Evidence map›Paper›PMID 33578597›Full record

Trial reportMedicine2021

Comparison of the effects of shortening rest intervals on the quality of cardiopulmonary resuscitation, physiological parameters, and hemodynamic parameters in well-trained rescuers: Randomized simulation study.

Dong Hun Kim, Sang-Min Lee, Gyun Moo Kim, Kyung Woo Lee, Seung Hyun Ko, Ye Jin Oh, Young Woo Seo, Suk Hee Lee, Tae Chang Jang

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2021. 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. Article
  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

9 authors.

Dong Hun KimDepartment of Emergency Medical Technology, Gyeongbuk Provincial College, Yecheon-gun, Gyeongsangbuk-do.
Sang-Min LeeDepartment of Emergency Medical Technology, Gyeongbuk Provincial College, Yecheon-gun, Gyeongsangbuk-do.
Gyun Moo KimDepartment of Emergency Medicine, School of Medicine, Daegu Catholic University, Daegu, Republic of Korea.
Kyung Woo LeeDepartment of Emergency Medicine, School of Medicine, Daegu Catholic University, Daegu, Republic of Korea.
Seung Hyun KoDepartment of Emergency Medicine, School of Medicine, Daegu Catholic University, Daegu, Republic of Korea.
Ye Jin OhDepartment of Emergency Medicine, School of Medicine, Daegu Catholic University, Daegu, Republic of Korea.
Young Woo SeoDepartment of Emergency Medicine, School of Medicine, Daegu Catholic University, Daegu, Republic of Korea.
Suk Hee LeeDepartment of Emergency Medicine, School of Medicine, Daegu Catholic University, Daegu, Republic of Korea.
Tae Chang JangDepartment of Emergency Medicine, School of Medicine, Daegu Catholic University, Daegu, Republic of Korea.ORCID 0000-0002-0895-5990

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiopulmonary resuscitation (CPR) performance depends on individual ability and training. Well-trained or professional rescuers can maintain high-quality CPR for longer than laypeople. This study aimed to examine the effects of reducing resting intervals on CPR performance, physiological parameters, and hemodynamic parameters during prolonged CPR in well-trained providers.

methodsThe study enrolled 90 volunteers from the paramedic students of our institution. They were randomly divided into 3 groups: 2 minutes, 1 minute 45 seconds, and 1 minute 30 seconds rest groups. Each participant performed 5 cycles of chest compression only CPR (2 min/cycle) with different resting intervals according to grouping. CPR quality, physiological variations, and hemodynamic variations were measured for each cycle and compared across the groups.

resultsOf the 90 volunteers, 79 well-trained providers were finally included. The variation of the average chest compression depth across the 5 cycles showed significant differences between the 3 groups: from cycle 1 to 2: 1.2 (3.1) mm, -0.8 (2.0) mm, and -2.0 (3.0) mm in the 2 minutes, 1 minute 45 seconds, and 1 minute 30 seconds groups, respectively (P < .001); from cycle 1 to 3: 0.0 (3.0) mm, -0.7 (3.2) mm, and -2.6 (3.9) mm, respectively (P = .030). However, all 3 groups maintained the recommended rate and chest compression depth for all 5 cycles. Physiological and hemodynamic parameters showed no significant differences between the groups.

conclusionsWell-trained providers were able to maintain high-quality CPR despite reducing rest intervals. Adjusting the rest interval may help maintain overall CPR quality in special situations or where layperson rescuers are involved.

Indexed as

Allied Health PersonnelCardiopulmonary ResuscitationChest Wall OscillationEmergency Medical TechniciansFatigueFemaleHemodynamicsHumansMalePhysiological PhenomenaProspective StudiesQuality of Health CareRestSimulation TrainingStudentsTime Factors

Identifiers

PMID33578597
PMCPMC10545398

What OpenQuestion holds

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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.