Outcomes of audio-instructed and video-instructed dispatcher-assisted cardiopulmonary resuscitation: a systematic review and meta-analysis
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...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2022-12-01
|
| Series: | Annals of Medicine |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/07853890.2022.2032314 |
| _version_ | 1798024168375058432 |
|---|---|
| author | Karol Bielski Bernd W. Böttiger Michal Pruc Aleksandra Gasecka Mariusz Sieminski Milosz J. Jaguszewski Jacek Smereka Natasza Gilis-Malinowska Frank W. Peacock Lukasz Szarpak |
| author_facet | Karol Bielski Bernd W. Böttiger Michal Pruc Aleksandra Gasecka Mariusz Sieminski Milosz J. Jaguszewski Jacek Smereka Natasza Gilis-Malinowska Frank W. Peacock Lukasz Szarpak |
| author_sort | Karol Bielski |
| collection | DOAJ |
| description | 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 < .001), 10.7% vs. 22.3% of survival to hospital discharge (OR = 0.46; 95% CI: 0.30, 0.70; I2 = 69%; p < .001), and 6.3% vs. 16.0% of survival to hospital discharge with a good neurological outcome (OR = 0.39; 95% CI: 0.23, 0.67; I2 = 73%; p < .001). In simulation trials, chest compression rate per minute equalled 91.3 ± 22.6 for C-DACPR and 107.8 ± 12.6 for V-DACPR (MD = −13.40; 95% CI: −21.86, −4.95; I2 = 97%; p = .002). The respective values for chest compression depth were 38.7 ± 14.3 and 41.8 ± 12.5 mm (MD = −2.67; 95% CI: −8.35, 3.01; I2 = 98%; p = .36). Conclusions As compared with C-DACPR, V-DACPR significantly increased prehospital ROSC and survival to hospital discharge. Under simulated resuscitation conditions, V-DACPR exhibited a higher rate of adequate chest compressions than C-DACPR.Key messages Bystander cardiopulmonary resuscitation parameters significantly depend on the dispatcher’s support and the manner of the support provided. Video-instructed dispatcher-assisted bystander cardiopulmonary resuscitation can increase the rate of prehospital return of spontaneous circulation and survival to hospital discharge. Video-instructed dispatcher-assisted bystander cardiopulmonary resuscitation improves the quality of chest compressions compared with dispatcher-assisted resuscitation without video instruction. |
| first_indexed | 2024-04-11T17:58:09Z |
| format | Article |
| id | doaj.art-e90be1543d904fd485932a440e5b097d |
| institution | Directory Open Access Journal |
| issn | 0785-3890 1365-2060 |
| language | English |
| last_indexed | 2024-04-11T17:58:09Z |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Medicine |
| spelling | doaj.art-e90be1543d904fd485932a440e5b097d2022-12-22T04:10:37ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602022-12-0154146447110.1080/07853890.2022.20323142032314Outcomes of audio-instructed and video-instructed dispatcher-assisted cardiopulmonary resuscitation: a systematic review and meta-analysisKarol Bielski0Bernd W. Böttiger1Michal Pruc2Aleksandra Gasecka3Mariusz Sieminski4Milosz J. Jaguszewski5Jacek Smereka6Natasza Gilis-Malinowska7Frank W. Peacock8Lukasz Szarpak9Institute of Outcomes Research, Polonia UniversityDepartment of Anesthesiology and Intensive Care Medicine, Faculty of Medicine and University Hospital of Cologne, University of ColognePolish Society of Disaster Medicine, Research UnitLaboratory of Experimental Clinical Chemistry, Amsterdam University Medical CenterDepartment of Emergency Medicine, Medical University of GdanskFirst Department of Cardiology, Medical University of GdanskPolish Society of Disaster Medicine, Research UnitFirst Department of Cardiology, Medical University of GdanskHenry JN Taub Department of Emergency Medicine, Baylor College of Medicine HoustonPolish Society of Disaster Medicine, Research UnitBackground 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 < .001), 10.7% vs. 22.3% of survival to hospital discharge (OR = 0.46; 95% CI: 0.30, 0.70; I2 = 69%; p < .001), and 6.3% vs. 16.0% of survival to hospital discharge with a good neurological outcome (OR = 0.39; 95% CI: 0.23, 0.67; I2 = 73%; p < .001). In simulation trials, chest compression rate per minute equalled 91.3 ± 22.6 for C-DACPR and 107.8 ± 