Kepez State Hospital, Emergency Service, Antalya, Turkey.
Akdeniz University School of Medicine, Department of Emergency Medicine, Antalya, Turkey.
Am J Emerg Med. 2018 May;36(5):829-833. doi: 10.1016/j.ajem.2017.10.035. Epub 2017 Oct 13.
The aim of this randomized cross-over study was to compare one-minute and two-minute continuous chest compressions in terms of chest compression only CPR quality metrics on a mannequin model in the ED.
Thirty-six emergency medicine residents participated in this study. In the 1-minute group, there was no statistically significant difference in the mean compression rate (p=0.83), mean compression depth (p=0.61), good compressions (p=0.31), the percentage of complete release (p=0.07), adequate compression depth (p=0.11) or the percentage of good rate (p=51) over the four-minute time period. Only flow time was statistically significant among the 1-minute intervals (p<0.001). In the 2-minute group, the mean compression depth (p=0.19), good compression (p=0.92), the percentage of complete release (p=0.28), adequate compression depth (p=0.96), and the percentage of good rate (p=0.09) were not statistically significant over time. In this group, the number of compressions (248±31 vs 253±33, p=0.01) and mean compression rates (123±15 vs 126±17, p=0.01) and flow time (p=0.001) were statistically significant along the two-minute intervals. There was no statistically significant difference in the mean number of chest compressions per minute, mean chest compression depth, the percentage of good compressions, complete release, adequate chest compression depth and percentage of good compression between the 1-minute and 2-minute groups.
There was no statistically significant difference in the quality metrics of chest compressions between 1- and 2-minute chest compression only groups.
本随机交叉研究的目的是比较在 ED 模型上一分钟和两分钟连续胸外按压在仅胸外按压心肺复苏质量指标方面的差异。
36 名急诊医学住院医师参与了这项研究。在 1 分钟组中,在整个 4 分钟的时间内,平均按压频率(p=0.83)、平均按压深度(p=0.61)、有效按压(p=0.31)、完全释放比例(p=0.07)、充分按压深度(p=0.11)或有效率比例(p=51)均无统计学差异。仅在 1 分钟间隔中,血流时间具有统计学意义(p<0.001)。在 2 分钟组中,平均按压深度(p=0.19)、有效按压(p=0.92)、完全释放比例(p=0.28)、充分按压深度(p=0.96)和有效率比例(p=0.09)在整个时间段内均无统计学差异。在该组中,按压次数(248±31 次与 253±33 次,p=0.01)和平均按压频率(123±15 次与 126±17 次,p=0.01)以及血流时间(p=0.001)在两分钟间隔内具有统计学意义。在每分钟按压次数、平均按压深度、有效按压比例、完全释放比例、充分按压深度和有效按压比例方面,1 分钟和 2 分钟组之间没有统计学差异。
在 1 分钟和 2 分钟仅胸外按压组之间,胸外按压质量指标没有统计学差异。