Review: active compression-decompression CPR has no benefit over standard resuscitation for cardiac arrest
Q What is the effectiveness and safety of active compression-decompression cardiopulmonary resuscitation (ACDR CPR) compared with standard manual cardiopulmonary resuscitation (STR) for cardiac arrest?
Cochrane Central Register of Controlled Trials (issue 4, 2003), Medline (to January 2004), and EMBASE/Excerpta Medica (to January 2004); reference lists of retrieved articles; experts in the field; and a manufacturer of ACDR CPR devices.
Study selection and assessment:
published and unpublished randomised controlled trials (RCTs) and quasi-randomised controlled trials in any language that compared ACDR CPR with STR performed by a trained medical or paramedical team in adults (>16 y of age) in cardiac arrest. 2 reviewers independently assessed the quality of individual studies (ie, adequacy of allocation concealment).
immediate mortality (spontaneous circulation not recovered); mortality to hospital discharge; neurological impairment in patients surviving to discharge classified as moderate (impaired functionality but self …