PMID- 25754453
OWN - NLM
STAT- MEDLINE
DCOM- 20170104
LR  - 20190117
IS  - 1728-7731 (Electronic)
IS  - 1726-4901 (Linking)
VI  - 78
IP  - 6
DP  - 2015 Jun
TI  - Effectiveness of mechanical chest compression for out-of-hospital cardiac arrest 
      patients in an emergency department.
PG  - 360-3
LID - S1726-4901(15)00009-X [pii]
LID - 10.1016/j.jcma.2015.01.005 [doi]
AB  - BACKGROUND: To increase the chance of restoring spontaneous circulation, 
      cardiopulmonary resuscitation (CPR) with high-quality chest compressions is 
      needed. We hypothesized that, in a municipal hospital emergency department, the 
      outcome in nontraumatic out-of-hospital cardiac arrest patients treated with 
      standard CPR followed by mechanical chest compression (MeCC) was not inferior to 
      that followed by manual chest compression (MaCC). The purposes of the study were 
      to test our hypothesis and investigate whether the use of MeCC decreased human 
      power demands for CPR. METHODS: A total of 455 consecutive out-of-hospital 
      cardiac arrest patients of presumed cardiac etiology were divided into two groups 
      according to the chest compressions they received (MaCC or MeCC) in this 
      retrospective review study. Human power demand for CPR was described according to 
      the Basic Life Support/Advanced Cardiovascular Life Support guidelines and the 
      device handbook. The primary endpoint was recovery of spontaneous circulation 
      during resuscitation, and the secondary endpoints were survival to hospital 
      admission and medical human power demands. RESULTS: In this study, recovery of 
      spontaneous circulation was achieved in 33.3% of patients in the MeCC group and 
      in 27.1% in the MaCC group (p = 0.154), and the percentages of patients who 
      survived hospitalization were 22.2% and 17.6%, respectively (p = 0.229). A ratio 
      of 2:4 for the human power demand for CPR between the groups was found. 
      Independent predictors of survival to hospitalization were ventricular 
      fibrillation/pulseless ventricular tachycardia as initial rhythm and recovery of 
      spontaneous circulation. CONCLUSION: No difference was found in early survival 
      between standard CPR performed with MeCC and that performed with MaCC. However, 
      the use of the MeCC device appears to promote staff availability without waiving 
      patient care in the human power-demanding emergency departments of Taiwan 
      hospitals.
CI  - Copyright (c) 2015. Published by Elsevier Taiwan.
FAU - Lin, Ching-Kuo
AU  - Lin CK
AD  - Department of Emergency Medicine, Kaohsiung Municipal Ta-Tung Hospital, 
      Kaohsiung, Taiwan, ROC; Department of Emergency Medicine, Kaohsiung Medical 
      University Hospital, Kaohsiung, Taiwan, ROC; Department of Surgery, Faculty of 
      Medicine, School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, 
      ROC.
FAU - Huang, Mei-Chin
AU  - Huang MC
AD  - Department of Nursery, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan, 
      ROC.
FAU - Feng, Yu-Tung
AU  - Feng YT
AD  - Graduate Institute of Healthcare Administration and Medical Informatics, 
      Kaohsiung Medical University, Kaohsiung, Taiwan, ROC.
FAU - Jeng, Wei-Hsuan
AU  - Jeng WH
AD  - Department of Emergency Medicine, Kaohsiung Municipal Ta-Tung Hospital, 
      Kaohsiung, Taiwan, ROC; Department of Emergency Medicine, Kaohsiung Medical 
      University Hospital, Kaohsiung, Taiwan, ROC; Department of Surgery, Faculty of 
      Medicine, School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, 
      ROC.
FAU - Chung, Te-Cheng
AU  - Chung TC
AD  - Department of Emergency Medicine, Kaohsiung Municipal Ta-Tung Hospital, 
      Kaohsiung, Taiwan, ROC; Department of Emergency Medicine, Kaohsiung Medical 
      University Hospital, Kaohsiung, Taiwan, ROC; Department of Surgery, Faculty of 
      Medicine, School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, 
      ROC.
FAU - Lau, Yu-Wa
AU  - Lau YW
AD  - Department of Emergency Medicine, Kaohsiung Municipal Ta-Tung Hospital, 
      Kaohsiung, Taiwan, ROC; Department of Emergency Medicine, Kaohsiung Medical 
      University Hospital, Kaohsiung, Taiwan, ROC; Department of Surgery, Faculty of 
      Medicine, School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, 
      ROC.
FAU - Cheng, Kuang-I
AU  - Cheng KI
AD  - Department of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung, 
      Taiwan, ROC; Department of Anesthesiology, Faculty of Medicine, School of 
      Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC. Electronic 
      address: kuaich@kmu.edu.tw.
LA  - eng
PT  - Journal Article
DEP - 20150305
PL  - Netherlands
TA  - J Chin Med Assoc
JT  - Journal of the Chinese Medical Association : JCMA
JID - 101174817
SB  - IM
MH  - Aged
MH  - Cardiopulmonary Resuscitation/*methods
MH  - Emergency Service, Hospital
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Out-of-Hospital Cardiac Arrest/mortality/*therapy
MH  - Retrospective Studies
OTO - NOTNLM
OT  - cardiac arrest
OT  - cardiopulmonary resuscitation
OT  - emergency department crowding
OT  - mechanical chest compression
EDAT- 2015/03/11 06:00
MHDA- 2017/01/05 06:00
CRDT- 2015/03/11 06:00
PHST- 2014/08/30 00:00 [received]
PHST- 2014/11/07 00:00 [accepted]
PHST- 2015/03/11 06:00 [entrez]
PHST- 2015/03/11 06:00 [pubmed]
PHST- 2017/01/05 06:00 [medline]
AID - S1726-4901(15)00009-X [pii]
AID - 10.1016/j.jcma.2015.01.005 [doi]
PST - ppublish
SO  - J Chin Med Assoc. 2015 Jun;78(6):360-3. doi: 10.1016/j.jcma.2015.01.005. Epub 
      2015 Mar 5.