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Chest compression components (rate, depth, chest wall recoil and leaning): A scoping review

 Julie Considine  ;  Raúl J Gazmuri  ;  Gavin D Perkins  ;  Peter J Kudenchuk  ;  Theresa M Olasveengen  ;  Christian Vaillancourt  ;  Chika Nishiyama  ;  Tetsuo Hatanaka  ;  Mary E Mancini  ;  Sung Phil Chung  ;  Raffo Escalante-Kanashiro  ;  Peter Morley 
 RESUSCITATION, Vol.146 : 188-202, 2020-01 
Journal Title
Issue Date
Cardiopulmonary Resuscitation / methods* ; Cardiopulmonary Resuscitation / standards ; Heart Arrest / therapy* ; Heart Massage* / methods ; Heart Massage* / standards ; Heart Massage* / statistics & numerical data ; Humans ; Practice Guidelines as Topic
Resuscitation ; Cardiopulmonary resuscitation ; CPR ; Chest compression ; Basic life support ; Advanced life support ; Scoping review
Aim: To understand whether the science to date has focused on single or multiple chest compression components and identify the evidence related to chest compression components to determine the need for a full systematic review. Methods: This review was undertaken by members of the International Liaison Committee on Resuscitation and guided by a specific methodological framework and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). Studies were eligible for inclusion if they were peer-reviewed human studies that examined the effect of different chest compression depths or rates, or chest wall or leaning, on physiological or clinical outcomes. The databases searched were MEDLINE complete, Embase, and Cochrane. Results: Twenty-two clinical studies were included in this review: five observational studies involving 879 patients examined both chest compression rate and depth; eight studies involving 14,285 patients examined chest compression rate only; seven studies involving 12001 patients examined chest compression depth only, and two studies involving 1848 patients examined chest wall recoil. No studies were identified that examined chest wall leaning. Three studies reported an inverse relationship between chest compression rate and depth. Conclusion: This scoping review did not identify sufficient new evidence that would justify conducting new systematic reviews or reconsideration of current resuscitation guidelines. This scoping review does highlight significant gaps in the research evidence related to chest compression components, namely a lack of high-level evidence, paucity of studies of in-hospital cardiac arrest, and failure to account for the possibility of interactions between chest compression components.
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1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Chung, Sung Phil(정성필) ORCID logo https://orcid.org/0000-0002-3074-011X
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