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J Korean Soc Emerg Med > Volume 20(3); 2009 > Article
Journal of The Korean Society of Emergency Medicine 2009;20(3): 256-263.
Comparison of CPR Outcomes between Autopulse TM and Manual Compression in Adult Out-of-hospital Cardiac Arrest
Gyu Keun Han, Seok Yong Ryu, Hye Jin Kim, Sang Lae Lee, Suk Jin Cho, Sung Chan Oh
Department of Emergency Medicine, Sanggye paik Hospital, College of Medicine, Inje University, Seoul, Korea. ryuchoi64@paik.ac.kr
ABSTRACT
PURPOSE:
Our goal was to compare resuscitation outcomes, 24 hour survival, and survival discharge between patients resuscitated with an AutoPulse compression device vs. those resuscitated using manual compression in adult, out-of-hospital non-traumatic cardiac arrest patients.
METHODS:
We retrospectively reviewed cases of out-of-hospital cardiac arrest that occurred between July 2005 and June 2008. We included, 267 non-traumatic patients who had. We compared characteristics between 93 patients who had AutoPulse compression and 174 patients who had manual compression. Characteristics included resuscitation outcomes (return of spontaneous circulation [ROSC], 24 hour survival and resuscitation outcomes according to the initial ECG.
RESULTS:
The rate of ROSC was 43.1% for AutoPulse compression and 50.57% for manual compression; the difference was not significant (p=0.294). Survival rates at 24 hours were, respectively, 33.3% and 31.6% (p=0.88). Survival discharge proportions were, 8.6% and 11.5%, respectively (p=0.599).
CONCLUSION:
There are no statistically significant differences in resuscitation outcomes between AutoPulse and manual compression in adult, out-of-hospital, non-traumatic, cardiac arrest patients.
Key words: Cardiopulmonary resuscitation, Compression device, Heart arrest
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