Comparison of Outcomes between Standard Cardiopulmonary Resuscitation (S-CPR) and Over-the-Head Cardiopulmonary Resuscitation (OTH-CPR): A Systematic Review and Meta-Analysis

Abstract

Background

Different conditions and methods of cardiopulmonary resuscitation (CPR) can yield varying results.

Objectives

This systematic review aimed to compare the outcomes of Over-the-Head CPR (OTHCPR) with Standard or Lateral CPR (S-CPR), Following PRISMA guidelines,

Methods

Following the PRISMA guidelines, we searched 6 databases and retrieved 111 articles. After excluding duplicates and irrelevant studies, 14 articles were selected for analysis. The outcomes assessed included the average rate of correct chest compressions per minute, the average depth of compressions, the rate of high-quality ventilations, and correct chest recoil.

Results

The meta-analysis indicated that OTHCPR had a significantly higher average compression rate compared to S-CPR (Mean Differences = 0.13, CI 95% = –0.01 to 0.27, I² = 18.96%). However, there was no significant difference in compression depth (CI 95% = –0.38 to 0.40, MD = 0.009) or ventilation quality (CI 95% = –0.69 to 0.69, MD = –0.00). While OTHCPR showed a higher rate of correct chest recoil, this difference was not statistically significant (CI 95% = –0.96 to 2.59, MD = 0.81).

Conclusions

The findings suggest that OTHCPR is comparable in quality to S-CPR and may serve as an effective alternative in specific situations.