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. 2021 Dec 9:8:685988.
doi: 10.3389/fcvm.2021.685988. eCollection 2021.

Can a Glove-Coach Technology Significantly Increase the Efficacy of Cardiopulmonary Resuscitation on Non-healthcare Professionals? A Controlled Trial

Michele Musiari  1   2 , Andrea Saporito  3 , Samuele Ceruti  4 , Maira Biggiogero  5 , Martina Iattoni  6 , Andrea Glotta  4 , Laura Cantini  3 , Xavier Capdevila  7 , Tiziano Cassina  8
Affiliations

Can a Glove-Coach Technology Significantly Increase the Efficacy of Cardiopulmonary Resuscitation on Non-healthcare Professionals? A Controlled Trial

Michele Musiari et al. Front Cardiovasc Med. .

Abstract

Introduction: Cardiovascular accidents are the world's leading cause of death. A good quality cardiopulmonary resuscitation (CPR) can reduce cardiac arrest-associated mortality. This study aims to test the coaching system of a wearable glove, providing instructions during out-of-hospital CPR. Materials and Methods: We performed a single-blind, controlled trial to test non-healthcare professionals during a simulated CPR performed on an electronic mannequin. The no-glove group was the control. The primary outcome was to compare the accuracy of depth and frequency of two simulated CPR sessions. Secondary outcomes were to compare the decay of CPR performance and the percentage of the duration of accurate CPR. Results: About 130 volunteers were allocated to 1:1 ratio in both groups; mean age was 36 ± 15 years (min-max 21-64) and 62 (48%) were men; 600 chest compressions were performed, and 571 chest compressions were analyzed. The mean frequency in the glove group was 117.67 vs. 103.02 rpm in the control group (p < 0.001). The appropriate rate cycle was 92.4% in the glove group vs. 71% in the control group, with a difference of 21.4% (p < 0.001). Mean compression depth in the glove group was 52.11 vs. 55.17 mm in the control group (p < 0.001). A mean reduction of compression depth over time of 5.3 mm/min was observed in the control group vs. 0.83 mm/min of reduction in the glove group. Conclusion: Visual and acoustic feedbacks provided through the utilization of the glove's coaching system were useful for non-healthcare professionals' CPR performance.

Keywords: cardiac arrest; cardiopulmonary resusciation; non-healthcare professional; technology innovation; wearable technology.

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Conflict of interest statement

MM is a manager who participated in the design and patenting of the glove. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Glove-specific functioning: glove prototype from the patent scheme. The numbers are referred to the details discussed in Supplementary Material.
Figure 2
Figure 2
CPR plan: example of one registration during CPR simulation, reporting chest compression frequency and depth over time.
Figure 3
Figure 3
CPR data distribution: patients and chest compression distribution according to CONSORT standard.
Figure 4
Figure 4
CPR depth and frequency distribution: differences about compression frequency and cycles with a rate >100 rpm during CPR between the two groups. All values are intended as mean values.
See this image and copyright information in PMC

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