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. 2021 Nov 11;169:229–311. doi: 10.1016/j.resuscitation.2021.10.040

Table 20.

Summary of Study Findings

Research questions Type of study/No. of participants Certainty of evidence Outcome importance Summary of evidence
Research question 1
Aerosol generation 2 case reports427,4281 cadaver study426 Very low (serious risk of bias, serious indirectness) Critical Studies reported generation of aerosols
Research question 2
Transmission of infection 5 observational studies/2923 health care workers429., 430., 431., 432., 433.5 case reports427,428,434., 435., 436. Very low (serious risk of bias, serious indirectness) Critical Inconsistent findings from observational studies
Case reports reported transmission of infection after CPR
Research question 3
Infection with the same organism as the patient No evidence Critical
PPE effectiveness 1 manikin RCT/30 health care workers440 Low (serious risk of bias, serious indirectness) Critical PPE effectiveness affected by CPR delivery
CPR quality 4 manikin RCTs/184 participants437., 438., 439., 440.1 manikin non-RCT/48 participants441 Very low (serious risk of bias, serious indirectness) Important Time to treatment increased with donning of PPE
Inconsistent findings on quality of CPR delivery

CPR indicates cardiopulmonary resuscitation; PPE, personal protective equipment; and RCT, randomized controlled trial.