title: Standard versus Abdominal Lifting and Compression CPR.
abstract: Background. This study compared outcomes of abdominal lifting and compression cardiopulmonary resuscitation (ALP-CPR) with standard CPR (STD-CPR).Materials and Methods. Patients with cardiac arrest seen from April to December 2014 were randomized to receive standard CPR or ALP-CPR performed with a novel abdominal lifting/compression device. The primary outcome was return of spontaneous circulation (ROSC).Results. Patients were randomized to receive ALP-CPR (n= 40) and STD-CPR (n= 43), and the groups had similar baseline characteristics. After CPR, 9 (22.5%) and 7 (16.3%) patients in the ALP-CPR and STD-CPR groups, respectively, obtained ROSC. At 60 minutes after ROSC, 7 (77.8%) and 2 (28.6%) patients, respectively, in the ALP-CPR and STD-CPR groups survived (P= 0.049). Patients in the ALP-CPR group had a significantly higher heart rate and lower mean arterial pressure (MAP) than those in the STD-CPR group (heart rate: 106.8 versus 79.0,P< 0.001; MAP: 60.0 versus 67.3 mm Hg,P= 0.003). The posttreatment PCO2was significantly lower in ALP-CPR group than in STD-CPR group (52.33 versus 58.81,P= 0.009). PO2was significantly increased after ALP-CPR (45.15 to 60.68,P< 0.001), but it was not changed after STD-CPR. PO2after CPR was significantly higher in the ALP-CPR group (60.68 versus 44.47,P< 0.001). There were no differences between genders and for patients who are > 65 or ≤ 65 years of age.Conclusions. The abdominal lifting and compression cardiopulmonary resuscitation device used in this study is associated with a higher survival rate after ROSC than standard CPR.
authors.affiliation: Department of Emergency, Southern Medical University Affiliated Zhengzhou People's Hospital, Zhengzhou, Henan 450003, China.
authors.forename: Sisen
authors.identifier: 0000-0003-3328-7880
authors.initials: S
authors.lastname: Zhang
authors.affiliation: Department of Emergency, Southern Medical University Affiliated Zhengzhou People's Hospital, Zhengzhou, Henan 450003, China.
authors.forename: Qing
authors.initials: Q
authors.lastname: Liu
authors.affiliation: Department of Emergency, Southern Medical University Affiliated Zhengzhou People's Hospital, Zhengzhou, Henan 450003, China.
authors.forename: Shupeng
authors.initials: S
authors.lastname: Han
authors.affiliation: Department of Emergency, Southern Medical University Affiliated Zhengzhou People's Hospital, Zhengzhou, Henan 450003, China.
authors.forename: Ziran
authors.initials: Z
authors.lastname: Zhang
authors.affiliation: Department of Emergency, Southern Medical University Affiliated Zhengzhou People's Hospital, Zhengzhou, Henan 450003, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Emergency Medical Center, General Hospital of Chinese Armed Police Forces, Beijing 100039, China.
authors.forename: Yahua
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Beijing Germari Medical Equipment Co., Ltd, Beijing, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Li
authors.affiliation: Emergency Medical Center, General Hospital of Chinese Armed Police Forces, Beijing 100039, China.
authors.forename: Lixiang
authors.identifier: 0000-0003-3493-9596
authors.initials: L
authors.lastname: Wang