title: Proper target depth of an accelerometer-based feedback device during CPR performed on a hospital bed: a randomized simulation study.
abstract: OBJECTIVE
  Feedback devices are used to improve chest compression (CC) quality related to survival rates in cardiac arrest. However, several studies have shown that feedback devices are not sufficiently reliable to ensure adequate CC depth on soft surfaces. Here, we determined the proper target depth of feedback (TDF) using an accelerometer during cardiopulmonary resuscitation in hospital beds.
  
  
  METHODS
  In prospective randomized crossover study, 19 emergency physicians performed CCs for 2 minutes continuously on a manikin in 2 different beds with 3 TDFs (5, 6, and 7 cm). We measured CC depth, the proportion of accurate compression depths, CC rate, the proportion of incomplete chest decompressions, the velocity of CC (CC velocity), the proportion of time spent in CC relative to compression plus decompression (duty cycle), and the time spent in CC (CC time).
  
  
  RESULTS
  Mean (SD) CC depths at TDF 5, 6, and 7 were 45.42 (5.79), 52.68 (4.18), and 58.47 (2.48) on one bed and 46.26 (4.49), 53.58 (3.15), and 58.74 (2.10) mm on the other bed (all P<.001), respectively. The proportions of accurate compression depths and CC velocity at TDF 5, 6, and 7 differed significantly according to TDF on both beds (all P<.001).The CC rate, CC time, and proportion of incomplete chest decompression did not differ on both beds (all P>.05). The duty cycle differed significantly on only B2.
  
  
  CONCLUSIONS
  The target depth of the real-time feedback device should be at least 6 cm but should not exceed 7 cm for optimal CC on patients on hospital beds.
authors: Department of Emergency Medicine, College of Medicine, Hanyang University, Seoul, South Korea.
authors: Sanghyun
authors: S
authors: Lee
authors: Department of Emergency Medicine, College of Medicine, Hanyang University, Seoul, South Korea.
authors: Jaehoon
authors: J
authors: Oh
authors: Department of Emergency Medicine, College of Medicine, Hanyang University, Seoul, South Korea. Electronic address: emer0905@gmail.com.
authors: Hyunggoo
authors: H
authors: Kang
authors: Department of Emergency Medicine, College of Medicine, Hanyang University, Seoul, South Korea.
authors: Taeho
authors: T
authors: Lim
authors: Department of Emergency Medicine, College of Medicine, Hallym University, Seoul, South Korea.
authors: Wonhee
authors: W
authors: Kim
authors: School of Electrical Engineering, University of Ulsan, Ulsan, Korea.
authors: Youngjoon
authors: Y
authors: Chee
authors: School of Electrical Engineering, University of Ulsan, Ulsan, Korea.
authors: Yeongtak
authors: Y
authors: Song
authors: Department of Emergency Medicine, College of Medicine, Hanyang University, Seoul, South Korea.
authors: Chiwon
authors: C
authors: Ahn
authors: Department of Emergency Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.
authors: Jun Hwi
authors: JH
authors: Cho
mesh_terms: D061725:Accelerometry / Q000295:instrumentation* / Q000379:methods; D000328:Adult; D001513:Beds; D016887:Cardiopulmonary Resuscitation / Q000295:instrumentation / Q000379:methods* / Q000592:standards; D018592:Cross-Over Studies; D004867:Equipment Design; D004865:Equipment and Supplies, Hospital; D005246:Feedback; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D008297:Male; D008348:Manikins; D063731:Mobile Applications; D016544:Patient Simulation; D011312:Pressure; D056910:Republic of Korea; D000068997:Smartphone / Q000295:instrumentation; D015996:Survival Rate; D013909:Thorax