Gugelmin-Almeida Debora, Tobase Lucia, Polastri Thatiane Facholi, Peres Heloisa Helena Ciqueto, Timerman Sergio
Faculty of Health and Social Sciences, Bournemouth University, Bournemouth Gateway Building, St. Pauls Lane, Bournemouth, BH8 8GP, England, United Kingdom.
Department of Anaesthesiology, Main Theatres, Royal Bournemouth and Christchurch Hospitals, Castle Lane East, Bournemouth, BH7 7DW, England, United Kingdom.
Resusc Plus. 2021 Mar 27;6:100108. doi: 10.1016/j.resplu.2021.100108. eCollection 2021 Jun.
Automated real-time feedback devices have been considered a potential tool to improve the quality of cardiopulmonary resuscitation (CPR). Despite previous studies supporting the usefulness of such devices during training, others have conflicting conclusions regarding its efficacy during real-life CPR. This systematic review aimed to assess the effectiveness of automated real-time feedback devices for improving CPR performance during training, simulation and real-life resuscitation attempts in the adult and paediatric population.
Articles published between January 2010 and November 2020 were searched from BVS, Cinahl, Cochrane, PubMed and Web of Science, and reviewed according to a pre-defined set of eligibility criteria which included healthcare providers and randomised controlled trial studies. CPR quality was assessed based on guideline compliance for chest compression rate, chest compression depth and residual leaning.
The selection strategy led to 19 eligible studies, 16 in training/simulation and three in real-life CPR. Feedback devices during training and/or simulation resulted in improved acquisition of skills and enhanced performance in 15 studies. One study resulted in no significant improvement. During real resuscitation attempts, three studies demonstrated significant improvement with the use of feedback devices in comparison with standard CPR (without feedback device).
The use of automated real-time feedback devices enhances skill acquisition and CPR performance during training of healthcare professionals. Further research is needed to better understand the role of feedback devices in clinical setting.
自动实时反馈设备被认为是提高心肺复苏（CPR）质量的一种潜在工具。尽管先前的研究支持此类设备在培训期间的有用性，但其他研究对于其在实际CPR中的疗效存在相互矛盾的结论。本系统评价旨在评估自动实时反馈设备在成人和儿童群体的培训、模拟及实际复苏尝试过程中改善CPR操作的有效性。
检索2010年1月至2020年11月期间发表于BVS、护理学与健康领域数据库（Cinahl）、考克兰图书馆、PubMed及科学网的文章，并根据一套预先定义的纳入标准进行综述，纳入标准包括医疗保健提供者和随机对照试验研究。基于胸外按压频率、胸外按压深度和残余倾斜度的指南依从性评估CPR质量。
选择策略产生了19项符合条件的研究，其中16项在培训/模拟中，3项在实际CPR中。在15项研究中培训和/或模拟期间的反馈设备使技能掌握情况得到改善且操作表现得到提高。一项研究未显示出显著改善。在实际复苏尝试中，三项研究表明与标准CPR（无反馈设备）相比，使用反馈设备有显著改善。
使用自动实时反馈设备可提高医疗保健专业人员培训期间的技能掌握情况和CPR操作表现。需要进一步研究以更好地了解反馈设备在临床环境中的作用。
