Effect of Compression Rotation Intervals on Cardiopulmonary Resuscitation Quality: A Systematic Review and Meta-Analysis.
Introduction: Reducing the compression rotation interval from 2 to 1 minute is expected to improve cardiopulmonary resuscitation (CPR) quality. This meta-analysis aimed to assess the effect of altering the compression rotation interval on key CPR quality parameters, including compression depth, rate...
| Published in: | Archives of Academic Emergency Medicine Vol. 13; no. 1; pp. 1 - 11 |
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| Main Authors: | , , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
Shahid Beheshti University of Medical Sciences
2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190500704&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190500704 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26454904 MFMK jtl: Archives of Academic Emergency Medicine issn: 26454904 maglogo: N pubinfo: dt: 2025 vid: 13 iid: 1 pid: 87963 pub: Shahid Beheshti University of Medical Sciences artinfo: ui: 190500704 190500704 190500704 10.22037/aaemj.v13i1.2704 190500704 ppf: 1 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Effect of Compression Rotation Intervals on Cardiopulmonary Resuscitation Quality: A Systematic Review and Meta-Analysis. aug: au: Sawee, Chinnawudh Churuangsuk, Chaitong Vattanavanit, Veerapong affil: Division of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, 90110, Thailand. sug: subj: Resuscitation, Cardiopulmonary Evaluation Compression Therapy Rotation Heart Arrest Therapy Task Performance and Analysis Fatigue Prevention and Control Human Systematic Review Meta Analysis Medline Embase Cochrane Library Confidence Intervals Visual Analog Scaling Heart Massage Descriptive Statistics Checklists Data Analysis Software Male Female Emotional Exhaustion Male Female ab: Introduction: Reducing the compression rotation interval from 2 to 1 minute is expected to improve cardiopulmonary resuscitation (CPR) quality. This meta-analysis aimed to assess the effect of altering the compression rotation interval on key CPR quality parameters, including compression depth, rate, and rescuer fatigue. Methods: We systematically searched MEDLINE, EMBASE, Scopus, Google Scholar, Web of Science, and the Cochrane Controlled Register of Trials from their inception to May 15, 2025. We searched for randomized controlled trials, simulation studies, and crossover studies that compared 1-min and 2-min compression rotation times. The assessed outcomes included compression depth, rate, correctness, and rescuer fatigue, which were reported as the standard mean difference (SMD) with a 95% confidence interval (95% CI). Results: One randomized controlled trial and seven randomized crossover studies, involving 668 rescuers in total, using manikins, were included. The 1-min rotation group exhibited significantly greater compression depth, with an increase of 2.06 mm (SMD = 2.06, 95% CI: 0.44-3.68, p < 0.001). This group demonstrated lower levels of fatigue, as indicated by a significant reduction on the visual analog scale for fatigue (SMD = -1.27, 95% CI: -2.24 to -0.30, p < 0.001). However, there were no significant differences in the compression rate or percentage of compressions that achieved adequate depth. Conclusion: It seems that altering the chest compression rotation interval from 2 min to 1 min improves the compression depth and reduces rescuer fatigue. However, parameters, such as the compression rate and compression adequacy, remained unchanged. Notably, all the studies were conducted on manikins, thus necessitating further research to assess the applicability of these changes in real-world clinical settings. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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