Chest Compression Fraction Alone Does Not Adequately Measure Cardiopulmonary Resuscitation Quality in Out-of-Hospital Cardiac Arrest
High-quality cardiopulmonary resuscitation in out-of-hospital cardiac arrest is important for increased survival and improved neurological outcome. Chest compression fraction measures the proportion of time chest compressions are given during a cardiac arrest resuscitation. Chest compression fractio...
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| Published in | The Journal of emergency medicine Vol. 62; no. 3; pp. e35 - e43 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.03.2022
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| Subjects | |
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| Abstract | High-quality cardiopulmonary resuscitation in out-of-hospital cardiac arrest is important for increased survival and improved neurological outcome. Chest compression fraction measures the proportion of time chest compressions are given during a cardiac arrest resuscitation. Chest compression fraction has not been compared with the quality of chest compressions delivered at the recommended rate and depth of 100–120/min and 2.0–2.4 inches, respectively.
We evaluate whether chest compression fraction correlates with compressions at a target rate of 100–120/min and depth of 2.0–2.4 inches in chest diameter.
A prospective, observational study design was used to compare chest compression fraction to compressions in target in out-of-hospital cardiac arrest patients in a prehospital urban setting. We include all adult, non-traumatic out-of-hospital cardiac arrest patients with a resuscitation attempt during January 1, 2019 through September 30, 2019, for a total of 9 months. Spearman's rank correlation was used to determine correlation between compression fraction and compressions in target.
A total of 120 out-of-hospital cardiac arrest cases were included in the study. We found a high chest compression fraction median of 83% (interquartile range 72–90%), but a low compression in target median of 13% (interquartile range 5–29%). There was no significant correlation between chest compression fraction and compressions in target when analyzed linearly (Spearman's Rho = 0.165, p = 0.072). No difference was found when dichotomizing chest compression fraction into high and low variables in comparison with compressions in target (14% vs. 10%, p = 0.119).
Chest compression fraction is not associated with compressions in target for rate and depth for out-of-hospital cardiac arrest cardiopulmonary resuscitation. |
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| AbstractList | BACKGROUNDHigh-quality cardiopulmonary resuscitation in out-of-hospital cardiac arrest is important for increased survival and improved neurological outcome. Chest compression fraction measures the proportion of time chest compressions are given during a cardiac arrest resuscitation. Chest compression fraction has not been compared with the quality of chest compressions delivered at the recommended rate and depth of 100-120/min and 2.0-2.4 inches, respectively. OBJECTIVESWe evaluate whether chest compression fraction correlates with compressions at a target rate of 100-120/min and depth of 2.0-2.4 inches in chest diameter. METHODSA prospective, observational study design was used to compare chest compression fraction to compressions in target in out-of-hospital cardiac arrest patients in a prehospital urban setting. We include all adult, non-traumatic out-of-hospital cardiac arrest patients with a resuscitation attempt during January 1, 2019 through September 30, 2019, for a total of 9 months. Spearman's rank correlation was used to determine correlation between compression fraction and compressions in target. RESULTSA total of 120 out-of-hospital cardiac arrest cases were included in the study. We found a high chest compression fraction median of 83% (interquartile range 72-90%), but a low compression in target median of 13% (interquartile range 5-29%). There was no significant correlation between chest compression fraction and compressions in target when analyzed linearly (Spearman's Rho = 0.165, p = 0.072). No difference was found when dichotomizing chest compression fraction into high and low variables in comparison with compressions in target (14% vs. 10%, p = 0.119). CONCLUSIONChest compression fraction is not associated with compressions in target for rate and depth for out-of-hospital cardiac arrest cardiopulmonary resuscitation. High-quality cardiopulmonary resuscitation in out-of-hospital cardiac arrest is important for increased survival and improved neurological outcome. Chest compression fraction measures the proportion of time chest compressions are given during a cardiac arrest resuscitation. Chest compression fraction has not been compared with the quality of chest compressions delivered at the recommended rate and depth of 100–120/min and 2.0–2.4 inches, respectively. We evaluate whether chest compression fraction correlates with compressions at a target rate of 100–120/min and depth of 2.0–2.4 inches in chest diameter. A prospective, observational study design was used to compare chest compression fraction to compressions in target in out-of-hospital cardiac arrest patients in a prehospital urban setting. We include all adult, non-traumatic out-of-hospital cardiac arrest patients with a resuscitation attempt during January 1, 2019 through September 30, 2019, for a total of 9 months. Spearman's rank correlation was used to determine correlation between compression fraction and compressions in target. A total of 120 out-of-hospital cardiac arrest cases were included in the study. We found a high chest compression fraction median of 83% (interquartile range 72–90%), but a low compression in target median of 13% (interquartile range 5–29%). There was no significant correlation between chest compression fraction and compressions in target when analyzed linearly (Spearman's Rho = 0.165, p = 0.072). No difference was found when dichotomizing chest compression fraction into high and low variables in comparison with compressions in target (14% vs. 10%, p = 0.119). Chest compression fraction is not associated with compressions in target for rate and depth for out-of-hospital cardiac arrest cardiopulmonary resuscitation. |
| Author | Loza-Gomez, Angelica Johnson, Megan LeGassick, Todd Larmon, Baxter Newby, Marianne |
| Author_xml | – sequence: 1 givenname: Angelica surname: Loza-Gomez fullname: Loza-Gomez, Angelica organization: Department of Emergency Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California – sequence: 2 givenname: Megan surname: Johnson fullname: Johnson, Megan organization: Department of Emergency Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, California – sequence: 3 givenname: Marianne surname: Newby fullname: Newby, Marianne organization: Center for Prehospital Care, Geffen School of Medicine, University of California Los Angeles, Los Angeles, California – sequence: 4 givenname: Todd surname: LeGassick fullname: LeGassick, Todd organization: Center for Prehospital Care, Geffen School of Medicine, University of California Los Angeles, Los Angeles, California – sequence: 5 givenname: Baxter surname: Larmon fullname: Larmon, Baxter organization: Center for Prehospital Care, Geffen School of Medicine, University of California Los Angeles, Los Angeles, California |
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| Keywords | cardiopulmonary resuscitation compression fraction prehospital care out-of-hospital cardiac arrest |
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| Title | Chest Compression Fraction Alone Does Not Adequately Measure Cardiopulmonary Resuscitation Quality in Out-of-Hospital Cardiac Arrest |
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