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Use of Mechanical Chest Compression for Resuscitation in Out-Of-Hospital Cardiac Arrest-Device Matters: A Propensity-Score-Based Match Analysis.
Primi, Roberto; Bendotti, Sara; Currao, Alessia; Sechi, Giuseppe Maria; Marconi, Gianluca; Pamploni, Greta; Panni, Gianluca; Sgotti, Davide; Zorzi, Ettore; Cazzaniga, Marco; Piccolo, Umberto; Bussi, Daniele; Ruggeri, Simone; Facchin, Fabio; Soffiato, Edoardo; Ronchi, Vincenza; Contri, Enrico; Centineo, Paola; Reali, Francesca; Sfolcini, Luigi; Gentile, Francesca Romana; Baldi, Enrico; Compagnoni, Sara; Quilico, Federico; Vicini Scajola, Luca; Lopiano, Clara; Fasolino, Alessandro; Savastano, Simone.
Afiliação
  • Primi R; Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
  • Bendotti S; Department of Public Health, Experimental and Forensic Medicine, Section of Biostatistics and Clinical Epidemiology, University of Pavia, 27100 Pavia, Italy.
  • Currao A; Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
  • Sechi GM; Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
  • Marconi G; Agenzia Regionale dell'Emergenza Urgenza (AREU) Lombardia, 20124 Milan, Italy.
  • Pamploni G; Agenzia Regionale dell'Emergenza Urgenza (AREU) Lombardia, 20124 Milan, Italy.
  • Panni G; AAT Pavia-Agenzia Regionale Emergenza Urgenza (AREU) c/o Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
  • Sgotti D; AAT Brescia-Agenzia Regionale Emergenza Urgenza (AREU) c/o ASST Degli Spedali Civili di Brescia, 25100 Brescia, Italy.
  • Zorzi E; AAT Brescia-Agenzia Regionale Emergenza Urgenza (AREU) c/o ASST Degli Spedali Civili di Brescia, 25100 Brescia, Italy.
  • Cazzaniga M; AAT Como-Agenzia Regionale Emergenza Urgenza (AREU) c/o ASST Lariana (CO), 22079 Como, Italy.
  • Piccolo U; AAT Como-Agenzia Regionale Emergenza Urgenza (AREU) c/o ASST Lariana (CO), 22079 Como, Italy.
  • Bussi D; AAT Como-Agenzia Regionale Emergenza Urgenza (AREU) c/o ASST Lariana (CO), 22079 Como, Italy.
  • Ruggeri S; AAT Cremona-Agenzia Regionale Emergenza Urgenza (AREU) c/o ASST di Cremona, 26100 Cremona, Italy.
  • Facchin F; AAT Cremona-Agenzia Regionale Emergenza Urgenza (AREU) c/o ASST di Cremona, 26100 Cremona, Italy.
  • Soffiato E; AAT Mantova-Agenzia Regionale Emergenza Urgenza (AREU) c/o ASST di Mantova, 46100 Mantova, Italy.
  • Ronchi V; AAT Mantova-Agenzia Regionale Emergenza Urgenza (AREU) c/o ASST di Mantova, 46100 Mantova, Italy.
  • Contri E; AAT Pavia-Agenzia Regionale Emergenza Urgenza (AREU) c/o ASST Pavia, 27100 Pavia, Italy.
  • Centineo P; AAT Pavia-Agenzia Regionale Emergenza Urgenza (AREU) c/o Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
  • Reali F; AAT Varese-Agenzia Regionale Emergenza Urgenza (AREU) c/o ASST dei Sette Laghi, 21100 Varese, Italy.
  • Sfolcini L; AAT Lodi-Agenzia Regionale Emergenza Urgenza (AREU) c/o ASST di Lodi, 26900 Lodi, Italy.
  • Gentile FR; Department of Molecular Medicine, Section of Cardiology, University of Pavia, 27100 Pavia, Italy.
  • Baldi E; Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
  • Compagnoni S; Department of Molecular Medicine, Section of Cardiology, University of Pavia, 27100 Pavia, Italy.
  • Quilico F; Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
  • Vicini Scajola L; Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
  • Lopiano C; Department of Molecular Medicine, Section of Cardiology, University of Pavia, 27100 Pavia, Italy.
  • Fasolino A; Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
  • Savastano S; Department of Molecular Medicine, Section of Cardiology, University of Pavia, 27100 Pavia, Italy.
  • All The Lombardia CARe Researchers; Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
J Clin Med ; 12(13)2023 Jun 30.
Article em En | MEDLINE | ID: mdl-37445464
ABSTRACT

BACKGROUND:

Devices for mechanical cardiopulmonary resuscitation (CPR) are recommended when high quality CPR cannot be provided. Different devices are available, but the literature is poor in direct comparison studies. Our aim was to assess whether the type of mechanical chest compressor could affect the probability of return of spontaneous circulation (ROSC) and 30-day survival in Out-of-Hospital Cardiac Arrest (OHCA) patients as compared to manual standard CPR.

METHODS:

We considered all OHCAs that occurred from 1 January 2015 to 31 December 2022 in seven provinces of the Lombardy region equipped with three different types of mechanical compressor Autopulse®(ZOLL Medical, MA), LUCAS® (Stryker, MI), and Easy Pulse® (Schiller, Switzerland).

RESULTS:

Two groups, 2146 patients each (manual and mechanical CPR), were identified by propensity-score-based random matching. The rates of ROSC (15% vs. 23%, p < 0.001) and 30-day survival (6% vs. 14%, p < 0.001) were lower in the mechanical CPR group. After correction for confounders, Autopulse® [OR 2.1, 95%CI (1.6-2.8), p < 0.001] and LUCAS® [OR 2.5, 95%CI (1.7-3.6), p < 0.001] significantly increased the probability of ROSC, and Autopulse® significantly increased the probability of 30-day survival compared to manual CPR [HR 0.9, 95%CI (0.8-0.9), p = 0.005].

CONCLUSION:

Mechanical chest compressors could increase the rate of ROSC, especially in case of prolonged resuscitation. The devices were dissimilar, and their different performances could significantly influence patient outcomes. The load-distributing-band device was the only mechanical chest able to favorably affect 30-day survival.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Revista: J Clin Med Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Itália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Revista: J Clin Med Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Itália