J Korean Soc Emerg Med.  2009 Jun;20(3):256-263.

Comparison of CPR Outcomes between Autopulse TM and Manual Compression in Adult Out-of-hospital Cardiac Arrest

• Han GK
• Ryu SY
• Kim HJ
• Lee SL
• Cho SJ
• Oh SC

Abstract

PURPOSE: Our goal was to compare resuscitation outcomes, 24 hour survival, and survival discharge between patients resuscitated with an AutoPulse compression device vs. those resuscitated using manual compression in adult, out-of-hospital non-traumatic cardiac arrest patients.
METHODS
We retrospectively reviewed cases of out-of-hospital cardiac arrest that occurred between July 2005 and June 2008. We included, 267 non-traumatic patients who had. We compared characteristics between 93 patients who had AutoPulse compression and 174 patients who had manual compression. Characteristics included resuscitation outcomes (return of spontaneous circulation [ROSC], 24 hour survival and resuscitation outcomes according to the initial ECG.
RESULTS
The rate of ROSC was 43.1% for AutoPulse compression and 50.57% for manual compression; the difference was not significant (p=0.294). Survival rates at 24 hours were, respectively, 33.3% and 31.6% (p=0.88). Survival discharge proportions were, 8.6% and 11.5%, respectively (p=0.599).
CONCLUSION
There are no statistically significant differences in resuscitation outcomes between AutoPulse and manual compression in adult, out-of-hospital, non-traumatic, cardiac arrest patients.

Keyword

Cardiopulmonary resuscitation; Compression device; Heart arrest

MeSH Terms

Adult
Cardiopulmonary Resuscitation
Electrocardiography
Heart Arrest
Humans
Out-of-Hospital Cardiac Arrest
Resuscitation
Retrospective Studies
Survival Rate