Does Autopulse Mechanical Chest Compression Improve Outcomes After Cardiac Arrest? A systemic review and meta-analysis

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...

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Main 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
Format: Article
Language:English
Published: Discover STM Publishing Ltd 2024-03-01
Series:Saudi Journal of Emergency Medicine
Subjects:
Online Access:https://sjemed.com/?mno=183680
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author 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
author_facet 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
author_sort Qasem Ahmed Almulihi
collection DOAJ
description 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. [SJEMed 2024; 5(1.000): 030-041]
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institution Kabale University
issn 1658-8487
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publishDate 2024-03-01
publisher Discover STM Publishing Ltd
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series Saudi Journal of Emergency Medicine
spelling doaj-art-934c9f9dd2d24d02a02ec62c9a58a40c2025-08-20T03:40:25ZengDiscover STM Publishing LtdSaudi Journal of Emergency Medicine1658-84872024-03-015103004110.24911/SJEMed/72-1704226267183680Does Autopulse Mechanical Chest Compression Improve Outcomes After Cardiac Arrest? A systemic review and meta-analysisQasem Ahmed Almulihi0Asaad Suliman Shujaa1Bader Jameel Aldossary2Mohammad Ibrahim Faya Assiri3Abdullah Ahmed T Al Bahrani4Shahd Ali Al Rashed5Fawaz Hassan Alali6Abdullah Ali Alaithan7Ghanem Mohammed Aldubayyan8Mohammed Ali Alaithan9Hussain Ali AlBakhite10Yaser Mohammed Hussain Alsultan11Huda Saud Mohammed Al Nemer12Fatimah Saud Alfaraj13Ayub Salman Mohammed Alabdullah14ER Department, King Fahad University Hospital, AlKhobar, Saudi Arabia Consultant and Program Director of Residency Program,Emergency Department, Johns Hopkins Aramco Healthcare Centre, Dahran, Saudi Arabia ER Department, King Fahad University Hospital, AlKhobar, Saudi Arabia ER Department, King Fahad University Hospital, AlKhobar, Saudi Arabia Royal College of Surgeons, Ireland School of Medicine, University of Galway, Ireland Imam Abdulrahman Bin Faisal University, college of Medicine, AlKhobar, Saudi Arabia Imam Abdulrahman Bin Faisal University, college of Medicine, AlKhobar, Saudi Arabia Imam Abdulrahman Bin Faisal University, college of Medicine, AlKhobar, Saudi Arabia Qassim University, Collage of Medicine, Saudi Arabia Prince Saud Bin Jalawi Hospital, Saudi Arabia Alkhobar PHC network-MOH, AlKhobar, Saudi Arabia Jubail General Hospital, Saudi Arabia Service Resident, Maternity and Children's Hospital, Dammam, Saudi Arabia Alahsa Middle Health Sector, Saudi Arabia.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. [SJEMed 2024; 5(1.000): 030-041]https://sjemed.com/?mno=183680cardiac arrestcardiopulmonary resuscitationdevicemeta-analysis
spellingShingle 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
Saudi Journal of Emergency Medicine
cardiac arrest
cardiopulmonary resuscitation
device
meta-analysis
title Does Autopulse Mechanical Chest Compression Improve Outcomes After Cardiac Arrest? A systemic review and meta-analysis
title_full Does Autopulse Mechanical Chest Compression Improve Outcomes After Cardiac Arrest? A systemic review and meta-analysis
title_fullStr Does Autopulse Mechanical Chest Compression Improve Outcomes After Cardiac Arrest? A systemic review and meta-analysis
title_full_unstemmed Does Autopulse Mechanical Chest Compression Improve Outcomes After Cardiac Arrest? A systemic review and meta-analysis
title_short Does Autopulse Mechanical Chest Compression Improve Outcomes After Cardiac Arrest? A systemic review and meta-analysis
title_sort does autopulse mechanical chest compression improve outcomes after cardiac arrest a systemic review and meta analysis
topic cardiac arrest
cardiopulmonary resuscitation
device
meta-analysis
url https://sjemed.com/?mno=183680
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