Monitoring chest compression quality during cardiopulmonary resuscitation: Proof-ofconcept of a single accelerometer-based feedback algorithm

Digna María Gonzáleza-Otero, Jesus María Ruiz, Sofía Ruiz De Gauna, Jose Julio Gutiérrez, Mohamud Daya, James Knox Russell, Izaskun Azcarate, Mikel Leturiondo

Research output: Contribution to journalArticlepeer-review


Background The use of real-Time feedback systems to guide rescuers during cardiopulmonary resuscitation (CPR) significantly contributes to improve adherence to published resuscitation guidelines. Recently, we designed a novel method for computing depth and rate of chest compressions relying solely on the spectral analysis of chest acceleration. That method was extensively tested in a simulated manikin scenario. The purpose of this study is to report the results of this method as tested in human out-of-hospital cardiac arrest (OHCA) cases. Materials and methods The algorithm was evaluated retrospectively with seventy five OHCA episodes recorded by monitor-defibrillators equipped with a CPR feedback device. The acceleration signal and the compression signal computed by the CPR feedback device were stored in each episode. The algorithm was continuously applied to the acceleration signals. The depth and rate values estimated every 2-s from the acceleration data were compared to the reference values obtained from the compression signal. The performance of the algorithm was assesed in terms of the sensitivity and positive predictive value (PPV) for detecting compressions and in terms of its accuracy through the analysis of measurement error. Results The algorithm reported a global sensitivity and PPV of 99.98% and 99.79%, respectively. The median (P75) unsigned error in depth and rate was 0.9 (1.7) mm and 1.0 (1.7) cpm, respectively. In 95% of the analyzed 2-s windows the error was below 3.5 mm and 3.1 cpm, respectively. Conclusions The CPR feedback algorithm proved to be reliable and accurate when tested retrospectively with human OHCA episodes. A new CPR feedback device based on this algorithm could be helpful in the resuscitation field.

Original languageEnglish (US)
Article numbere0192810
JournalPloS one
Issue number2
StatePublished - Feb 2018

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)
  • General


Dive into the research topics of 'Monitoring chest compression quality during cardiopulmonary resuscitation: Proof-ofconcept of a single accelerometer-based feedback algorithm'. Together they form a unique fingerprint.

Cite this