Article
Medicine, General & Internal
Roberto Primi, Sara Bendotti, Alessia Currao, Giuseppe Maria Sechi, Gianluca Marconi, Greta Pamploni, Gianluca Panni, Davide Sgotti, Ettore Zorzi, Marco Cazzaniga, Umberto Piccolo, Daniele Bussi, Simone Ruggeri, Fabio Facchin, Edoardo Soffiato, Vincenza Ronchi, Enrico Contri, Paola Centineo, Francesca Reali, Luigi Sfolcini, Francesca Romana Gentile, Enrico Baldi, Sara Compagnoni, Federico Quilico, Luca Vicini Scajola, Clara Lopiano, Alessandro Fasolino, Simone Savastano, Lombardia CARe Researchers
Summary: This study compared the effectiveness of mechanical and manual CPR in Out-of-Hospital Cardiac Arrest (OHCA) patients. Mechanical chest compressors could increase the probability of return of spontaneous circulation (ROSC) and 30-day survival, with different devices having different performances. The load-distributing-band device was the only one that positively affected 30-day survival.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Soyeong Kim, Woo Jin Jung, Young Il Roh, Tae Youn Kim, Sung Oh Hwang, Kyoung-Chul Cha
Summary: The study found that a stacked shock strategy was more effective in successful defibrillation and treating ventricular fibrillation, leading to improved rates of return of spontaneous circulation and survival. There were no significant differences in hemodynamic parameters among groups with different numbers of shocks.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Medicine, General & Internal
Kosuke Kiyohara, Yuri Kitamura, Mamoru Ayusawa, Masahiko Nitta, Taku Iwami, Ken Nakata, Tomotaka Sobue, Tetsuhisa Kitamura
Summary: The study investigated changes in bystander-initiated CPR types for out-of-hospital cardiac arrest among students and found that chest compression-only CPR (CCCPR) and conventional CPR with rescue breathing (CCRB) had comparable effectiveness on survival outcomes.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Emergency Medicine
Jean-Marc Agostinucci, Lisa Weisslinger, Nessrine Marzouk, Haroun Zouaghi, Kenneth Ekpe, Angelie Genthillomme, Frederic Adnet, Aurelien Guenin, Paul-Georges Reuter, Frederic Lapostolle
Summary: The study found that the compliance rate of chest compressions with the recommended rate and depth was as low as 15%, and increasing the rate of chest compressions resulted in decreased depth compliance. It seems challenging to achieve both the recommended rate and depth simultaneously.
EUROPEAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Health Care Sciences & Services
Wataru Takayama, Akira Endo, Koji Morishita, Yasuhiro Otomo, Luigi Tritapepe
Summary: This study aimed to assess the effectiveness of automated chest compression devices in out-of-hospital cardiac arrest (OHCA) patients based on the time of admission, frequency of iatrogenic chest injuries, duration of in-hospital resuscitation efforts, and clinical outcomes. A retrospective historical control study was conducted in Japan from 2015 to 2022, dividing patients into day-time and night-time groups and comparing manual chest compression and automatic chest compression devices. The results showed that patients who underwent automatic chest compression devices during in-hospital resuscitation at night had a significantly longer duration of resuscitation, lower incidence of chest injuries, and better outcomes.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Gene Y. Y. Ong, Zhao Jin Chen, Dana E. E. Niles, Vijay Srinivasan, Anita I. I. Sen, Sophie Skellett, Takanari Ikeyama, Jimena del Castillo, Robert A. A. Berg, Vinay M. M. Nadkarni
Summary: Current guidelines recommend chest compressions of one-third anterior-posterior diameter (APD) during pediatric cardiac arrest. This study found poor concordance between measured one-third APD and absolute age-specific chest compression depth targets, particularly for infants. Further research is needed to validate current pediatric chest compression depth targets for better outcomes.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Emergency Medicine
Egbert De Roos, Maxim Vanwulpen, Said Hachimi-Idrissi
Summary: The study found that in out-of-hospital cardiac arrest patients, higher chest compression release velocity (CCRV) values were associated with higher end-tidal carbon dioxide (ETCO2) values. This effect was independent of chest compression depth, despite a strong correlation between CCRV and chest compression depth.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Critical Care Medicine
Timmy Li, Kyle Essex, David Ebert, Brian Levinsky, Charles Gilley, Dee Luo, Eric Alper, Paul Barbara, Daniel M. Rolston, Jonathan Berkowitz, Priam Chakraborty
Summary: The objective of this study was to assess the impact of the Resuscitation Quality Improvement (RQI) HeartCode Complete (R) program on the quality of CPR performed on out-of-hospital cardiac arrest patients. It was found that paramedics trained with the RQI program showed significant improvement in chest compression rate, but no significant improvement in chest compression depth or fraction.
