Cochrane · systematic review · CD010134

Continuous chest compression versus interrupted chest compression for cardiopulmonary resuscitation of non‐asphyxial out‐of‐hospital cardiac arrest

Zhan, L, Yang, LJ, Huang, Y, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Emergency and Critical CareAMSTAR 2: not assessed
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
14
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 6 · 42.9%Very low 0 · 0%Low 0 · 0%Moderate 4 · 28.6%High 4 · 28.6%

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

Continuous chest compression alone compared to interrupted chest compression plus artificial ventilation for out‐of‐hospital cardiac arrest

Population: People with non‐trauma related out‐of‐hospital cardiac arrest
7 questions
OutcomeEffectEvidenceStatus / GRADE
Survival to hospital discharge
Continuous chest compression alone vs interrupted chest compression plus artificial ventilation
RR 1.21 [1.01, 1.46]3 studies · 3031 participantsHigh
Survival to hospital admission
Continuous chest compression alone vs interrupted chest compression plus artificial ventilation
RR 1.18 [0.94, 1.48]1 study · 520 participantsModerate
Downgraded: imprecision
Survival at one year
Continuous chest compression alone vs interrupted chest compression plus artificial ventilation
no estimate extracted0 studies · 0 participantsUngraded
Neurological outcomes at hospital discharge Measured as 'good' or 'moderate' with Cerebral Performance Category classification
Continuous chest compression alone vs interrupted chest compression plus artificial ventilation
RR 1.25 [0.94, 1.66]1 study · 1286 participantsModerate
Downgraded: imprecision
Return of spontaneous circulation
Continuous chest compression alone vs interrupted chest compression plus artificial ventilation
no estimate extracted0 studies · 0 participantsUngraded
Adverse effects
Continuous chest compression alone vs interrupted chest compression plus artificial ventilation
no estimate extracted0 studies · 0 participantsUngraded
Quality of life
Continuous chest compression alone vs interrupted chest compression plus artificial ventilation
no estimate extracted0 studies · 0 participantsUngraded

Continuous chest compression plus ventilation compared to interrupted chest compression plus ventilation for people with non asphyxial out‐of‐hospital cardiac arrest

Population: Patients with non‐trauma related out‐of‐hospital cardiac arrest
7 questions
OutcomeEffectEvidenceStatus / GRADE
Survival to hospital discharge
Continuous chest compression plus ventilation vs interrupted chest compression plus ventilation
no estimate extracted1 study · 23648 participantsModerate
Downgraded: risk of bias
Survival to hospital admission
Continuous chest compression plus ventilation vs interrupted chest compression plus ventilation
no estimate extracted1 study · 23711 participantsHigh
Survival at one year
Continuous chest compression plus ventilation vs interrupted chest compression plus ventilation
no estimate extracted0 studies · 0 participantsUngraded
Neurological outcomes at hospital discharge (Rankin score ≤ 3)
Continuous chest compression plus ventilation vs interrupted chest compression plus ventilation
no estimate extracted1 study · 23555 participantsHigh
Return of spontaneous circulation
Continuous chest compression plus ventilation vs interrupted chest compression plus ventilation
no estimate extracted1 study · 23697 participantsHigh
Adverse effects Defined as any adverse event occurring post‐admission
Continuous chest compression plus ventilation vs interrupted chest compression plus ventilation
no estimate extracted1 study · 23711 participantsModerate
Downgraded: risk of bias, imprecision
Quality of life
Continuous chest compression plus ventilation vs interrupted chest compression plus ventilation
no estimate extracted0 studies · 0 participantsUngraded