ArticleCureus2025
Real-Time Smartphone Guidance Improves Cardiopulmonary Resuscitation (CPR) Performance in Trained and Untrained Individuals: A Stratified Simulation Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
Who cites it
2 citing papers in PubMed.
- Association of a smartphone-based CPR assistance system with prehospital outcomes in out-of-hospital cardiac arrest: a pre-post observational study in Bangkok.Resuscitation plus · 2026Article
- Establishing AI-driven evaluation standards and human-in-the-loop guidance for digital first aid education: a perspective.Frontiers in public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionSudden cardiac arrest continues to be a significant cause of death globally, highlighting the importance of performing effective cardiopulmonary resuscitation (CPR). Technological advancements, such as smartphone applications (apps), offer new opportunities to enhance CPR performance. PURPOSE: This study aimed to determine whether a specifically designed smartphone app could improve the effectiveness of CPR among trained and untrained individuals in Greece, potentially contributing to better outcomes for out-of-hospital cardiac arrest (OHCA) victims.
methodsA stratified randomized controlled trial was conducted with 204 adult participants, stratified by Basic Life Support (BLS) certification and randomized to either receive real-time guidance via a smartphone app or not. All participants managed a standardized OHCA simulation using a Quality Cardiopulmonary Resuscitation (QCPR)-enabled manikin (Laerdal Medical, Stavanger, Norway).
resultsParticipants using the app demonstrated significantly higher total performance scores and step success rates compared to those without the app (p < 0.001). The effect was particularly pronounced among individuals without prior BLS certification, who achieved greater improvements in both algorithm adherence and chest compression quality. A significant interaction was observed between app use and BLS status (p = 0.001).
conclusionReal-time CPR smartphone guidance significantly improved simulated resuscitation performance in both trained and untrained individuals, with the most substantial effect observed in untrained laypersons. Such apps may help bridge the training gap and promote effective bystander intervention during cardiac arrest emergencies.
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