Evidence map›Paper›PMID 34934996›Full record

ReviewResuscitation plus2021

Cardiopulmonary resuscitation and defibrillation for cardiac arrest when patients are in the prone position: A systematic review.

Cindy H Hsu, Julie Considine, Rahul D Pawar, Jacqueline Cellini, Stephen M Schexnayder, Jasmeet Soar, Theresa M Olasveengen, Katherine M Berg, Advanced Life Support, Basic Life Support, Paediatric Life Support Task Forces at the International Liaison Committee on Resuscitation ILCOR

Open access · goldAbstract readReview
In one paragraph

Review in Resuscitation plus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
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

5 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. 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 at 7 institutions in 4 countries.

Cindy H HsuDepartment of Emergency Medicine, Michigan Center for Integrative Research in Critical Care, and Department of Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.
Julie ConsidineSchool of Nursing and Midwifery and Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, Geelong, Australia, Centre for Quality and Patient Safety Research - Eastern Health Partnership, Box Hill, Australia.
Rahul D PawarCenter for Resuscitation Science, Division of Hospital Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Jacqueline CelliniCountway Library, Harvard Medical School, Harvard University, Boston, MA, USA.
Stephen M SchexnayderUniversity of Arkansas for Medical Sciences/Arkansas Children's Hospital, Little Rock, AR, USA.
Jasmeet SoarAnaesthesia and Intensive Care Medicine, Southmead Hospital, Bristol, United Kingdom.
Theresa M OlasveengenDivision of Emergencies and Critical Care, University of Oslo, Oslo, Norway.
Katherine M BergCenter for Resuscitation Science, Department of Emergency Medicine, Department of Medicine, Division of Pulmonary Critical Care, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Advanced Life Support, Basic Life Support, Paediatric Life Support Task Forces at the International Liaison Committee on Resuscitation ILCOR
Beth Israel Deaconess Medical Center · USArkansas Children's Hospital · USBoston Public Library · USEastern Health · AUSouthmead Hospital · GBUniversity of Michigan–Ann Arbor · USUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo perform a systematic review of cardiopulmonary resuscitation (CPR) and/or defibrillation in the prone position compared to turning the patient supine prior to starting CPR and/or defibrillation.

methodsThe search included PubMed, Embase, Web of Science, Cochrane, CINAHL Plus, and medRxiv on December 9, 2020. The population included adults and children in any setting with cardiac arrest while in the prone position. The outcomes included arterial blood pressure and end-tidal capnography during CPR, time to start CPR and defibrillation, return of spontaneous circulation, survival and survival with favorable neurologic outcome to discharge, 30 days or longer. ROBINS-I was performed to assess risk of bias for observational studies.

resultsThe systematic review identified 29 case reports (32 individual cases), two prospective observational studies, and two simulation studies. The observational studies enrolled 17 patients who were declared dead in the supine position and reported higher mean systolic blood pressure from CPR in prone position (72 mmHg vs 48 mmHg,

conclusionsWe identified a limited number of observational studies and case reports comparing prone versus supine CPR and/or defibrillation. Prone CPR may be a reasonable option if immediate supination is difficult or poses unacceptable risks to the patient.

Indexed as

Advanced Life SupportBasic Life SupportCardiac arrestCardiopulmonary resuscitationCOVID-19DefibrillationILCORProneSystematic review

Identifiers

PMID34934996
PMCPMC8654624
OpenAlexW4200064510

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.