Mechanical chest compression and in-hospital cardiac arrest: a systematic review
There is a need for randomised trials to evaluate the effect of mechanical chest compression devices on survival for inhospital
cardiac arrest. This study published on Resuscitation confirm an association between use of mechanical chest compression device and improved hospital survival and short-term survival. But overall evidence quality in relation to all outcomes was very low. Meta-analyses showed an association between use of mechanical chest compression device and improved hospital or 30-day survival
In this review, the meta-analysis found an association between improved hospital or 30-day survival and treatment with a mechanical chest compression device for in-hospital cardiac arrest. Authors also found evidence of improved short-term survival and improved physiological outcomes when a mechanical device was used. However, no study included data on survival with good neurological outcome and evidence quality for each outcome was very low. This review suggests a potential role for mechanical chest compression devices for in-hospital cardiac arrest, but there is an urgent need for high-quality research, particularly adequately powered randomised trials, to further examine this role.