Cognitive aids used in simulated resuscitation: A systematic review
Rattachement africain : ca, nz, es, fi, ch, it. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
To compare the effectiveness of cognitive aid use during resuscitation with no use of cognitive aids on cardiopulmonary resuscitation quality and performance. This systematic review followed the PICOST format. All randomised controlled trials and non-randomised studies evaluating cognitive aid use during (simulated) resuscitation were included in any setting. Unpublished studies were excluded. We did not include studies that reported cognitive aid use during training for resuscitation alone. Medline, Embase and Cochrane databases were searched from inception until July 2019 (updated August 2022, November 2023, and 23 April 2024). We did not search trial registries. Title and abstract screening, full-text screening, data extraction, risk of bias assessment (using RoB2 and ROBINS-I), and certainty of evidence (using GRADE) were performed by two researchers. PRISMA reporting standards were followed, and registration (PROSPERO CRD42020159162, version 19 July 2022) was performed. No funding has been obtained. The literature search identified 5029 citations. After removing 512 duplicates, reviewing the titles and abstracts of the remaining articles yielded 103 articles for full-text review. Hand-searching identified 3 more studies for full-text review. Of these, 29 studies were included in the final analysis. No clinical studies involving patients were identified. The review was limited to indirect evidence from simulation studies only. The results are presented in five different populations: healthcare professionals managing simulated resuscitations in neonates, children, adult advanced life support, and other emergencies; as well as lay providers managing resuscitations. Main outcomes were adherence to protocol or process, adherence to protocol or process assessed by performance score, CPR performance and retention, and feasibility of chatbot guidance. The risk of bias assessment ranged from low to high. Studies in neonatal, paediatric and adult life support delivered by healthcare professionals showed benefits of using cognitive aids, however, some studies evaluating resuscitations by lay providers reported undesirable effects. The performance of a meta-analysis was not possible due to significant methodological heterogeneity. The certainty of evidence was rated as moderate to very low due to serious indirectness, (very) serious risk of bias, serious inconsistency and (very) serious imprecision. Because of the very low certainty evidence from simulation studies, we suggest that cognitive aids should be used by healthcare professionals during resuscitation. In contrast, we do not suggest use of cognitive aids for lay providers, based on low certainty evidence.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Cognitive aids used in simulated resuscitation: A systematic review
- Date Crossref
- 01/09/2024
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Toronto Department of Anesthesiology and Pain Management pays non établi dans la noticeUniversité ou école supérieure
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Sinai Health System pays non établi dans la noticeÉtablissement de santé
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Wellington City Council pays non établi dans la noticeOrganisme public
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Hospital for Sick Children Department of Critical Care Medicine pays non établi dans la noticeÉtablissement de santé
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Universidade de Santiago de Compostela pays non établi dans la noticeUniversité ou école supérieure
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University of Helsinki pays non établi dans la noticeUniversité ou école supérieure
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Helsinki University Hospital HUS Joint Resources pays non établi dans la noticeÉtablissement de santé
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University of Calgary Alberta Children's Hospital pays non établi dans la noticeUniversité ou école supérieure
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Alberta Children's Hospital pays non établi dans la noticeÉtablissement de santé
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University of Bern pays non établi dans la noticeUniversité ou école supérieure
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University of Turin pays non établi dans la noticeUniversité ou école supérieure
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New Zealand Resuscitation Council pays non établi dans la noticeInstitution
Department of Anesthesiology and Pain Management — University of Toronto, Sinai Health System et Wellington City Council, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.