%0 Journal Article
%T An automated CPR device compared with standard chest compressions for out-of-hospital resuscitation
%A Paul A Jennings
%A Linton Harriss
%A Stephen Bernard
%A Janet Bray
%A Tony Walker
%A Tim Spelman
%A Karen Smith
%A Peter Cameron
%J BMC Emergency Medicine
%D 2012
%I BioMed Central
%R 10.1186/1471-227x-12-8
%X This was a retrospective study using a matched case¨Ccontrol design across three regional study sites in Victoria, Australia. Each case was matched to at least two (maximum four) controls using age, gender, response time, presenting cardiac rhythm and bystander CPR, and analysed using conditional fixed-effects logistic regression.During the period 1 October 2006 to 30 April 2010 there were 66 OHCA cases using A-CPR. These were matched to 220 cases of OHCA involving the administration of C-CPR only (controls). Survival to hospital was achieved in 26% (17/66) of cases receiving A-CPR compared with 20% (43/220) of controls receiving C-CPR and the propensity score adjusted odds ratio [AOR (95% CI)] was 1.69 (0.79, 3.63). Results were similar using only bystander witnessed OHCA cases with presumed cardiac aetiology. Survival to hospital was achieved for 29% (14/48) of cases receiving A-CPR compared with 18% (21/116) of those receiving C-CPR [AOR£¿=£¿1.80 (0.78, 4.11)].The use of A-CPR resulted in a higher rate of survival to hospital compared with C-CPR, yet a tendency for a lower rate of survival to hospital discharge, however these associations did not reach statistical significance. Further research is warranted which is prospective in nature, involves randomisation and larger number of cases to investigate potential sub-group benefits of A-CPR including survival to hospital discharge.
%U http://www.biomedcentral.com/1471-227X/12/8/abstract