Evidence map›Paper›PMID 40999351›Full record

ArticleBMC emergency medicine2025

Optimizing CPR performance: the role of body composition and ergonomic positioning.

Tayfun Aygun, Olcay Karaoglu, Hakan Senturk, Arif Keskin, Nurullah Yucel, Gulam Hekimoglu

Abstract read
In one paragraph

Article in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Tayfun AygunDepartment of Anatomy, Faculty of Medicine, Giresun University, Giresun, Turkey.ORCID http://orcid.org/0000-0001-5058-3513
Olcay KaraogluEmergency and First Aid Program, Gumushane University, Gumushane, Turkey.ORCID http://orcid.org/0000-0001-8884-2787
Hakan SenturkEmergency and First Aid Program, Giresun University, Giresun, Turkey.ORCID http://orcid.org/0000-0002-6576-5827
Arif KeskinDepartment of Anatomy, Faculty of Medicine, Giresun University, Giresun, Turkey.ORCID http://orcid.org/0000-0002-1634-1091
Nurullah YucelDepartment of Anatomy, Hamidiye International Faculty of Medicine, University of Health Sciences, Istanbul, Turkey.ORCID http://orcid.org/0000-0003-2689-4287
Gulam HekimogluDepartment of Histology and Embryology, International Faculty of Medicine, University of Health Sciences, Istanbul, Turkey. gulam.hekimoglu@sbu.edu.tr.ORCID http://orcid.org/0000-0002-5027-6756

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuality cardiopulmonary resuscitation (CPR) is associated with improved survival rates in prehospital arrest cases. Although CPR guidelines emphasize compression depth, rate, and recoil, individual anatomical and biomechanical factors influencing CPR performance remain underexplored. This study aims to determine the optimal CPR position by focusing on individual positional conditions and anthropometric data to improve CPR effectiveness and guide team member selection in emergency scenarios.

methodsA cross-sectional study involving 123 paramedic associate degree students was conducted. Anthropometric measurements including upper extremity length, biceps circumference, and femur length were obtained. CPR performance was assessed using a feedback-capable mannequin, with data collected on compression depth, frequency, rhythm quality, and compression/decompression ratios. Positional parameters such as knee and hip angles, distance between knees, and distance from the mannequin were recorded and analyzed in relation to CPR outcomes.

resultsMale participants demonstrated significantly higher CPR quality scores than females (65.09 ± 28.26 vs. 48.85 ± 27.11, p = 0.004). Positive correlations were found between BMI (r = 0.239, p = 0.008), upper extremity length (r = 0.364, p < 0.001), biceps circumference (r = 0.350, p < 0.001), and CPR quality metrics. A moderate inter-knee position (shoulder-width distance) provided superior compression depth and rhythm stability compared to narrow or wide positions (p < 0.001).

conclusionAnthropometric and positional factors significantly influence CPR performance. Emergency team members with appropriate physical profiles (e.g., greater muscle mass, limb length, BMI) and adopting occupational ergonomic factors (e.g., moderate knee range, limited joint flexion) may improve CPR quality in the prehospital setting.

Indexed as

Body CompositionCardiopulmonary ResuscitationErgonomicsPostureAdultAnthropometryCross-Sectional StudiesFemaleHumansMaleManikinsYoung AdultBiomechanicsCardiopulmonary resuscitationErgonomicsHeart massage

Identifiers

PMID40999351
PMCPMC12465347

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LicenceCC BY-NC-ND
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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.