SynthesisThe American journal of emergency medicine2021
Impact of personal protective equipment on the effectiveness of chest compression - A systematic review and meta-analysis.
Synthesis in The American journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Influence of Personal Protective Equipment on the Quality of Chest Compressions: A Meta-Analysis of Randomized Controlled Trials.Frontiers in medicine · 2021Pooled it
- Impact of personal protective equipment on the effectiveness of chest compression - A systematic review and meta-analysis.The American journal of emergency medicine · 2021Pooled it
- How effective are chest compressions when wearing mask? A randomised simulation study among first-year health care students during the COVID-19 pandemic.BMC emergency medicine · 2022Trial
- Analysis of Physiological Response during Cardiopulmonary Resuscitation with Personal Protective Equipment: A Randomized Crossover Study.International journal of environmental research and public health · 2021Trial
- Use of personal protective equipment and cognitive load during cardiopulmonary resuscitation - A randomized cross-over simulation-based study.Resuscitation plus · 2025Article
- Article
- Under Armour - Use of personal protective equipment for simulated CPR of COVID-19 patients: an observational study.Antimicrobial resistance and infection control · 2024Observational
- COVID-19-specific adult basic life support guideline strategies for chiropractors and other healthcare providers to maximize the safety and efficacy of resuscitation: a commentary.Chiropractic & manual therapies · 2023Review
- Effects of personal protective equipment on cardiopulmonary resuscitation quality and outcomes: A systematic review.Resuscitation plus · 2023Article
- Impact of COVID-19 on Out-of-Hospital Cardiac Arrest in Korea.Journal of Korean medical science · 2023Article
- COVID-19 CPR-Impact of Personal Protective Equipment during a Simulated Cardiac Arrest in Times of the COVID-19 Pandemic: A Prospective Comparative Trial.Journal of clinical medicine · 2022Article
- A Simulation Study Using a Quality Cardiopulmonary Resuscitation Medical Manikin to Evaluate the Effects of Using Personal Protective Equipment on Performance of Emergency Resuscitation by Medical Students from the University of Silesia, Katowice, Poland and Non-Medical Personnel.Medical science monitor : international medical journal of experimental and clinical research · 2022Article
- How to Maintain Safety and Maximize the Efficacy of Cardiopulmonary Resuscitation in COVID-19 Patients: Insights from the Recent Guidelines.Journal of clinical medicine · 2021Review
- Impact of Personal Protective Equipment on Out-of-Hospital Cardiac Arrest Resuscitation in Coronavirus Pandemic.Medicina (Kaunas, Lithuania) · 2021Article
- Evaluation of a revised resuscitation protocol for out-of-hospital cardiac arrest patients due to COVID-19 safety protocols: a single-center retrospective study in Japan.Scientific reports · 2021Observational
- Effect of Wearing Personal Protective Equipment (PPE) on CPR Quality in Times of the COVID-19 Pandemic-A Simulation, Randomised Crossover Trial.Journal of clinical medicine · 2021Article
- Out-of-Hospital Cardiac Arrest in London during the COVID-19 pandemic.Resuscitation plus · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesTo assess the impact of personal protective equipment (PPE) on different aspects of chest compression (CC) during cardiopulmonary resuscitation, we conducted this study.
methodsThis systematic review was performed according to the PRISMA. We searched PubMed, EMBASE and Web of Science from inception to June-6, 2020, limiting to the studies that reported the comparison of the effectiveness of CC in terms of CC rate, CC depth, the proportion of adequate CC rate, the proportion of adequate CC depth or proportion of adequate recoil; in study arms with or without PPE. Risk of bias was assessed by the ROB-2 and ROBINS-I tool. Quantitative data synthesis was done using the generic inverse variance method and the fixed-effects model.
resultsFive simulation-based studies were finally included. A Significant decrease in CC rate (SMD: -0.28, 95%CI: -0.47 to -0.10) and CC depth (SMD: -0.26, 95%CI: -0.44 to -0.07) were observed in the PPE arm as compared to the no-PPE arm. The difference in CC rate was more prominently seen in adult CPR than in paediatric CPR. Without PPE, the proportion of adequate CC rate delivered was 0.74, which reduced significantly to 0.60 after use of PPE (p - 0.035). Similarly, the proportion of adequate CC depth was significantly lesser (p - 0.001) in PPE arm (0.55), as compared to that of the no-PPE arm (0.78).
conclusionThe use of PPE compromises the quality of CC during CPR significantly, and newer ways to deliver chest compression has to be investigated. This study was prospectively registered in PROSPERO (CRD42020192031).
Indexed as
Identifiers
What OpenQuestion holds
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.