Evidence map›Paper›PMID 36039599›Full record

ArticleClinical and experimental emergency medicine2022

Neurologic outcomes of prehospital mechanical chest compression device use during transportation of out-of-hospital cardiac arrest patients: a multicenter observational study.

Chanhong Min, Dong Eun Lee, Hyun Wook Ryoo, Haewon Jung, Jae Wan Cho, Yun Jeong Kim, Jae Yun Ahn, Jungbae Park, You Ho Mun, Tae Chang Jang and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Clinical and experimental emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Observational
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 at 4 institutions in 1 country.

Chanhong MinDepartment of Emergency Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea.
Dong Eun LeeDepartment of Emergency Medicine, Kyungpook National University Chilgok Hospital, Kyungpook National University School of Medicine, Daegu, Korea.
Hyun Wook RyooDepartment of Emergency Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea.
Haewon JungDepartment of Emergency Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea.
Jae Wan ChoDepartment of Emergency Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea.
Yun Jeong KimDepartment of Emergency Medicine, Kyungpook National University Chilgok Hospital, Kyungpook National University School of Medicine, Daegu, Korea.
Jae Yun AhnDepartment of Emergency Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea.
Jungbae ParkDepartment of Emergency Medicine, Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea.
You Ho MunDepartment of Emergency Medicine, Yeungnam University College of Medicine, Daegu, Korea.
Tae Chang JangDepartment of Emergency Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.
Sang-Chan JinDepartment of Emergency Medicine, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.
Kyungpook National University Hospital · KRDaegu Catholic University · KRKeimyung University Dongsan Medical Center · KRYeungnam University College

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHigh-quality cardiopulmonary resuscitation with chest compression is important for good neurologic outcomes during out-of-hospital cardiac arrest (OHCA). Several types of mechanical chest compression devices have recently been implemented in Korean emergency medical services. This study aimed to identify the effect of prehospital mechanical chest compression device use on the outcomes of OHCA patients.

methodsWe retrospectively analyzed data drawn from the regional cardiac arrest registry in Daegu, Korea. This registry prospectively collected data from January 2017 to December 2020. Patients aged 18 years or older who experienced cardiac arrest presumed to have a medical etiology were included. The exposure variable was the use of a prehospital mechanical device during transportation by emergency medical technicians. The outcomes measured were neurologic outcomes and survival to discharge. Logistic regression analysis was used.

resultsAmong 3,230 OHCA patients, 1,111 (34.4%) and 2,119 (65.6%) were managed with manual chest compression and with a mechanical chest compression device, respectively. The mechanical chest compression group showed poorer neurologic outcomes than the manual chest compression group (adjusted odds ratio, 0.12; 95% confidence interval, 0.04-0.33) and decreased survival to discharge (adjusted odds ratio, 0.39; 95% confidence interval, 0.19-0.82) after adjustment for confounding variables.

conclusionPrehospital mechanical chest compression device use in OHCA was associated with poorer neurologic outcomes and survival to discharge compared to manual chest compression.

Indexed as

Cardiopulmonary resuscitationEmergency medical servicesOut-of-hospital cardiac arrest

Identifiers

PMID36039599
PMCPMC9561205
OpenAlexW4293543319

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.