PMID- 32178958
OWN - NLM
STAT- MEDLINE
DCOM- 20210607
LR  - 20210607
IS  - 0736-4679 (Print)
IS  - 0736-4679 (Linking)
VI  - 58
IP  - 3
DP  - 2020 Mar
TI  - Mechanical Chest Compression Device for Out-Of-Hospital Cardiac Arrest: A 
      Nationwide Observational Study.
PG  - 424-431
LID - S0736-4679(19)31021-2 [pii]
LID - 10.1016/j.jemermed.2019.11.022 [doi]
AB  - BACKGROUND: There are few studies on the use of a mechanical chest compression 
      (meCC) device during transport in patients with out-of-hospital cardiac arrest 
      (OHCA). OBJECTIVE: The aim of our study was to compare the performance of an meCC 
      device with that of manual chest compression during transport after OHCA. 
      METHODS: This study used data from the national cardiac arrest registry of 
      patients with OHCA of presumed cardiac etiology. The primary exposure was the use 
      of an meCC device by an Emergency Medical Services provider while transporting a 
      patient to the emergency department. The primary endpoint was good cerebral 
      performance category at discharge. We compared survival and neurologic outcomes 
      between an meCC device group and a manual chest compression group. We also 
      performed an interaction analysis to assess changes in study outcomes of meCC 
      device use by the initial electrocardiogram (ECG) and transport time interval 
      (TTI). RESULTS: Among 30,021 adult patients after OHCA with presumed cardiac 
      etiology, an meCC device was used in 2357 (7.6%). After adjustment for possible 
      confounders, there were no significant differences with respect to good 
      neurologic recovery in the outcomes of patients who were treated with an meCC 
      device and those who received manual chest compression (adjusted odds ratio [AOR] 
      0.66; 95% confidence interval [CI] 0.43-1.02) and survival to discharge (AOR 
      0.83; 95% CI 0.64-1.06). In the interaction model, the AOR of the meCC device 
      study outcome did not interact with the initial ECG and TTI. CONCLUSIONS: The 
      meCC device did not show better study outcomes than manual compression.
CI  - Copyright (c) 2019. Published by Elsevier Inc.
FAU - Jung, Eujene
AU  - Jung E
AD  - Department of Emergency Medicine, Chonnam National University Hospital, Dong-gu, 
      Gwangju, Republic of Korea.
FAU - Park, Jeong Ho
AU  - Park JH
AD  - Department of Emergency Medicine, Seoul National University College of Medicine, 
      Seoul, Republic of Korea.
FAU - Lee, Sun Young
AU  - Lee SY
AD  - Department of Emergency Medicine, Seoul National University College of Medicine, 
      Seoul, Republic of Korea.
FAU - Ro, Young Sun
AU  - Ro YS
AD  - Laboratory of Emergency Medical Services, Seoul National University Hospital 
      Biomedical Research Institute, Republic of Korea.
FAU - Hong, Ki Jeong
AU  - Hong KJ
AD  - Department of Emergency Medicine, Seoul National University College of Medicine, 
      Seoul, Republic of Korea.
FAU - Song, Kyoung Jun
AU  - Song KJ
AD  - Department of Emergency Medicine, Seoul National University College of Medicine, 
      Seoul, Republic of Korea.
FAU - Ryu, Hyun Ho
AU  - Ryu HH
AD  - Department of Emergency Medicine, Chonnam National University Hospital, Dong-gu, 
      Gwangju, Republic of Korea.
FAU - Shin, Sang Do
AU  - Shin SD
AD  - Department of Emergency Medicine, Seoul National University College of Medicine, 
      Seoul, Republic of Korea.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20200313
PL  - United States
TA  - J Emerg Med
JT  - The Journal of emergency medicine
JID - 8412174
SB  - IM
MH  - Adult
MH  - Cardiopulmonary Resuscitation/*instrumentation
MH  - Electrocardiography
MH  - *Emergency Medical Services
MH  - Emergency Service, Hospital
MH  - Humans
MH  - *Out-of-Hospital Cardiac Arrest/therapy
MH  - Thorax
MH  - Transportation of Patients
OTO - NOTNLM
OT  - cardiopulmonary resuscitation
OT  - heart arrest
OT  - mechanical chest compression
OT  - mechanical chest compression device
OT  - out-of-hospital cardiac arrest
EDAT- 2020/03/18 06:00
MHDA- 2021/06/08 06:00
CRDT- 2020/03/18 06:00
PHST- 2019/08/18 00:00 [received]
PHST- 2019/10/22 00:00 [revised]
PHST- 2019/11/10 00:00 [accepted]
PHST- 2020/03/18 06:00 [pubmed]
PHST- 2021/06/08 06:00 [medline]
PHST- 2020/03/18 06:00 [entrez]
AID - S0736-4679(19)31021-2 [pii]
AID - 10.1016/j.jemermed.2019.11.022 [doi]
PST - ppublish
SO  - J Emerg Med. 2020 Mar;58(3):424-431. doi: 10.1016/j.jemermed.2019.11.022. Epub 
      2020 Mar 13.