Efficacy of Medical Care on Cardiac Arrest in Patients Based on Clinical Points and Cardiopulmonary Resuscitation

Q: What is the clinical evidence from this study?

Study design: Systematic Review. Population: Cardiac arrest (cardiopulmonary arrest). Intervention: Cardiopulmonary resuscitation (CPR), including observer/bystander chest-compression-only (hands-only) CPR and full CPR vs. No CPR performed or full CPR with rescue breathing. Primary outcome: Survival following cardiac arrest.

Niusha Rostampur; Mostafa Hamid; Javad Rezanezhad; Zeinab Sadat Moosavifard; Pouriya Nekoueifard

doi:10.4314/mejs.v18i2.4

January 1, 2026Momona Ethiopian Journal of ScienceOpen Access

Efficacy of Medical Care on Cardiac Arrest in Patients Based on Clinical Points and Cardiopulmonary Resuscitation

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Key result

Hands-only CPR significantly improves cardiac arrest survival vs no CPR and matches full CPR.

Why the study?

This study was conducted to investigate the efficacy of medical care on cardiac arrest in patients based on clinical points and cardiopulmonary resuscitation.

Does rapid cardiopulmonary resuscitation (including observer hands-only chest massage) improve survival in patients experiencing cardiac arrest compared to no CPR or full CPR?

Key Points

To evaluate the efficacy of medical care and cardiopulmonary resuscitation techniques on survival outcomes in patients with cardiac arrest.
Systematic search conducted across Scopus, Google Scholar, and PubMed databases for articles published between 2013 and 2024.
Identified 46 initial records and applied PRISMA screening, ultimately analyzing 6 studies that met inclusion criteria.
Survival was significantly greater when an observer initiated cardiopulmonary resuscitation compared to when resuscitation was not performed.
Chest compressions alone performed by a bystander demonstrated equal efficacy to full cardiopulmonary resuscitation during the initial minutes of arrest.
Meta-analytic study weights evaluated resuscitation proportions ranging from 0.68 (98% CI: 0.52–1.06) to 0.89 (98% CI: 0.19–1.01) with low heterogeneity (I2=0.00).

Study Design

Type

Systematic Review

Structured PICO

Does rapid cardiopulmonary resuscitation (including observer hands-only chest massage) improve survival in patients experiencing cardiac arrest compared to no CPR or full CPR?

P

Population

Systematic review evaluating 6 included studies (from 46 initially identified articles published between 2013 and 2024) of patients experiencing in-hospital or out-of-hospital cardiac arrest undergoing cardiopulmonary resuscitation.

I

Intervention

Cardiopulmonary resuscitation (CPR), including observer/bystander hands-only CPR (chest compressions at 100-120 compressions per minute to a depth of at least 5 cm in adults), basic life support (BLS) with 30 chest compressions to 2 artificial respirations, automated external defibrillator (AED) use, and advanced life support (ALS)

C

Comparator

No CPR performed or full CPR (compressions plus ventilation) during the initial minutes

O

Outcome

Survival and efficacy of resuscitation following cardiac arresthard clinical

Observer-initiated hands-only cardiopulmonary resuscitation significantly increases survival rates following cardiac arrest compared to no resuscitation and is equally effective as full CPR during the initial minutes.

Limitations

Cardiopulmonary arrest is difficult to study and investigate because most deaths happen unpredictably and rarely occur in the presence of first aid.
11 articles were excluded during full-text screening due to incomplete data or non-compliance with inclusion and exclusion criteria.
Insufficient emergency coverage and late or inappropriate transfer of patients by emergency medical services contribute to low resuscitation success rates.
Cardiopulmonary arrest is very difficult to study and investigate even in advanced centers because most deaths happen unpredictably and rarely happen in the presence of first aid

Ask about this paper

Answers are grounded in this paper and cite their sources.

Implication

Immediate bystander hands-only CPR should be prioritized in cardiac arrest; reinforces AHA guidelines and extends evidence for simplified protocols.

Abstract

In the present study, the efficacy of medical care on cardiac arrest in patients, based on clinical points and cardiopulmonary resuscitation (CPR), was investigated. For this, 46 published articles between 2013 and 2024 were evaluated with keywords including "medical care," "emergency medicine unit, and clinical points and cardiopulmonary resuscitation," searched in Scopus, Google Scholar, and PubMed databases. A resuscitation operation maintains blood flow to the important organs of the body. The chain of rescue defined by the American Heart Association (AHA) includes recognition of cardiac arrest and activation of 115, rapid initiation of cardiac massage, and continuing advanced resuscitation in the hospital. Many cases of cardiopulmonary arrest can be reversed by performing rapid and correct cardiopulmonary resuscitation. The likelihood of survival is significantly greater when an observer performs CPR compared to when CPR is not performed, and this approach is equally effective as full CPR during the initial minutes.

Discussion

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Cite This Study

Rostampur et al. (2026) conducted a systematic review in Cardiac arrest (cardiopulmonary arrest). Cardiopulmonary resuscitation (CPR), including observer/bystander chest-compression-only (hands-only) CPR and full CPR vs. No CPR performed or full CPR with rescue breathing was evaluated on Survival following cardiac arrest. Observer-performed cardiac massage (hands-only CPR) significantly increases survival likelihood compared to no CPR and is equally effective as full CPR during the initial minutes of cardiac arrest.

synapsesocial.com/papers/6af0dba03c845ca7837cee0a https://doi.org/10.4314/mejs.v18i2.4

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Efficacy of Medical Care on Cardiac Arrest in Patients Based on Clinical Points and Cardiopulmonary Resuscitation

Key Points

Study Design

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Efficacy of Medical Care on Cardiac Arrest in Patients Based on Clinical Points and Cardiopulmonary Resuscitation

Key Points

Study Design

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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