Load distributing band device for mechanical chest compressions: An Utstein-categories based analysis of survival to

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Simone Savastano1, Enrico Baldi2, Alessandra Palo3

  • 1Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.

International Journal of Cardiology
|April 2, 2019
PubMed

Insights

The load distributing band (LDB) device improved survival for out-of-hospital cardiac arrest patients with non-shockable rhythms. Its effect was neutral for those with shockable rhythms.

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Resuscitation Science

Background:

  • The efficacy of the load distributing band (LDB) device in out-of-hospital cardiac arrest (OHCA) remains debated.
  • Conflicting results exist in current literature regarding its impact on patient survival.

Purpose of the Study:

  • To evaluate the effect of the LDB device on survival to hospital discharge.
  • To analyze its impact across different Utstein cardiac arrest categories.

Main Methods:

  • A cohort of 1401 OHCA patients from a provincial registry (January 2015-December 2017) was analyzed.
  • Pre-hospital data and survival to discharge were collected.
  • Statistical analysis was performed, including correction for independent predictors of LDB use.

Main Results:

  • The LDB device was used in 17% of cases and more frequently in shockable arrests.
  • Overall survival to discharge was 10% with LDB vs. 7% without (p=0.2).
  • LDB use was a significant independent predictor of survival in witnessed, non-shockable OHCA (OR 11.9, p=0.02), with longer resuscitation times and higher conversion rates to shockable rhythms.

Conclusions:

  • The LDB device positively impacts survival for non-shockable witnessed OHCA.
  • A neutral effect was observed for shockable cardiac arrest rhythms.
Abstract

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