Evidence map›Paper›PMID 38077106›Full record

ArticleEmergency medicine international2023

Impact of Personal Protective Equipment on Cardiopulmonary Resuscitation and Rescuer Safety.

Cheng-Hsin Cheng, Ya-Yun Cheng, Mei-Kang Yuan, Yow-Jer Juang, Xuan-Yu Zeng, Chung-Yu Chen, Ning-Ping Foo

Registry-linked trialAbstract read
In one paragraph

Article in Emergency medicine international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04802109 (The Impact of Rescuer Fatigue and Quality During Cardiopulmonary Resuscitation by Using Personal Protective Equipment. A Randomized Controlled Crossover Trial.), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04802109 nacompletednot on this map

The Impact of Rescuer Fatigue and Quality During Cardiopulmonary Resuscitation by Using Personal Protective Equipment. A Randomized Controlled Crossover Trial.

TypeinterventionalSponsorAn-Nan Hospital, China Medical UniversityRan2021 to 2021Enrolled40ConditionsCardiac ArrestArmswearing level D personal protective equipment, wearing Level C personal protective equipment with N-95, wearing Level C personal protective equipment with Powered Air-Purifying Respiratory
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

7 authors.

Cheng-Hsin ChengGraduate Institute of Medical Sciences, Chang Jung Christian University, Tainan, Taiwan.ORCID https://orcid.org/0000-0002-9399-3843
Ya-Yun ChengSchool of Medicine, College of Medicine, National Sun Yat-sen University, Kaohsiung, Taiwan.ORCID https://orcid.org/0000-0003-2571-4707
Mei-Kang YuanDepartment of Radiology, An Nan Hospital, China Medical University, Tainan, Taiwan.ORCID https://orcid.org/0000-0003-1619-835X
Yow-Jer JuangDepartment of Occupational Safety and Health, School of Safety and Health Sciences, Chang Jung Christian University, Tainan, Taiwan.ORCID https://orcid.org/0000-0003-2388-5633
Xuan-Yu ZengDepartment of Occupational Safety and Health, School of Safety and Health Sciences, Chang Jung Christian University, Tainan, Taiwan.ORCID https://orcid.org/0009-0000-4561-0476
Chung-Yu ChenDepartment of Occupational Safety and Health, School of Safety and Health Sciences, Chang Jung Christian University, Tainan, Taiwan.ORCID https://orcid.org/0000-0003-3507-2066
Ning-Ping FooDepartment of Emergency Medicine, An Nan Hospital, China Medical University, Tainan, Taiwan.ORCID https://orcid.org/0000-0002-3382-0051

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: High-quality cardiopulmonary resuscitation (CPR) is a key element in the rescue of cardiac arrest patients but is difficult to achieve in circumstances involving aerosol transmission, such as the COVID-19 pandemic. Methods: This prospective randomized crossover trial included 30 experienced health care providers to evaluate the impact of personal protective equipment (PPE) on CPR quality and rescuer safety. Participants were asked to perform continuous CPR for 5 minutes on a manikin with three types of PPE: level D-PPE, level C-PPE, and PAPR. The primary outcome was effective chest compression per minute. Secondary outcomes were the fit factor by PortaCount, vital signs and fatigue scores before and after CPR, and perceptions related to wearing PPE. Repeated-measures ANOVA was used, and a two-tailed test value of 0.05 was considered statistically significant. Results: The rates of effective chest compressions for 5 minutes with level D-PPE, level C-PPE, and PAPRs were 82.0 ± 0.2%, 78.4 ± 0.2%, and 78.0 ± 0.2%, respectively ( Conclusion: PAPRs are recommended when performing CPR in situations where aerosol transmission is suspected. When PAPRs are in short supply, individual fit-tested N95 masks are an alternative. This trial is registered with NCT04802109.

Identifiers

PMID38077106
PMCPMC10703537

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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.