Cochrane · systematic review · CD007260
Mechanical versus manual chest compressions for cardiac arrest
Wang, PL, Brooks, SC · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 57.1%Moderate 3 · 42.9%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyMechanical chest compressions compared to manual chest compressions for cardiac arrest
Population: patients with cardiac arrest
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Survival to hospital discharge with good neurological function Mechanical chest compressions vs manual chest compressions | no estimate extracted | 3 studies · 7587 participants | Moderate Downgraded: risk of bias |
Survival to hospital discharge Mechanical chest compressions vs manual chest compressions | no estimate extracted | 7 studies · 8067 participants | Moderate Downgraded: risk of bias |
Return of spontaneous circulation Mechanical chest compressions vs manual chest compressions | no estimate extracted | 8 studies · 11771 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Survival to hospital admission Mechanical chest compressions vs manual chest compressions | no estimate extracted | 4 studies · 7224 participants | Moderate Downgraded: risk of bias |
Sternal or rib fractures Mechanical chest compressions vs manual chest compressions | no estimate extracted | 7 studies · 7469 participants | Low Downgraded: risk of bias, imprecision |
Haemothorax or pneumothorax Mechanical chest compressions vs manual chest compressions | no estimate extracted | 5 studies · 7316 participants | Low Downgraded: risk of bias, imprecision |
Internal abdominal organ injury Mechanical chest compressions vs manual chest compressions | no estimate extracted | 5 studies · 7337 participants | Low Downgraded: risk of bias, imprecision |
Comparison
Population: patients with cardiac arrest and resuscitation attempted by trained medical personnel
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Survival to hospital discharge with good neurological function | RR 0.41 [0.21, 0.79] | 767 participants | Low |
Survival to hospital discharge | no estimate extracted | 1064 participants | Very low |
Return of spontaneous circulation | no estimate extracted | 347 participants | Moderate |
Survival to hospital admission | no estimate extracted | 164 participants | Moderate |
Sternal or rib fractures | no estimate extracted | 189 participants | Very low |
Haemothorax or pneumothorax | no estimate extracted | 159 participants | Low |
Internal organ injury | no estimate extracted | 180 participants | Low |