Video-assisted bystander cardiopulmonary resuscitation improves the quality of chest compressions during simulated cardiac arrests: A systemic review and meta-analysis

Dong-Feng Pan, Zheng-Jun Li, Xin-Zhong Ji, Li-Ting Yang, Pei-Feng Liang, Dong-Feng Pan, Zheng-Jun Li, Xin-Zhong Ji, Li-Ting Yang, Pei-Feng Liang

Abstract

Background: It remains unclear whether video aids can improve the quality of bystander cardiopulmonary resuscitation (CPR).

Aim: To summarize simulation-based studies aiming at improving bystander CPR associated with the quality of chest compression and time-related quality parameters.

Methods: The systematic review was conducted according to the PRISMA guidelines. All relevant studies were searched through PubMed, EMBASE, Medline and Cochrane Library databases. The risk of bias was evaluated using the Cochrane collaboration tool.

Results: A total of 259 studies were eligible for inclusion, and 6 randomised controlled trial studies were ultimately included. The results of meta-analysis indicated that video-assisted CPR (V-CPR) was significantly associated with the improved mean chest compression rate [OR = 0.66 (0.49-0.82), P < 0.001], and the proportion of chest compression with correct hand positioning [OR = 1.63 (0.71-2.55), P < 0.001]. However, the difference in mean chest compression depth was not statistically significant [OR = 0.18 (-0.07-0.42), P = 0.15], and V-CPR was not associated with the time to first chest compression compared to telecommunicator CPR [OR = -0.12 (-0.88-0.63), P = 0.75].

Conclusion: Video real-time guidance by the dispatcher can improve the quality of bystander CPR to a certain extent. However, the quality is still not ideal, and there is a lack of guidance caused by poor video signal or inadequate interaction.

Keywords: Dispatcher-assisted cardiopulmonary resuscitation; Quality of chest compressions; Simulated cardiac arrests; Video.

Conflict of interest statement

Conflict-of-interest statement: All authors report no relevant conflict of interest for this article.

©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.

Figures

Figure 1
Figure 1
The flow diagram of the study selection.
Figure 2
Figure 2
The results of the risk of bias assessment.
Figure 3
Figure 3
Forest plot of the quality outcomes of chest compressions.
Figure 4
Figure 4
Forest plot of time to first chest compression.

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