Abstract 240: Smartphone Application to Provide Real-Time Cardiopulmonary Resuscitation Quality Feedback

Abstract

Introduction: Quality of cardiopulmonary resuscitation (CPR) contributes significantly to morbidity and mortality in both in-hospital and out-of-hospital cardiac arrest. Key parameters that determine the CPR quality are compression rate, compression depth, duration of interruptions, chest recoil factor and respiratory rate. Several studies have demonstrated that real-time audiovisual feedback improves CPR quality in both bystanders and hospital staff. This study aims to develop and validate a smart device (phones and wearable technology) application to provide real-time audiovisual and haptic feedback to optimize CPR quality, by calculating aforementioned chest compression parameters. Hypothesis: A mobile application using acceleration sensor data from smart devices can provide accurate real time CPR quality feedback. Methods: A mobile application was developed to track the compression depth, compression rate and pause duration in real time using the data captured from the on-device accelerometer. The mobile device was placed on an adult manikin’s chest along the midline close to the point of compressions. Data from the application was compared directly to data obtained from a validated clinical standard CPR quality tool. Results: CPR quality parameters were obtained from the app and the standard for 60, 10-second-long sessions. Bland-Altman plot analysis for compression depth showed agreement between the app measurements and standard within +/-3.5mm (Figure 1). The intraclass correlation for agreement in the measurement of compression count was 0.92 (95% CI: 0.88-0.95), indicative of very strong agreement. Conclusions: Smart device (phones and wearable technology) applications using acceleration sensor data can accurately provide real-time CPR quality feedback. With further development and validation they can provide a ubiquitous CPR feedback tool valuable for out of hospital arrests and in under-privileged areas worldwide.