Skip to main content
Top
Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 1/2021

Open Access 01-12-2021 | Cardiopulmonary Resuscitation | Study protocol

Differences between manual CPR and corpuls cpr in regard to quality and outcome: study protocol of the comparing observational multi‐center prospective registry study on resuscitation (COMPRESS)

Authors: S. Seewald, S. Dopfer, J. Wnent, B. Jakisch, M. Heller, R. Lefering, JT Gräsner

Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | Issue 1/2021

Login to get access

Abstract

Background

The effect of mechanical CPR is diversely described in the literature. Different mechanical CPR devices are available. The corpuls cpr is a new generation of piston-driven devices and was launched in 2015. The COMPRESS-trial analyzes quality of chest compression and CPR-related injuries in cases of mechanical CPR by the corpuls cpr and manual CPR.

Methods

This article describes the design and study protocol of the COMPRESS-trial. This observational multi-center study includes all patients who suffered an out-of-hospital cardiac arrest (OHCA) where CPR is attempted in four German emergency medical systems (EMS) between January 2020 and December 2022. EMS treatment, in-hospital-treatment and outcome are anonymously reported to the German Resuscitation Registry (GRR). This information is linked with data from the defibrillator, the feedback system and the mechanical CPR device for a complete dataset.
Primary endpoint is chest compression quality (complete release, compression rate, compression depth, chest compression fraction, CPR-related injuries). Secondary endpoint is survival (return of spontaneous circulation (ROSC), admission to hospital and survival to hospital discharge). The trial is sponsored by GS Elektromedizinische Geräte G. Stemple GmbH.

Discussion

This observational multi-center study will contribute to the evaluation of mechanical chest compression devices and to the efficacy and safety of the corpuls cpr.

