Cardiopulmonary resuscitation coaching for resuscitation teams: A systematic review
Aim: Cardiopulmonary resuscitation (CPR) quality is often substandard to guidelines for resuscitation teams. We aimed to investigate if the use of a CPR coach as part of the resuscitation team can improve teamwork, quality of care, and patient outcomes during simulated and clinical cardiac arrest re...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Resuscitation Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520425000050 |
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| author | Kasper G. Lauridsen Emma Bürgstein Sabine Nabecker Yiqun Lin Aaron Donoghue Jonathan P. Duff Adam Cheng |
| author_facet | Kasper G. Lauridsen Emma Bürgstein Sabine Nabecker Yiqun Lin Aaron Donoghue Jonathan P. Duff Adam Cheng |
| author_sort | Kasper G. Lauridsen |
| collection | DOAJ |
| description | Aim: Cardiopulmonary resuscitation (CPR) quality is often substandard to guidelines for resuscitation teams. We aimed to investigate if the use of a CPR coach as part of the resuscitation team can improve teamwork, quality of care, and patient outcomes during simulated and clinical cardiac arrest resuscitation. Methods: We searched PubMed, Embase, and Cochrane from inception until October 9, 2024 for randomized trials and observational studies. We assessed risk of bias using Cochrane tools and assessed the certainty of evidence using the Grading of Recommendations Assessment, Development and Evaluation approach. PROSPERO CRD42024603212. Results: We screened 505 records and included 7 studies. Overall, 6 were randomized studies involving pediatric resuscitation of which 4 studies were secondary analyses of one simulation-based trial, and one was an observational study on adult out-of-hospital cardiac arrest. Reported outcomes were: CPR performance in a simulated setting (n = 3), workload in a simulated setting (n = 2), adherence to guidelines in a simulated setting (n = 1), team communication in a simulated setting (n = 1), and clinical CPR performance (n = 1). All studies suggested improved CPR quality and guideline adherence when using a CPR coach compared to not using a coach. Risk of bias varied from low to critical and the certainty of evidence across outcomes was low or very low. Conclusions: We identified low- to very-low certainty of evidence supporting the use of a CPR coach as part of the resuscitation team in order to improve CPR quality and guideline adherence. However, further research is needed, in particular for clinical performance and patient outcomes. |
| format | Article |
| id | doaj-art-c3146284b3aa41b4bbaac98923223a63 |
| institution | Kabale University |
| issn | 2666-5204 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-c3146284b3aa41b4bbaac98923223a632025-01-19T06:26:43ZengElsevierResuscitation Plus2666-52042025-01-0121100868Cardiopulmonary resuscitation coaching for resuscitation teams: A systematic reviewKasper G. Lauridsen0Emma Bürgstein1Sabine Nabecker2Yiqun Lin3Aaron Donoghue4Jonathan P. Duff5Adam Cheng6Department of Anesthesiology and Intensive Care, Randers Regional Hospital, Denmark; Department of Clinical Medicine, Aarhus University, Denmark; Research Center for Emergency Medicine, Aarhus University Hospital, Denmark; Department of Anesthesiology and Critical Care Medicine, Children’s Hospital of Philadelphia, United States; Corresponding author at: Department of Anesthesiology and Intensive Care, Randers Regional Hospital, 8930 Randers NE, Denmark.Department of Clinical Medicine, Aarhus University, Denmark; Research Center for Emergency Medicine, Aarhus University Hospital, DenmarkDepartment of Anesthesiology and Pain Management, Mount Sinai Hospital, CanadaKidSIM-ASPIRE Simulation Research Program, University of Calgary, CanadaDepartment of Anesthesiology and Critical Care Medicine, Children’s Hospital of Philadelphia, United States; Department of Anesthesia and Critical Care Medicine, University of Pennsylvania Perelman School of Medicine, USADepartment of Pediatrics, University of Alberta, CanadaKidSIM-ASPIRE Simulation Research Program, University of Calgary, Canada; Departments of Pediatrics and Emergency Medicine, Alberta Children’s Hospital, CanadaAim: Cardiopulmonary resuscitation (CPR) quality is often substandard to guidelines for resuscitation teams. We aimed to investigate if the use of a CPR coach as part of the resuscitation team can improve teamwork, quality of care, and patient outcomes during simulated and clinical cardiac arrest resuscitation. Methods: We searched PubMed, Embase, and Cochrane from inception until October 9, 2024 for randomized trials and observational studies. We assessed risk of bias using Cochrane tools and assessed the certainty of evidence using the Grading of Recommendations Assessment, Development and Evaluation approach. PROSPERO CRD42024603212. Results: We screened 505 records and included 7 studies. Overall, 6 were randomized studies involving pediatric resuscitation of which 4 studies were secondary analyses of one simulation-based trial, and one was an observational study on adult out-of-hospital cardiac arrest. Reported outcomes were: CPR performance in a simulated setting (n = 3), workload in a simulated setting (n = 2), adherence to guidelines in a simulated setting (n = 1), team communication in a simulated setting (n = 1), and clinical CPR performance (n = 1). All studies suggested improved CPR quality and guideline adherence when using a CPR coach compared to not using a coach. Risk of bias varied from low to critical and the certainty of evidence across outcomes was low or very low. Conclusions: We identified low- to very-low certainty of evidence supporting the use of a CPR coach as part of the resuscitation team in order to improve CPR quality and guideline adherence. However, further research is needed, in particular for clinical performance and patient outcomes.http://www.sciencedirect.com/science/article/pii/S2666520425000050Cardiopulmonary resuscitationResuscitation teamsCardiac Arrest TeamsCPR Coach |
| spellingShingle | Kasper G. Lauridsen Emma Bürgstein Sabine Nabecker Yiqun Lin Aaron Donoghue Jonathan P. Duff Adam Cheng Cardiopulmonary resuscitation coaching for resuscitation teams: A systematic review Resuscitation Plus Cardiopulmonary resuscitation Resuscitation teams Cardiac Arrest Teams CPR Coach |
| title | Cardiopulmonary resuscitation coaching for resuscitation teams: A systematic review |
| title_full | Cardiopulmonary resuscitation coaching for resuscitation teams: A systematic review |
| title_fullStr | Cardiopulmonary resuscitation coaching for resuscitation teams: A systematic review |
| title_full_unstemmed | Cardiopulmonary resuscitation coaching for resuscitation teams: A systematic review |
| title_short | Cardiopulmonary resuscitation coaching for resuscitation teams: A systematic review |
| title_sort | cardiopulmonary resuscitation coaching for resuscitation teams a systematic review |
| topic | Cardiopulmonary resuscitation Resuscitation teams Cardiac Arrest Teams CPR Coach |
| url | http://www.sciencedirect.com/science/article/pii/S2666520425000050 |
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