The effect of mechanical chest compression device on resuscitation in patients with cardiac arrest: A meta-analysis
10.3760/cma.j.issn.1671-0282.2021.03.015
- VernacularTitle:机械心肺复苏对心脏骤停患者复苏效果影响的Meta分析
- Author:
Qingyun GONG
;
Pengcheng ZHAO
;
Di WANG
;
Zheng QIN
;
Chunyu LI
;
Cheng ZHANG
;
Shuang LOU
;
Xufeng CHEN
;
Jingsong ZHANG
;
Yan CHEN
- From:
Chinese Journal of Emergency Medicine
2021;30(3):342-350
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of mechanical chest compression device in patients with cardiac arrest.Methods:The relevant literatures about mechanical cardiopulmonary resuscitation and manual cardiopulmonary resuscitation were systematically searched from China Knowledge Network (CNKI), VIP, Wanfang, PubMed, Web of Science and other databases. The effective data were extracted and analyzed by RevMan5.3 software.Results:A total of 20 clinical studies involving 29 727 patients were included, of which 11 104 patients received mechanical cardiopulmonary resuscitation and 18 623 patients received traditional manual cardiopulmonary resuscitation. The results of meta-analysis showed that mechanical cardiopulmonary resuscitation could not effectively improve the restoration of spontaneous circulation (ROSC) rate, admission survival rate, discharge survival rate and neurological prognosis in patients with cardiac arrest compared with manual cardiopulmonary resuscitation. ROSC occurrence rate ( RR=1.10, 95% CI: 0.99-1.23, P<0.01), admission survival rate ( RR=1.01, 95% CI: 0.95-1.08, P=0.67), discharge survival rate ( RR=1.00, 95% CI: 0.86-1.15, P=0.14), and good neurological function rate ( RR=0.81, 95% CI: 0.61-1.06, P=0.69) showed no significant differences between the mechanical cardiopulmonary resuscitation and manual cardiopulmonary resuscitation. Conclusions:Mechanical chest compression device has no advantage compared with manual cardiopulmonary resuscitation. Mechanical cardiopulmonary resuscitation is not recommended to completely replace manual chest compression in cardiopulmonary resuscitation.