Article
Public, Environmental & Occupational Health
Xiao-yan Meng, Jia You, Li-li Dai, Xiao-dong Yin, Jian-an Xu, Jia-feng Wang
Summary: The study found that the simplified external cardiac massage trainer provided a similar efficacy to the traditional manikin simulator with feedback in chest compression training to improve the quality of CPR skills.
FRONTIERS IN PUBLIC HEALTH
(2021)
Article
Critical Care Medicine
Kasper G. Lauridsen, Javier J. Lasa, Tia T. Raymond, Priscilla Yu, Dana Niles, Robert M. Sutton, Ryan W. Morgan, Mary Fran Hazinski, Heather Griffis, Richard Hanna, Xuemei Zhang, Robert A. Berg, Vinay M. Nadkarni
Summary: This study characterized the duration of chest compression pauses during the last 5 minutes of pediatric CPR prior to cannulation for extracorporeal-CPR (E-CPR). It found that longer pause durations were associated with decreased rates of survival and favorable neurological outcome.
Article
Critical Care Medicine
Aaron E. Robinson, Brian E. Driver, Matthew E. Prekker, Robert F. Reardon, Gabriella Horton, Jamie L. Stang, Jacob D. Collins, Jestin N. Carlson
Summary: This study describes the characteristics of tracheal intubation during active CPR in the emergency department and determines whether first attempt success is associated with CPR being continued or paused. The results show that first attempt success is higher when CPR is continued, suggesting that pausing CPR should only be done when necessary.
Article
Medicine, General & Internal
Stig Nikolaj Blomberg, Helle Collatz Christensen, Freddy Lippert, Annette Kjaer Ersboll, Christian Torp-Petersen, Michael R. Sayre, Peter J. Kudenchuk, Fredrik Folke
Summary: This randomized clinical trial found that using machine learning model to identify out-of-hospital cardiac arrest in emergency calls did not significantly improve dispatchers' ability to recognize cardiac arrest, despite artificial intelligence surpassing human recognition.
Article
Critical Care Medicine
Stephen Gyung Won Lee, Ki Jeong Hong, Tae Han Kim, Seulki Choi, Sang Do Shin, Kyoung Jun Song, Young Sun Ro, Joo Jeong, Yong Joo Park, Jeong Ho Park
Summary: This study evaluated the dynamic changes in chest compression quality during prehospital resuscitation. The results showed that the no-flow fraction was the highest during the phase before and after ambulance departure.
Article
Critical Care Medicine
Deborah Wagner, S. L. Kronick, H. Nawer, J. A. Cranford, S. M. Bradley, R. W. Neumar
Summary: This retrospective cohort study compared the use of amiodarone and lidocaine in adult patients with in-hospital cardiac arrest from VT/VF. The study found that compared to amiodarone, lidocaine therapy was associated with significantly higher rates of ROSC, 24 h survival, survival to hospital discharge, and favorable neurologic outcome.
Article
Public, Environmental & Occupational Health
Theo Walter Jensen, Stig Nikolaj Blomberg, Fredrik Folke, Soren Mikkelsen, Martin Rostgaard-Knudsen, Palle Juelsgaard, Erika Frishknecht Christensen, Christian Torp-Pedersen, Freddy Lippert, Helle Collatz Christensen
Summary: The Danish Cardiac Arrest Registry aims to monitor and evaluate the quality of prehospital cardiac arrest treatment and facilitate research. It records descriptive and qualitative variables related to out-of-hospital cardiac arrest and provides important data for assessing treatment protocols and patient outcomes. The registry is one of the oldest and most comprehensive national clinical registries in Denmark, playing a crucial role in improving the care for patients suffering from out-of-hospital cardiac arrest.
