Outcomes of audio-instructed and video-instructed dispatcher-assisted cardiopulmonary resuscitation: a systematic review and meta-analysis

Autor: Karol Bielski, Bernd W. Böttiger, Michal Pruc, Aleksandra Gasecka, Mariusz Sieminski, Milosz J. Jaguszewski, Jacek Smereka, Natasza Gilis-Malinowska, Frank W. Peacock, Lukasz Szarpak
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Annals of Medicine, Vol 54, Iss 1, Pp 464-471 (2022)
Druh dokumentu: article
ISSN: 0785-3890
1365-2060
07853890
DOI: 10.1080/07853890.2022.2032314
Popis: Background The present meta-analysis of clinical and simulation trials aimed to compare video-instructed dispatcher-assisted bystander cardiopulmonary resuscitation (V-DACPR) with conventional audio-instructed dispatcher-assisted bystander cardiopulmonary resuscitation (C-DACPR). Methods We searched PubMed, Embase, Web of Science, Cochrane Collaboration databases and Scopus from inception until June 10, 2021. The primary outcomes were the prehospital return of spontaneous circulation (ROSC), survival to hospital discharge, and survival to hospital discharge with a good neurological outcome for clinical trials, and chest compression quality for simulation trials. Odds ratios (ORs) and mean differences (MDs) with 95% confidence intervals (CIs) indicated the pooled effect. The analyses were performed with the RevMan 5.4 and STATA 14 software. Results Overall, 2 clinical and 8 simulation trials were included in this meta-analysis. In clinical trials, C-DACPR and V-DACPR were characterised by, respectively, 11.8% vs. 24.3% of prehospital ROSC (OR = 0.46; 95% CI: 0.30, 0.69; I2 = 66%; p
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