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Resuscitation. 2015 Dec;97:7-12. doi: 10.1016/j.resuscitation.2015.09.377. Epub 2015 Sep 25.

The association of gasping and outcome, in out of hospital cardiac arrest: A systematic review and meta-analysis.

Author information

1
Department of Emergency Medicine, Beijing Chao-Yang Hospital, Capital Medical University; Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation (No. BZ0370), 8# Worker's Stadium South Road, Chao-Yang District, Beijing 100020, China.
2
Department of Emergency Medicine, Beijing Chao-Yang Hospital, Capital Medical University; Beijing Key Laboratory of Cardiopulmonary Cerebral Resuscitation (No. BZ0370), 8# Worker's Stadium South Road, Chao-Yang District, Beijing 100020, China. Electronic address: lcscyyy@163.com.

Abstract

OBJECTIVE:

Gasping is common after cardiac arrest, and its frequency decreases over time. The aim of this study was to conduct a meta-analysis to evaluate the association of gasping and survival to discharge in patients who suffered out-of-hospital cardiac arrest.

METHODS:

Relevant studies were identified by searching in PubMed, Medline, Embase, OVID, Web of Science and Google Scholar. Risk ratios (RR) and 95% confidence intervals (CI) were calculated to assess the association of gasping and on out-of-hospital cardiac arrest outcomes. Heterogeneity, subgroup analysis, sensitivity analysis and publication bias were explored.

RESULTS:

Individual patient data was obtained from 10,797 participants suffered out-of-hospital cardiac arrest in five cohort studies of 4 articles. A fixed effects model suggested that patients with gasping were 3.525 times (95% CI: 3.028-4.104; P<0.01) more likely to survive to discharge than those without gasping, and there was no heterogeneity among studies (P=0.564). Also it may be a favorable factor for return of spontaneous circulation (RR: 2.170; 95% CI: 1.691, 2.785) with high heterogeneity (Q=5.26; P=0.022).

CONCLUSIONS:

Findings of this meta-analysis demonstrated that gasping is common after cardiac arrest, and is associated with increased survival to discharge. Patients who are cardiac arrest with gasping should be promptly resuscitated.

KEYWORDS:

Meta-analysis; Out-of-hospital cardiac arrest; Patient admission; Patient discharge; Respiration; Resuscitation

[Indexed for MEDLINE]

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