CLINICAL EPIDEMIOLOGY
(2022)
Editorial Material
Biochemistry & Molecular Biology
Ash Routen, Ashley Akbari, Amitava Banerjee, Srinivasa Vittal Katikireddi, Rohini Mathur, Martin McKee, Vahe Nafilyan, Kamlesh Khunti
Summary: The lack of ethnicity information in health data hinders efforts to address inequalities. It is necessary to train and standardize the recording and use of ethnicity data, while engaging with patients and the public.
Article
Critical Care Medicine
Kasper G. Lauridsen, Javier J. Lasa, Tia T. Raymond, Priscilla Yu, Dana Niles, Robert M. Sutton, Ryan W. Morgan, Mary Fran Hazinski, Heather Griffis, Richard Hanna, Xuemei Zhang, Robert A. Berg, Vinay M. Nadkarni
Summary: This study characterized the duration of chest compression pauses during the last 5 minutes of pediatric CPR prior to cannulation for extracorporeal-CPR (E-CPR). It found that longer pause durations were associated with decreased rates of survival and favorable neurological outcome.
Article
Critical Care Medicine
Vanessa M. Mazandi, Shih-Shan Lang, Raphia K. Rahman, Akira Nishisaki, Forrest Beaulieu, Bingqing Zhang, Heather Griffis, Alexander M. Tucker, Phillip B. Storm, Greg G. Heuer, Avi A. Gajjar, Steve B. Ampah, Matthew P. Kirschen, Alexis A. Topjian, Ian Yuan, Conall Francoeur, Todd J. Kilbaugh, Jimmy W. Huh
Summary: This study aimed to evaluate and compare the effects of ketamine versus other medications as the primary induction agent on peri-intubation neurologic, hemodynamic, and respiratory associated events in pediatric patients with neurologic conditions at risk for intracranial hypertension. The results showed that there were no significant differences in associated neurologic events, such as emergent computed tomography scan or trip to the operating room, between the ketamine and non-ketamine groups. The administration of ketamine as the primary induction agent in combination with other medications did not increase the risk of peri-intubation associated events in children at risk for intracranial hypertension.
NEUROCRITICAL CARE
(2023)
Article
Public, Environmental & Occupational Health
Lucinda Hiam, Danny Dorling, Martin McKee
Summary: This study explores the views of public health experts on the adverse trends in life expectancy in England and Wales over the past decade, their causes and possible solutions, as well as their opinions on how the pre-pandemic situation influenced the UK's COVID-19 response. The findings show a lack of consensus among experts on the significance and explanations of the decline in life expectancy during this period. Some attributed it to data misinterpretation, widening health inequalities, and disinvestment in public services, while others emphasized social factors. The majority called for increased investment and implementation of existing evidence on reducing health inequalities, highlighting the need to address these underlying issues for pandemic preparedness.
Article
Health Care Sciences & Services
Peter Binyaruka, Antonio Andreoni, Dina Balanova, Martin Mckee, Eleanor Hutchinson, Blake Angell
Summary: This study examined the preferences of health providers for policy interventions to address informal payments in Tanzania using a discrete choice experiment. The results showed that health providers generally preferred incentive payments for non-infraction and opportunities for private practice, but disliked disciplinary measures. Preferences varied across different groups, suggesting the need for tailored interventions.
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
(2023)
Editorial Material
Medicine, General & Internal
Lucinda Hiam, Danny Dorling, Martin McKee
JOURNAL OF THE ROYAL SOCIETY OF MEDICINE
(2023)
Article
Critical Care Medicine
Meredith R. Hickson, Madeline Winters, Nina H. Thomas, Monique M. Gardner, Matthew P. Kirschen, Vinay Nadkarni, Robert Berg, Beth S. Slomine, Neethi P. Pinto, Alexis Topjian
Summary: This study aimed to evaluate long-term outcomes in pediatric OHCA survivors more than one year after cardiac arrest. The findings showed that survivors with unfavorable outcome at discharge had more impaired function multiple years post-arrest. Survivors with favorable outcome may also experience impairments and significant healthcare needs not fully captured by the PCPC at hospital discharge.