12.6 for V-DACPR (MD = −13.40; 95% CI: −21.86, −4.95; I2 = 97%; p = .002). The respective values for chest compression depth were 38.7 ± 14.3 and 41.8 ± 12.5 mm (MD = −2.67; 95% CI: −8.35, 3.01; I2 = 98%; p = .36). Conclusions As compared with C-DACPR, V-DACPR significantly increased prehospital ROSC and survival to hospital discharge. Under simulated resuscitation conditions, V-DACPR exhibited a higher rate of adequate chest compressions than C-DACPR.Key messages Bystander cardiopulmonary resuscitation parameters significantly depend on the dispatcher’s support and the manner of the support provided. Video-instructed dispatcher-assisted bystander cardiopulmonary resuscitation can increase the rate of prehospital return of spontaneous circulation and survival to hospital discharge. Video-instructed dispatcher-assisted bystander cardiopulmonary resuscitation improves the quality of chest compressions compared with dispatcher-assisted resuscitation without video instruction.http://dx.doi.org/10.1080/07853890.2022.2032314emergency medical dispatchervideo-callcardiac arrestcardiopulmonary resuscitationsystematic reviewmeta-analysis |
| spellingShingle | Karol Bielski Bernd W. Böttiger Michal Pruc Aleksandra Gasecka Mariusz Sieminski Milosz J. Jaguszewski Jacek Smereka Natasza Gilis-Malinowska Frank W. Peacock Lukasz Szarpak Outcomes of audio-instructed and video-instructed dispatcher-assisted cardiopulmonary resuscitation: a systematic review and meta-analysis Annals of Medicine emergency medical dispatcher video-call cardiac arrest cardiopulmonary resuscitation systematic review meta-analysis |
| title | Outcomes of audio-instructed and video-instructed dispatcher-assisted cardiopulmonary resuscitation: a systematic review and meta-analysis |
| title_full | Outcomes of audio-instructed and video-instructed dispatcher-assisted cardiopulmonary resuscitation: a systematic review and meta-analysis |
| title_fullStr | Outcomes of audio-instructed and video-instructed dispatcher-assisted cardiopulmonary resuscitation: a systematic review and meta-analysis |
| title_full_unstemmed | Outcomes of audio-instructed and video-instructed dispatcher-assisted cardiopulmonary resuscitation: a systematic review and meta-analysis |
| title_short | Outcomes of audio-instructed and video-instructed dispatcher-assisted cardiopulmonary resuscitation: a systematic review and meta-analysis |
| title_sort | outcomes of audio instructed and video instructed dispatcher assisted cardiopulmonary resuscitation a systematic review and meta analysis |
| topic | emergency medical dispatcher video-call cardiac arrest cardiopulmonary resuscitation systematic review meta-analysis |
| url | http://dx.doi.org/10.1080/07853890.2022.2032314 |
| work_keys_str_mv | AT karolbielski outcomesofaudioinstructedandvideoinstructeddispatcherassistedcardiopulmonaryresuscitationasystematicreviewandmetaanalysis AT berndwbottiger outcomesofaudioinstructedandvideoinstructeddispatcherassistedcardiopulmonaryresuscitationasystematicreviewandmetaanalysis AT michalpruc outcomesofaudioinstructedandvideoinstructeddispatcherassistedcardiopulmonaryresuscitationasystematicreviewandmetaanalysis AT aleksandragasecka outcomesofaudioinstructedandvideoinstructeddispatcherassistedcardiopulmonaryresuscitationasystematicreviewandmetaanalysis AT mariuszsieminski outcomesofaudioinstructedandvideoinstructeddispatcherassistedcardiopulmonaryresuscitationasystematicreviewandmetaanalysis AT miloszjjaguszewski outcomesofaudioinstructedandvideoinstructeddispatcherassistedcardiopulmonaryresuscitationasystematicreviewandmetaanalysis AT jaceksmereka outcomesofaudioinstructedandvideoinstructeddispatcherassistedcardiopulmonaryresuscitationasystematicreviewandmetaanalysis AT nataszagilismalinowska outcomesofaudioinstructedandvideoinstructeddispatcherassistedcardiopulmonaryresuscitationasystematicreviewandmetaanalysis AT frankwpeacock outcomesofaudioinstructedandvideoinstructeddispatcherassistedcardiopulmonaryresuscitationasystematicreviewandmetaanalysis AT lukaszszarpak outcomesofaudioinstructedandvideoinstructeddispatcherassistedcardiopulmonaryresuscitationasystematicreviewandmetaanalysis |