Chest-compression-only versus conventional cardiopulmonary resuscitation by bystanders for children with out-of-hospital cardiac arrest: A systematic review and meta-analysis.

Abstract:

BACKGROUND:For children with out-of-hospital cardiac arrest, previous observational studies regarding chest-compression-only CPR (CC-CPR) versus conventional CPR yielded inconsistent results. We aimed to summarize the current evidence and compare the outcomes after CC-CPR with those after conventional CPR by bystanders in children with out-of-hospital cardiac arrest. METHODS:Observational studies that compared CC-CPR to conventional CPR for children with out-of-hospital cardiac arrest were identified through systematic searches of three databases (PubMed, EMBASE, and the Cochrane Library). The primary outcome was 30-day survival after hospital discharge. STATA 11.0 was used for data analysis. RESULTS:Five studies with 14,427 participants were included. Pooled results indicated that children who received conventional CPR had a higher 30-day survival than those who received CC-CPR (odds ratio, 1.49; 95% confidence interval [CI], 1.27-1.74). Moreover, conventional CPR led to a higher 30-day neurologically intact survival compared to CC-CPR (odds ratio, 1.63; 95%CI, 1.30-2.04). Subgroup analyses showed that the higher survival associated with conventional CPR was only significant in children who had cardiac arrest with non-cardiac causes (odds ratio, 1.77; 95% CI, 1.30-2.40). CONCLUSIONS:Children who receive conventional CPR for out-of-hospital cardiac arrest may have better outcomes than those who receive CC-CPR. Due to the limited number of studies and lack of randomized trials included in this meta-analysis, more evidence is needed to confirm our findings.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Zhang X,Zhang W,Wang C,Tao W,Dou Q,Yang Y

doi

10.1016/j.resuscitation.2018.10.032

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

81-90

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(18)31067-0

journal_volume

134

pub_type

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