Trial registration

DRKS, DRKS-ID DRKS00020819. Registered 31 July 2020.
Literature
1.
go back to reference Park HJ, Jeong WJ, Moon HJ, Kim GW, Cho JS, Lee KM, et al. Factors Associated with High-Quality Cardiopulmonary Resuscitation Performed by Bystander. Emerg Med Int. 2020;2020:8356201.CrossRef Park HJ, Jeong WJ, Moon HJ, Kim GW, Cho JS, Lee KM, et al. Factors Associated with High-Quality Cardiopulmonary Resuscitation Performed by Bystander. Emerg Med Int. 2020;2020:8356201.CrossRef
2.
go back to reference Ock SM, Kim YM, Chung J, Kim SH. Influence of physical fitness on the performance of 5-minute continuous chest compression. Eur J Emerg Med. 2011;18(5):251–6.CrossRef Ock SM, Kim YM, Chung J, Kim SH. Influence of physical fitness on the performance of 5-minute continuous chest compression. Eur J Emerg Med. 2011;18(5):251–6.CrossRef
3.
go back to reference Lukas RP, Gräsner JT, Seewald S, Lefering R, Weber TP, Van Aken H, et al. Chest compression quality management and return of spontaneous circulation: A matched-pair registry study. Resuscitation. 2012;83:1212–8.CrossRef Lukas RP, Gräsner JT, Seewald S, Lefering R, Weber TP, Van Aken H, et al. Chest compression quality management and return of spontaneous circulation: A matched-pair registry study. Resuscitation. 2012;83:1212–8.CrossRef
4.
go back to reference Idris AH, Guffey D, Pepe PE, Brown SP, Brooks SC, Callaway CW, et al. Chest compression rates and survival following out-of-hospital cardiac arrest. Crit Care Med. 2015;43(4):840–8.CrossRef Idris AH, Guffey D, Pepe PE, Brown SP, Brooks SC, Callaway CW, et al. Chest compression rates and survival following out-of-hospital cardiac arrest. Crit Care Med. 2015;43(4):840–8.CrossRef
5.
go back to reference Reynolds JC, Salcido DD, Menegazzi JJ. Coronary perfusion pressure and return of spontaneous circulation after prolonged cardiac arrest. Prehosp Emerg Care. 2010;14(1):78–84.CrossRef Reynolds JC, Salcido DD, Menegazzi JJ. Coronary perfusion pressure and return of spontaneous circulation after prolonged cardiac arrest. Prehosp Emerg Care. 2010;14(1):78–84.CrossRef
6.
go back to reference Wik L, Olsen JA, Persse D, Sterz F, Lozano M Jr, Brouwer MA, et al. Manual vs. integrated automatic load-distributing band CPR with equal survival after out of hospital cardiac arrest. The randomized CIRC trial. Resuscitation. 2014;85(6):741–8.CrossRef Wik L, Olsen JA, Persse D, Sterz F, Lozano M Jr, Brouwer MA, et al. Manual vs. integrated automatic load-distributing band CPR with equal survival after out of hospital cardiac arrest. The randomized CIRC trial. Resuscitation. 2014;85(6):741–8.CrossRef
7.
go back to reference Rubertsson S, Lindgren E, Smekal D, Ostlund O, Silfverstolpe J, Lichtveld RA, et al. Mechanical chest compressions and simultaneous defibrillation vs conventional cardiopulmonary resuscitation in out-of-hospital cardiac arrest: the LINC randomized trial. Jama. 2014;311(1):53–61.CrossRef Rubertsson S, Lindgren E, Smekal D, Ostlund O, Silfverstolpe J, Lichtveld RA, et al. Mechanical chest compressions and simultaneous defibrillation vs conventional cardiopulmonary resuscitation in out-of-hospital cardiac arrest: the LINC randomized trial. Jama. 2014;311(1):53–61.CrossRef
8.
go back to reference Perkins GD, Lall R, Quinn T, Deakin CD, Cooke MW, Horton J, et al. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. Lancet. 2015;385(9972):947–55.CrossRef Perkins GD, Lall R, Quinn T, Deakin CD, Cooke MW, Horton J, et al. Mechanical versus manual chest compression for out-of-hospital cardiac arrest (PARAMEDIC): a pragmatic, cluster randomised controlled trial. Lancet. 2015;385(9972):947–55.CrossRef
9.
go back to reference Seewald S, Obermaier M, Lefering R, Bohn A, Georgieff M, Muth CM, et al. Application of mechanical cardiopulmonary resuscitation devices and their value in out-of-hospital cardiac arrest: A retrospective analysis of the German Resuscitation Registry. PLoS One. 2019;14(1):e0208113.CrossRef Seewald S, Obermaier M, Lefering R, Bohn A, Georgieff M, Muth CM, et al. Application of mechanical cardiopulmonary resuscitation devices and their value in out-of-hospital cardiac arrest: A retrospective analysis of the German Resuscitation Registry. PLoS One. 2019;14(1):e0208113.CrossRef
10.
go back to reference Liu M, Shuai Z, Ai J, Tang K, Liu H, Zheng J, et al. Mechanical chest compression with LUCAS device does not improve clinical outcome in out-of-hospital cardiac arrest patients: A systematic review and meta-analysis. Med (Baltim). 2019;98(44):e17550.CrossRef Liu M, Shuai Z, Ai J, Tang K, Liu H, Zheng J, et al. Mechanical chest compression with LUCAS device does not improve clinical outcome in out-of-hospital cardiac arrest patients: A systematic review and meta-analysis. Med (Baltim). 2019;98(44):e17550.CrossRef
11.
go back to reference Wang PL, Brooks SC. Mechanical versus manual chest compressions for cardiac arrest. Cochrane Database Syst Rev. 2018;8:CD007260.PubMed Wang PL, Brooks SC. Mechanical versus manual chest compressions for cardiac arrest. Cochrane Database Syst Rev. 2018;8:CD007260.PubMed
