The use of a metronome during cardiopulmonary resuscitation in the emergency room of a university hospital

The use of a metronome during cardiopulmonary resuscitation in the emergency room of a university hospital

Title: The use of a metronome during cardiopulmonary resuscitation in the emergency room of a university hospital;
Uso del metrónomo durante la resucitación cardiopulmonar en la sala de emergencia de un hospital universitário;
Uso do metrônomo durante a ressuscitação cardiopulmonar na sala de emergência de um hospital universitário
Author de Oliveira Botelho, Renata Maria Autor UNIFESP Google Scholar
Campanharo, Cassia Regina Vancini Autor UNIFESP Google Scholar
Lopes, Maria Carolina Barbosa Teixeira Autor UNIFESP Google Scholar
Okuno, Meiry Fernanda Pinto Autor UNIFESP Google Scholar
Gois, Aecio Flavio Teixeira de Autor UNIFESP Google Scholar
Batista, Ruth Ester Assayag Autor UNIFESP Google Scholar
Abstract Objective: to compare the rate of return of spontaneous circulation (ROSC) and death after cardiac arrest, with and without the use of a metronome during cardiopulmonary resuscitation (CPR). Method: case-control study nested in a cohort study including 285 adults who experienced cardiac arrest and received CPR in an emergency service. Data were collected using In-hospital Utstein Style. The control group (n= 60) was selected by matching patients considering their neurological condition before cardiac arrest, the immediate cause, initial arrest rhythm, whether epinephrine was used, and the duration of CPR. The case group (n= 51) received conventional CPR guided by a metronome set at 110 beats/min. Chi-square and likelihood ratio were used to compare ROSC rates considering p= 0.05. Results: ROSC occurred in 57.7% of the cases, though 92.8% of these patients died in the following 24 hours. No statistically significant difference was found between groups in regard to ROSC (p= 0.2017) or the occurrence of death (p= 0.8112). Conclusion: the outcomes of patients after cardiac arrest with and without the use of a metronome during CPR were similar and no differences were found between groups in regard to survival rates and ROSC.
Keywords Cardiopulmonary Resuscitation
Heart Arrest
Emergency NursingChest Compression Rates
Cardiac-Arrest
Audiovisual Feedback
Quality
Outcomes
Language English
Date 2016
Published in Revista Latino-Americana De Enfermagem. Ribeirao preto, v. 24, p. e2829, 2016.
ISSN 1518-8345 (Sherpa/Romeo, impact factor)
Publisher Inst Pesca
Extent e2829
Origin http://dx.doi.org/10.1590/1518-8345.1294.2829
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000396277500078
SciELO ID S0104-11692016000100427 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/49257

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