatives during Resuscitation: Instructions to Teach Bystanders. A Randomized Control Trial.International journal of environmental research and public health · 2020
    Trial
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  16. Cardiac arrest: An interdisciplinary scoping review of clinical literature from 2020.Journal of the American College of Emergency Physicians open · 2022
    Article
  17. Importance of Immediate Electronic-Based Feedback to Enhance Feedback for First-Time CPR Trainees.International journal of environmental research and public health · 2021
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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

5 authors.

Kuan-Yu ChenCollege of Medicine, National Taiwan University, Taipei, Taiwan.
Ying-Chih KoDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Ming-Ju HsiehDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Wen-Chu ChiangDepartment of Emergency Medicine, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin County, Taiwan.
Matthew Huei-Ming MaCollege of Medicine, National Taiwan University, Taipei, Taiwan.ORCID 0000-0002-4388-9984

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerforming high-quality bystander cardiopulmonary resuscitation (CPR) improves the clinical outcomes of victims with sudden cardiac arrest. Thus far, no systematic review has been performed to identify interventions associated with improved bystander CPR quality.

methodsWe searched Ovid MEDLINE, Ovid EMBASE, EBSCO CINAHL, Ovid PsycInfo, Thomson Reuters SCI-EXPANDED, and the Cochrane Central Register of Controlled Trials to retrieve studies published from 1 January 1966 to 5 October 2018 associated with interventions that could improve the quality of bystander CPR. Data regarding participant characteristics, interventions, and design and outcomes of included studies were extracted.

resultsOf the initially identified 2,703 studies, 42 were included. Of these, 32 were randomized controlled trials. Participants included adults, high school students, and university students with non-medical professional majors. Interventions improving bystander CPR quality included telephone dispatcher-assisted CPR (DA-CPR) with simplified or more concrete instructions, compression-only CPR, and other on-scene interventions, such as four-hand CPR for elderly rescuers, kneel on opposite sides for two-person CPR, and CPR with heels for a tired rescuer. Devices providing real-time feedback and mobile devices containing CPR applications or software were also found to be beneficial in improving the quality of bystander CPR. However, using mobile devices for improving CPR quality or for assisting DA-CPR might cause rescuers to delay starting CPR.

conclusionsTo further improve the clinical outcomes of victims with cardiac arrest, these effective interventions may be included in the guidelines for bystander CPR.

Indexed as

Cardiopulmonary ResuscitationFemaleHumansMaleOut-of-Hospital Cardiac ArrestRandomized Controlled Trials as Topic

Identifiers

PMID30759140
PMCPMC6373936

What OpenQuestion holds

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LicenceCC BY
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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.