Table 1.
Advanced life support studies | |||||
---|---|---|---|---|---|
Author Year Country |
Study design | Setting | Number of patients | Outcome measures | Results |
Pareek15 2018 India |
Retrospective cohort study, pre- and post- AHA ACLS | 750 bed tertiary care hospital | 632 – 294 pre ACLS; 338 post ACLS; no data on age or sex | ROSC; Survival to hospital discharge | • ROSC increased from 19.7% to 30.1% (p = 0.003) |
• Significant increase in survival to hospital discharge post-BLS/ACLS training (p < 0.0001) | |||||
Helping babies breathe studies | |||||
Innerdal17 2020 Mali |
Pre-post training | Local district hospital | 9769: 3125 pre-training; 6644 post-training | Fresh stillbirth rate, 1-day neonatal mortality, perinatal mortality | • Perinatal mortality rate (PMR) decreased from 21.7/1000 births to 6.0/1000 live births; RR 0.27, (95% CI 0.19–0.41; p < 0.0001). |
• 1-day neonatal mortality rate decreased from 6.3/1000 to 0.8/1000 live births; RR 0.12 (95% CI 0.05–0.33; p = 0.0006). | |||||
• Fresh stillbirth rate decreased from 15.7/1000 to 5.3/1000, RR 0.33 (95% CI 0.22–0.52; p < 0.0001) | |||||
Patterson16 2021 Democratic Republic of Congo |
Pre-post training | Three health facilities | 24977: 13,840 pre-training; 11,137 post-training | Total stillbirth, fresh stillbirth, macerated stillbirth, neonatal death before discharge, perinatal death | • No change in total stillbirths following resuscitation training and continuous electronic HR monitoring of non-breathing newborns (aRR 1.15 [0.95, 1.39]). |
• Increased rate of macerated stillbirth (aRR 1.58 [1.24, 2.02]), death before discharge (aRR 3.31 [2.41,4.54]), and perinatal death (aRR 1.61 [1.38, 1.89]) during the intervention period. |
BLS- Basic Life Support; ACLS- Advanced Cardiac Life Support; HBB – Helping Babies Breath.