Table 1. Characteristics of included randomized controlled trials.
Study/year | Region | Comparison | No. of patients | Mean age (y) | Cardiac etiology (%) | Witnessed cardiac arrest (%) | Bystander CPR before EMS arrival (%) | VF/VT as initial rhythm (%) | Adverse events |
---|---|---|---|---|---|---|---|---|---|
Perkins et al./201511 | 4 UK Ambulance Services | PD-CPR vs M-CPR | 4471 | Mechanical: 71.0 ± 16.3 Manual: 71.6 ± 16.1 | Mechanical: 86 Manual: 87 | Mechanical: 61 Manual: 62 | Mechanical: 43 Manual: 44 | Mechanical: 23 Manual: 22 | No serious adverse events were reported |
Rubertsson et al./20149 | 4 Swedish, 1 British and 1 Dutch ambulance services | PD-CPR vs M-CPR | 2589 | Mechanical: 69.0 (16–100)* Manual: 69.1 (15–99)* | Mechanical: 65 Manual: 63 | Mechanical: 66 Manual: 65 | Mechanical: 57 Manual: 55 | Mechanical: 29 Manual: 30 | 7 serious adverse events in the mechanical CPR group and 3 in the manual CPR group |
Smekal et al./201119 | 2 Swedish cities | PD-CPR vs M-CPR | 148 | Mechanical: 69 ± 16 Manual: 71 ± 16 | Not reported | Mechanical: 68 Manual: 74 | Mechanical: 34 Manual: 31 | Mechanical: 27 Manual: 27 | Not reported |
Wik et al./201410 | 3 US and 2 European sites | LDB-CPR vs M-CPR | 4231 | Mechanical: 65.7 ± 16.4 Manual: 65.6 ± 16.0 | Mechanical: 100 Manual: 100 | Mechanical: 37 Manual: 37 | Mechanical: 47 Manual: 49 | Mechanical: 21 Manual: 24 | No significant difference between groups |
Hallstrom et al./200618 | United States and Canada | LDB-CPR vs M-CPR | 1071 | Mechanical: 66.6 ± 15.6 Manual:66.2 ± 15.2 | Mechanical: 85 Manual: 86 | Mechanical: 44 Manual: 49 | Mechanical: 32 Manual: 35 | Mechanical: 31 Manual: 32 | Not reported. |
Data are presented as mean ± SD unless indicated otherwise.
UK, united kingdom; US, united states; CPR, cardiopulmonary resuscitation; PD-CPR, piston-driven CPR; LDB-CPR, load-distributing band CPR; M-CPR, manual CPR; EMS, emergency medical systems; VF, ventricular fibrillation; VT, ventricular tachycardia.
*Mean (range).