Video-assisted bystander cardiopulmonary resuscitation improves the quality of chest compressions during simulated cardiac arrests: A systemic review and meta-analysis  

作　　者：Dong-Feng Pan Zheng-Jun Li Xin-Zhong Ji Li-Ting Yang Pei-Feng Liang 

机构地区：[1]Department of Emergency Medicine,The First Affiliated Hospital of Northwest Minzu University,People’s Hospital of Ningxia Hui Autonomous Region,Yinchuan 750002,Ningxia Hui Autonomous Region,China [2]Department of Emergency Medicine,People’s Hospital of Ningxia Hui Autonomous Region,Yinchuan 750002,Ningxia Hui Autonomous Region,China [3]Department of Emergency Medicine,The Third Clinical Medical College of Ningxia Medical University,Yinchuan 750002,Ningxia Hui Autonomous Region,China [4]Department of Medicine Statistics,People’s Hospital of Ningxia Hui Autonomous Region,Yinchuan 750002,Ningxia Hui Autonomous Region,China

出　　处：《World Journal of Clinical Cases》2022年第31期11442-11453,共12页世界临床病例杂志

基　　金：Supported by the Fundamental Research Funds for the Central Universities,Northwest Minzu University,Grant No.31920170180.

摘　　要：BACKGROUND It remains unclear whether video aids can improve the quality of bystander cardiopulmonary resuscitation(CPR).AIM To summarize simulation-based studies aiming at improving bystander CPR associated with the quality of chest compression and time-related quality parameters.METHODS The systematic review was conducted according to the PRISMA guidelines.All relevant studies were searched through PubMed,EMBASE,Medline and Cochrane Library databases.The risk of bias was evaluated using the Cochrane collaboration tool.RESULTS A total of 259 studies were eligible for inclusion,and 6 randomised controlled trial studies were ultimately included.The results of meta-analysis indicated that video-assisted CPR(V-CPR)was significantly associated with the improved mean chest compression rate[OR=0.66(0.49-0.82),P<0.001],and the proportion of chest compression with correct hand positioning[OR=1.63(0.71-2.55),P<0.001].However,the difference in mean chest compression depth was not statistically significant[OR=0.18(-0.07-0.42),P=0.15],and V-CPR was not associated with the time to first chest compression compared to telecommunicator CPR[OR=-0.12(-0.88-0.63),P=0.75].CONCLUSION Video real-time guidance by the dispatcher can improve the quality of bystander CPR to a certain extent.However,the quality is still not ideal,and there is a lack of guidance caused by poor video signal or inadequate interaction.

关 键 词：Dispatcher-assisted cardiopulmonary resuscitation Video Quality of chest compressions Simulated cardiac arrests 

分 类 号：R541.78[医药卫生—心血管疾病]