Does Autopulse Mechanical Chest Compression Improve Outcomes After Cardiac Arrest? A systemic review and meta-analysis
Authors:
Qasem Ahmed Almulihi
, Asaad Suliman Shujaa
, Bader Jameel Aldossary
, Mohammad Ibrahim Faya Assiri
, Abdullah Ahmed T Al Bahrani
, Shahd Ali Al Rashed
, Fawaz Hassan Alali
, Abdullah Ali Alaithan
, Ghanem Mohammed Aldubayyan
, Mohammed Ali Alaithan
, Hussain Ali AlBakhite
, Yaser Mohammed Hussain Alsultan
, Huda Saud Mohammed Al Nemer
, Fatimah Saud Alfaraj
, Ayub Salman Mohammed Alabdullah
Abstract
Background: Cardiac arrest remains a critical global health challenge, necessitating effective interventions to improve outcomes. Autopulse Mechanical Chest Compression has emerged as a potential adjunct to conventional manual cardiopulmonary resuscitation (CPR). This study aimed to comprehensively investigate the association between Autopulse use and various outcomes following cardiac arrest. Methods: A thorough literature review was conducted using PubMed, Embase, Scopus, Google Scholar, CINAHL, and the Cochrane Library. Articles were evaluated for eligibility according to predefined criteria. The collected data was synthesized, and the findings were subsequently presented. Results: Sixteen studies were included in the study. A synthesis of diverse studies revealed nuanced perspectives on Autopulse Mechanical Chest Compression. Enhanced CPR success and improved survival rates in out-of-hospital cardiac arrest were demonstrated, while potential drawbacks were suggested, warranting scrutiny of device design and implementation strategies. Meta-analyses on ROSC favored Autopulse, indicating a statistically significant advantage over Manual CPR (relative risk 1.43, 95% CI 1.07-1.92). Complication analyses showed no significant difference (relative risk 1.11, 95% CI 0.93-1.33), emphasizing comparable safety profiles. Patient survival rates exhibited variations, with Autopulse demonstrating higher rates in some studies, but nuances were observed in 30-day survival and hospital discharge rates. Conclusion: Autopulse Mechanical Chest Compression holds promise as a supplementary strategy in cardiac arrest resuscitation. However, complexities arose in longer-term outcomes, highlighting the need for contextual considerations.Keywords: Cardiac arrest, Cardiopulmonary resuscitation, Device, Meta-analysis
Pubmed Style
Qasem Ahmed Almulihi, Asaad Suliman Shujaa, Bader Jameel Aldossary, Mohammad Ibrahim Faya Assiri, Abdullah Ahmed T Al Bahrani, Shahd Ali Al Rashed, Fawaz Hassan Alali, Abdullah Ali Alaithan, Ghanem Mohammed Aldubayyan, Mohammed Ali Alaithan, Hussain Ali AlBakhite, Yaser Mohammed Hussain Alsultan, Huda Saud Mohammed Al Nemer, Fatimah Saud Alfaraj, Ayub Salman Mohammed Alabdullah. Does Autopulse Mechanical Chest Compression Improve Outcomes After Cardiac Arrest? A systemic review and meta-analysis. SJE Med. 2024; 05 (January 2024): 030-041. doi:10.24911/SJEMed/72-1704226267
Publication History
Received: January 02, 2024
Accepted: January 03, 2024
Published: January 05, 2024
Authors
Asaad Suliman Shujaa
Consultant and Program Director of Residency Program,Emergency Department, Johns Hopkins Aramco Healthcare Centre, Dahran, Saudi Arabia
Bader Jameel Aldossary
ER Department, King Fahad University Hospital, AlKhobar, Saudi Arabia
Mohammad Ibrahim Faya Assiri
ER Department, King Fahad University Hospital, AlKhobar, Saudi Arabia
Abdullah Ahmed T Al Bahrani
Royal College of Surgeons, Ireland
Shahd Ali Al Rashed
School of Medicine, University of Galway, Ireland
Fawaz Hassan Alali
Imam Abdulrahman Bin Faisal University, college of Medicine, AlKhobar, Saudi Arabia
Abdullah Ali Alaithan
Imam Abdulrahman Bin Faisal University, college of Medicine, AlKhobar, Saudi Arabia
Ghanem Mohammed Aldubayyan
Imam Abdulrahman Bin Faisal University, college of Medicine, AlKhobar, Saudi Arabia
Mohammed Ali Alaithan
Qassim University, Collage of Medicine, Saudi Arabia
Hussain Ali AlBakhite
Prince Saud Bin Jalawi Hospital, Saudi Arabia
Yaser Mohammed Hussain Alsultan
Alkhobar PHC network-MOH, AlKhobar, Saudi Arabia
Huda Saud Mohammed Al Nemer
Jubail General Hospital, Saudi Arabia
Fatimah Saud Alfaraj
Service Resident, Maternity and Children's Hospital, Dammam, Saudi Arabia
Ayub Salman Mohammed Alabdullah
Alahsa Middle Health Sector, Saudi Arabia.