Article
Health Policy & Services
Samantha Thomas, May C. van Schalkwyk, Mike Daube, Hannah Pitt, Darragh McGee, Martin McKee
Summary: Children around the world are exposed to extensive marketing for gambling products, which normalizes gambling as harmless entertainment despite evidence of its harms. Regulatory efforts to protect children from gambling marketing are inconsistent and inadequate. A comprehensive public health approach is urgently needed to limit the influence of gambling marketing on young people.
HEALTH PROMOTION INTERNATIONAL
(2023)
Article
Public, Environmental & Occupational Health
Thomas Stubbs, Alexandros Kentikelenis, Daniela Gabor, Jayati Ghosh, Martin McKee
Summary: Recognising the lack of preparedness for the COVID-19 pandemic, international organisations are calling for additional funding to strengthen pandemic preparedness and response systems in low-income and middle-income countries. This article examines the prospects of national health budgets increasing in such a context, revealing that public spending will decrease for almost half of these countries by 2024. The increase in public spending on repaying external debt is a key driver of this austerity wave, potentially leading to deteriorating population health and reduced public health services.
Article
Economics
Gabor Scheiring, Aytalina Azarova, Darja Irdam, Katarzyna Doniec, Martin McKee, David Stuckler, Lawrence King
Summary: An unprecedented mortality crisis occurred in Eastern Europe during the 1990s, resulting in around seven million excess deaths. This study examines the relationship between deindustrialization and mortality in Eastern Europe and proposes a theoretical framework that identifies deindustrialization as a process of social disintegration caused by shock therapy. The findings show that deindustrialization directly influenced male mortality rates and was indirectly mediated by hazardous drinking as a coping strategy.
CAMBRIDGE JOURNAL OF ECONOMICS
(2023)
Article
Public, Environmental & Occupational Health
Corina L. Vasilescu, Martin McKee, Aaron Reeves
Summary: The scholarship on the commercial determinants of health has primarily used qualitative methods, but there is now a growing number of quantitative studies. This article demonstrates the use of quantitative text analysis in analyzing public consultation responses on a draft scientific opinion by the European Food Safety Authority. The study finds varied positions among different actors, with the public health community opposing acrylamide while industry positions were diverse. The policy guidance did not show clear movement, likely due to the majority of submissions supporting the draft document. The article argues that quantitative text analysis can be applied to better understand the positions taken by different actors in public consultations.
Article
Health Care Sciences & Services
Peter Andrew Meaney, Adolfine Hokororo, Theopista Masenge, Joseph Mwanga, Florence Salvatory Kalabamu, Marc Berg, Boris Rozenfeld, Zachary Smith, Neema Chami, Namala Mkopi, Castory Mwanga, Ambrose Agweyu
Summary: Inadequate healthcare provider proficiency with evidence-based guidelines contributes to millions of newborn, infant, and child deaths each year globally. Conventional in-person healthcare provider education is limited in reach, scalability, adaptability, and contextualization. Adaptive e-learning environments (AEE) using artificial intelligence technology offer a unique cognitive model for each healthcare provider to improve education effectiveness. This paper introduces Pediatric Acute Care Education (PACE), an AEE program addressing healthcare providers' proficiency in evidence-based guidelines for the care of newborns, infants, and children.
Meeting Abstract
Critical Care Medicine
Zachary Smith, Adolfine Hokororo, Theopista Masenge, Joseph Mwanga, Salvatory Kalabamu, Marc Berg, Boris Rozenfeld, Elias Xwatsal, Noel Pastory, Idi Msoke, Hanston Ndosi, Neema Chami, Namala Mkopi, Castory Mwanga, Ambrose Agweyu, Peter Meaney
CRITICAL CARE MEDICINE
(2023)
Review
Health Care Sciences & Services
Alexander Kentikelenis, Abdul Ghaffar, Martin McKee, Livia Dal Zennaro, David Stuckler
Summary: Health policy and systems research (HPSR) is a neglected area in global health financing, with only 2% of funding calls including a discernible HPSR component. Efforts should be made to convince global health funders to institutionalize the inclusion of HPSR components in all funding calls.
HEALTH POLICY AND PLANNING
(2023)