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  • Effects of cardiopulmonary resuscitation training on mortality rates after out-of-hospital cardiac arrest: protocol for a systematic review and meta-analysis

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Emergency medicine
Protocol
Effects of cardiopulmonary resuscitation training on mortality rates after out-of-hospital cardiac arrest: protocol for a systematic review and meta-analysis
  1. Petronila Mireia Alcázar Artero1,
  2. Thais Teixeira dos Santos2,
  3. Daniel Guillen Martinez1,
  4. Mariana Ferrandini Price1,
  5. Manuel Pardo Ríos1,
  6. Grasiela Piuvezam2,3
  1. 1Health Sciences, UCAM Universidad Católica de Murcia, Murcia, Spain
  2. 2Postgraduate in Public Health, UFRN, Natal, Brazil
  3. 3Departament of Public Health, Federal University of Rio Grande do Norte, Natal, Brazil
  1. Correspondence to Dr Manuel Pardo Ríos; mpardo{at}ucam.edu

Abstract

Introduction An out-of-hospital cardiac arrest occurs at a rate of 67–170 cases per 100 000 inhabitants per year in Europe. The early recognition of the occurrence of a cardiac arrest, placing an emergency call, performing cardiopulmonary resuscitation (CPR) and performing defibrillation are the most important response measures. The objective of this systematic review and meta-analysis is to assess the effects of laypersons’ CPR training with respect to CPR initiation rates, cardiovascular mortality rates, survival rate and the use of an automated external defibrillator.

Methods and analysis The literature search will be performed in the following databases: MEDLINE, Web of Science, the Cochrane Central Register of Controlled Studies, CINAHL, HBI, TESEO and NTX. Intervention studies and quasi-experimental studies in which CPR training interventions were performed will be included. We will exclude studies in which the participants do not meet the inclusion criteria, without a control group and in which the methodology of the intervention applied is unclear. There will be no restrictions on publication date or language of publication. The risk of bias will be assessed using the Risk of Bias in Non-randomized Studies of Interventions tool for randomised controlled trials (RCT), non-RCT and quasi-experimental trials. Data analysis and synthesis will be performed using RevMan V.5.4.1 software. The findings will be reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance.

Ethics and dissemination Ethical approval is not required, as only secondary data will be used. The findings will be published in a journal and presented at conferences.

PROSPERO registration number CRD42022365288.

  • ACCIDENT & EMERGENCY MEDICINE
  • Cardiopulmonary Resuscitation
  • Mortality
http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjopen-2023-081525

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    Footnotes

    • Twitter @dannyguil, @ManuelDreamer

    • Contributors PMAA, TTdS, GP, DGM and MP-R conceptualised, designed and supervised the protocol. PMAA, TTdS, GP, DGM, MFP and MP-R will be responsible for methodology, data curation and formal analysis. PMAA, MFP and TTdS will be responsible for investigation. MP-R will be the third party and will host consensus meetings at each stage in case of disagreement. PMAA and TTdS were responsible for writing the original draft. PMAA, TTdS, GP DGM and MP-R are responsible for project administration and were responsible for reviewing and editing the manuscript. All authors read, reviewed and approved the final protocol.

    • Funding This study has been funded by the project entitled 'Design of a Metaverse for Higher Education in Health Sciences' (reference PID2022-138884NA-I00), funded by MCIN/AEI/10.13039/501100011033/FEDER, EU; and by the Ignacio Larramendi Research Grant awarded by Fundación Mapfre in 2022 to MP-R from the UCAM Catholic University of Murcia.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.