12.
go back to reference Zhu N, Chen Q, Jiang Z, Liao F, Kou B, Tang H, et al. A meta-analysis of the resuscitative effects of mechanical and manual chest compression in out-of-hospital cardiac arrest patients. Crit Care. 2019;23(1):100.CrossRef Zhu N, Chen Q, Jiang Z, Liao F, Kou B, Tang H, et al. A meta-analysis of the resuscitative effects of mechanical and manual chest compression in out-of-hospital cardiac arrest patients. Crit Care. 2019;23(1):100.CrossRef
14.
go back to reference Soar J, Nolan JP, Bottiger BW, Perkins GD, Lott C, Carli P, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Sect. 3. Adult advanced life support. Resuscitation. 2015;95:100–47.CrossRef Soar J, Nolan JP, Bottiger BW, Perkins GD, Lott C, Carli P, et al. European Resuscitation Council Guidelines for Resuscitation 2015: Sect. 3. Adult advanced life support. Resuscitation. 2015;95:100–47.CrossRef
15.
go back to reference Eichhorn S, Mendoza A, Prinzing A, Stroh A, Xinghai L, Polski M, et al. Corpuls CPR Generates Higher Mean Arterial Pressure Than LUCAS II in a Pig Model of Cardiac Arrest. Biomed Res Int. 2017;2017:5470406.CrossRef Eichhorn S, Mendoza A, Prinzing A, Stroh A, Xinghai L, Polski M, et al. Corpuls CPR Generates Higher Mean Arterial Pressure Than LUCAS II in a Pig Model of Cardiac Arrest. Biomed Res Int. 2017;2017:5470406.CrossRef
16.
17.
go back to reference Gräsner JT, Meybohm P, Lefering R, Wnent J, Bahr J, Messelken M, et al. ROSC after cardiac arrest–the RACA score to predict outcome after out-of-hospital cardiac arrest. Eur Heart J. 2011;32(13):1649–56.CrossRef Gräsner JT, Meybohm P, Lefering R, Wnent J, Bahr J, Messelken M, et al. ROSC after cardiac arrest–the RACA score to predict outcome after out-of-hospital cardiac arrest. Eur Heart J. 2011;32(13):1649–56.CrossRef
18.
go back to reference Seewald S, Wnent J, Lefering R, Fischer M, Bohn A, Jantzen T, et al. CaRdiac Arrest Survival Score (CRASS) - A tool to predict good neurological outcome after out-of-hospital cardiac arrest. Resuscitation. 2020;146:66–73.CrossRef Seewald S, Wnent J, Lefering R, Fischer M, Bohn A, Jantzen T, et al. CaRdiac Arrest Survival Score (CRASS) - A tool to predict good neurological outcome after out-of-hospital cardiac arrest. Resuscitation. 2020;146:66–73.CrossRef
19.
go back to reference Gräsner JT, Seewald S, Wnent J, Messelken M, Jantzen T, Franz R, et al. [German Resuscitation Registry - Structured resuscitation data collection: pre-hospital care and in-hospital care]. Anästh Intensivmed. 2011;52(11):707-15. Gräsner JT, Seewald S, Wnent J, Messelken M, Jantzen T, Franz R, et al. [German Resuscitation Registry - Structured resuscitation data collection: pre-hospital care and in-hospital care]. Anästh Intensivmed. 2011;52(11):707-15.
20.
go back to reference Perkins GD, Jacobs IG, Nadkarni VM, Berg RA, Bhanji F, Biarent D, et al. Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest: A Statement for Healthcare Professionals From a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation. Resuscitation. 2015;96:328 – 40. Perkins GD, Jacobs IG, Nadkarni VM, Berg RA, Bhanji F, Biarent D, et al. Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest: A Statement for Healthcare Professionals From a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation. Resuscitation. 2015;96:328 – 40.
21.
go back to reference Lakomek F, Lukas RP, Brinkrolf P, Mennewisch A, Steinsiek N, Gutendorf P, et al. Real-time feedback improves chest compression quality in out-of-hospital cardiac arrest: A prospective cohort study. PLoS One. 2020;15(2):e0229431.CrossRef Lakomek F, Lukas RP, Brinkrolf P, Mennewisch A, Steinsiek N, Gutendorf P, et al. Real-time feedback improves chest compression quality in out-of-hospital cardiac arrest: A prospective cohort study. PLoS One. 2020;15(2):e0229431.CrossRef
22.
go back to reference Bernhard M, Behrens NH, Wnent J, Seewald S, Brenner S, Jantzen T, et al. Out-of-hospital airway management during manual compression or automated chest compression devices: A registry-based analysis. Anaesthesist. 2018;67(2):109–17.CrossRef Bernhard M, Behrens NH, Wnent J, Seewald S, Brenner S, Jantzen T, et al. Out-of-hospital airway management during manual compression or automated chest compression devices: A registry-based analysis. Anaesthesist. 2018;67(2):109–17.CrossRef
Metadata
Title
Differences between manual CPR and corpuls cpr in regard to quality and outcome: study protocol of the comparing observational multi‐center prospective registry study on resuscitation (COMPRESS)
Authors
S. Seewald
S. Dopfer
J. Wnent
B. Jakisch
M. Heller
R. Lefering
JT Gräsner
Publication date
01-12-2021
Publisher
BioMed Central
DOI
https://doi.org/10.1186/s13049-021-00855-9

Other articles of this Issue 1/2021

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 1/2021 Go to the issue