Narrative review compares outcomes of manual and mechanical CPR in out-of-hospital cardiac arrest, indicating implications for practice.
Key Points
This review aims to compare the effectiveness of mechanical CPR and manual CPR in terms of neurological and survival outcomes in out-of-hospital cardiac arrest.
Narrative review design focusing on studies published from 2010 to 2024.
Inclusion of observational studies and a meta-analysis sourced from national and regional OHCA registries.
Primary outcome measured was neurologically favorable survival, alongside secondary outcomes of ROSC and survival rates.
Neurological recovery was lower with mCPR compared to manual CPR, with an aOR of 0.74 (95% CI: 0.68-0.81) indicating reduced odds.
Survival to hospital admission and 30-day survival rates were lower in the mCPR group, with aORs of 0.83 and 0.72, respectively.
ROSC rates were either non-significant or slightly higher in the mCPR group, but overall manual CPR showed better outcomes.