Table 1. Characteristics of the 11 studies included in a systematic review and diagnostic accuracy meta-analysis.
Study ID | Study setting | Study location | Study scene | Mean age (years) | Sample size (n) | Patients’ characteristics | US views | US operators’ experience | The time US was performed |
---|---|---|---|---|---|---|---|---|---|
Aichinger 2012 | Unknown | Austria | Pre-hospital | 70.3 | 11 | Non-traumatic | Subxiphoid | A 2-h course in echocardiography | During a rhythm and pulse check |
Blaivas 2001 | Single | USA | In-hospital | 71 | 38 | Non-traumatic | Subxiphoid; if unable to obtain, use parasternal views | Ultrasound trained and credentialed | The duration of the pulse check |
Breitkreutz 2010 | Single | Germany | Pre-hospital | 65±15 | 51 | Both | One of three views | Having undergone the standard FEER training program | During an ALS-conformed interruption of CPR |
Flato 2015 | Single | Brazil | In-hospital | 59.75±18.11 | 32 | Both | Various views | Had a 60-min lecture on ALS-conformed-TTE | During the intervals for rhythm check for 10s |
Chardoli 2012 | Multicenter | Iran | In-hospital | 58±6.1 | 50 | Both | Subxiphoid | Attended a teaching course to performing echocardiography | Just in the first NFI |
Salen 2001 | Multicenter | USA | In-hospital | Unknown | 55 | Non-traumatic | Subxiphoid view; the apical view as an adjunct in obese patients | Received a 4-h trauma sonography course | During the pulse check pause of the ALS |
Salen 2005 | Multicenter | USA | Pre-hospital/in-hospital | 16–94 | 34 | Non-traumatic | Subxiphoid or parasternal | Physician sonographers | Examinations during the pulse check |
Tayal 2003 | Single | USA | In-hospital | 57±15 | 20 | Non-traumatic | Various views | Trained with a 20-h ultrasound course | During CPR |
Gaspari 2016 | Multicenter | USA and Canada | In-hospital | 64.2±17.4 | 414 | Non-traumatic | Subxyphoid or parasternal long axis views | Emergency physician’s credentialed in bedside ultrasound by their individual hospitals | During pauses in resuscitation |
Kim 2016 | Single | Korea | Pre-hospital | 63.9±14.5 | 8 | Non-traumatic | Subcostal or parasternal window | The senior emergency resident or emergency specialist who had≥3 years’experience in emergency echocardiography | During pulse checks |
Tomruk 2012 | Single | Turkey | In-hospital | 61.6±17.9 | 64 | Both | Subxiphoid cardiac approach | Theoretical and hands-on training in cardiac ultrasonography | During the initial assessment |
PEA, pulseless electrical activity; ROSC, restoration of spontaneous circulation which was defined as a return of spontaneous circulation for ≥20 mins or ROSC upon hospital admission; US, ultrasound; ALS, advanced life support; NFI, no flow interval; TTE, transthoracic echocardiography; in-hospital indicates that bedside ultrasound was not used until arrival at hospital; pre-hospital indicates that ultrasound was used at the scene; Unknown, the data was unable to be obtained; FEER, focused echocardiographic evaluation in resuscitation; CPR, cardiopulmonary resuscitation.