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Chest Compression Fraction and Factors influencing it
Deo Mathew1, S Vimal Krishnan2, Siju V Abraham1
1Department of Emergency Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
Journal of Emergencies, Trauma, and Shock
|April 18, 2022
Summary
Chest compression fraction (CCF) averaged 71.60% in cardiac arrest patients, exceeding guidelines. Factors like resuscitation duration and team size negatively impacted CCF, suggesting areas for improvement.
Area of Science:
- Emergency Medicine
- Cardiology
- Critical Care
Background:
- Chest compression fraction (CCF) is crucial for maximizing coronary perfusion during resuscitation.
- Guidelines recommend a CCF of at least 60% to minimize interruptions in chest compressions.
Purpose of the Study:
- To determine the mean CCF in cardiac arrest patients.
- To investigate factors influencing CCF during resuscitation.
Main Methods:
- Prospective study of cardiac arrest patients in an emergency department.
- Utilized the Cprmeter2™ feedback device to record resuscitation time and calculate CCF.
- Data collected from trained healthcare providers at a single center.
Main Results:
- Mean CCF was 71.60% ± 7.52%, exceeding the 60% target.
- Longer resuscitation duration, increased number of rescuers, and larger team size were negatively correlated with CCF.
- Diurnal variations and defibrillation use also significantly affected CCF.
Conclusions:
- The mean CCF achieved in this study meets guideline recommendations.
- Strategies to improve CCF should focus on minimizing resuscitation duration, optimizing team size, and managing interruptions.
- Further multicenter validation is needed to confirm these findings.
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