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 |
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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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