%0 Journal Article
%T A systematic review of interventions for resuscitation following drowning
%J Resuscitation plus
%D 2023
%A Bierens, Joost J. L. M.
%A Bray, Janet
%A Abelairas-Gómez, Cristian
%A Barcala-Furelos, Roberto
%A Beerman, Stephen
%A Claesson, Andreas
%A Dunne, Cody
%A Fukuda, Tatsuma
%A Jayashree, Muralidharan
%A T Lagina, Anthony
%A Li, Lei
%A Mecrow, Tom
%A Morgan, Patrick
%A Schmidt, Andrew
%A Seesink, Jeroen
%A Sempsrott, Justin R.
%A Szpilman, David
%A Thom, Ogilvie
%A Tobin, Joshua
%A Webber, Jonathon
%A Johnson, Samantha
%A Perkins, Gavin D.
%V 14
%N 
%P e100406-e100406
%X OBJECTIVES: The International Liaison Committee on Resuscitation, in collaboration with drowning researchers from around the world, aimed to review the evidence addressing seven key resuscitation interventions: 1) immediate versus delayed resuscitation; (2) compression first versus ventilation first strategy; (3) compression-only CPR versus standard CPR (compressions and ventilations); (4) ventilation with and without equipment; (5) oxygen administration prior to hospital arrival; (6) automated external defibrillation first versus cardiopulmonary resuscitation first strategy; (7) public access defibrillation programmes. <br><br>METHODS: The review included studies relating to adults and children who had sustained a cardiac arrest following drowning with control groups and reported patient outcomes. Searches were run from database inception through to April 2023. The following databases were searched Ovid MEDLINE, Pre-Medline, Embase, Cochrane Central Register of Controlled Trials. Risk of bias was assessed using the ROBINS-I tool and the certainty of evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation. The findings are reported as a narrative synthesis. <br><br>RESULTS: Three studies were included for two of the seven interventions (2,451 patients). No randomised controlled trials were identified. A retrospective observational study reported in-water resuscitation with rescue breaths improved patient outcomes compared to delayed resuscitation on land (n = 46 patients, very low certainty of evidence). The two observational studies (n = 2,405 patients), comparing compression-only with standard resuscitation, reported no difference for most outcomes. A statistically higher rate of survival to hospital discharge was reported for the standard resuscitation group in one of these studies (29.7% versus 18.1%, adjusted odds ratio 1.54 (95% confidence interval 1.01-2.36) (very low certainty of evidence). <br><br>CONCLUSION: The key finding of this systematic review is the paucity of evidence, with control groups, to inform treatment guidelines for resuscitation in drowning.<p /> <p>Language: en</p>
%G en
%I Elsevier Publishing
%@ 2666-5204
%U http://dx.doi.org/10.1016/j.resplu.2023.100406