{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:55:44Z","timestamp":1792166144825,"version":"4.4.0"},"reference-count":22,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004362","name":"Swiss Heart Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004362","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000921","name":"European Cooperation in Science and Technology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000921","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Resuscitation Plus"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.resplu.2026.101461","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T23:42:10Z","timestamp":1787787730000},"page":"101461","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Temporal trends in chest compression quality during a metronome-guided CPR simulation: a secondary analysis of the RITMICO study"],"prefix":"10.1016","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4434-6399","authenticated-orcid":false,"given":"Giuliana","family":"Monachino","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4736-9924","authenticated-orcid":false,"given":"Valentina","family":"Guerini Giusteri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1737-4987","authenticated-orcid":false,"given":"Ruggero","family":"Cresta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3676-7169","authenticated-orcid":false,"given":"Alessia","family":"Currao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Baldi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9789-6661","authenticated-orcid":false,"given":"Simone","family":"Savastano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1416-9993","authenticated-orcid":false,"given":"Andrea","family":"Cortegiani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9851-6301","authenticated-orcid":false,"given":"Mariachiara","family":"Ippolito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Gargano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Metelmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2090-7358","authenticated-orcid":false,"given":"Bibiana","family":"Metelmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos Roman","family":"H\u00f6lzing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3922-6782","authenticated-orcid":false,"given":"Julian","family":"Ganter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6744-1394","authenticated-orcid":false,"given":"Michael","family":"Mueller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4963-0156","authenticated-orcid":false,"given":"Claudio","family":"Benvenuti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefania","family":"Tomola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierangelo","family":"Pinetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3123-2862","authenticated-orcid":false,"given":"Pier Luigi","family":"Ingrassia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2248-3456","authenticated-orcid":false,"given":"Giulio","family":"Conte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8720-1256","authenticated-orcid":false,"given":"Francesca D","family":"Faraci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1190-5967","authenticated-orcid":false,"given":"Maria Luce","family":"Caputo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.resplu.2026.101461_b0005","doi-asserted-by":"crossref","DOI":"10.1016\/j.resuscitation.2023.109757","article-title":"Three-year trends in out-of-hospital cardiac arrest across the world: second report from the ILCOR","volume":"186","author":"Nishiyama","year":"2023","journal-title":"Resuscitation"},{"key":"10.1016\/j.resplu.2026.101461_b0010","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/j.resuscitation.2019.12.042","article-title":"Survival after out-of-hospital cardiac arrest in Europe \u2013 results of the EuReCa TWO study","volume":"148","author":"Gr\u00e4sner","year":"2020","journal-title":"Resuscitation"},{"issue":"1","key":"10.1016\/j.resplu.2026.101461_b0015","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.hlc.2018.08.026","article-title":"Epidemiology of sudden cardiac death: global and regional perspectives","volume":"28","author":"Wong","year":"2019","journal-title":"Heart Lung Circ"},{"issue":"6","key":"10.1016\/j.resplu.2026.101461_b0020","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1007\/s00134-018-5230-9","article-title":"The present and future of cardiac arrest care: international experts reach out to caregivers and healthcare authorities","volume":"44","author":"Nolan","year":"2018","journal-title":"Intensive Care Med"},{"issue":"Suppl 1","key":"10.1016\/j.resplu.2026.101461_b0025","article-title":"European Resuscitation Council Guidelines 2025 Collaborator Group. European Resuscitation Council guidelines 2025 executive summary","volume":"215","author":"Greif","year":"2025","journal-title":"Resuscitation"},{"issue":"25","key":"10.1016\/j.resplu.2026.101461_b0030","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.resuscitation.2022.10.005","article-title":"2022 international consensus on CPR and emergency cardiovascular care science with treatment recommendations","volume":"181","author":"Wyckoff","year":"2022","journal-title":"Resuscitation"},{"issue":"6","key":"10.1016\/j.resplu.2026.101461_b0035","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1017\/cem.2016.410","article-title":"Real-time visual feedback during training improves laypersons\u2019 CPR quality: a randomized controlled manikin study","volume":"19","author":"Baldi","year":"2017","journal-title":"Can J Emerg Med"},{"issue":"January","key":"10.1016\/j.resplu.2026.101461_b0040","first-page":"1","article-title":"Release velocity improvement with a new metronome guiding chest compressions: the RITMICO simulation study","volume":"21","author":"Caputo","year":"2025","journal-title":"Resusc Plus"},{"key":"10.1016\/j.resplu.2026.101461_b0045","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.resuscitation.2015.04.026","article-title":"Chest compression release velocity: association with survival and favorable neurologic outcome after out-of-hospital cardiac arrest","volume":"92","author":"Kovacs","year":"2015","journal-title":"Resuscitation"},{"issue":"Suppl 1","key":"10.1016\/j.resplu.2026.101461_b0050","article-title":"ERC Adult Basic Life Support Collaborators. European Resuscitation Council guidelines 2025 adult basic life support","volume":"215","author":"Smyth","year":"2025","journal-title":"Resuscitation"},{"issue":"9","key":"10.1016\/j.resplu.2026.101461_b0055","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1016\/j.resuscitation.2009.06.002","article-title":"Rescuer fatigue during actual in-hospital CPR with audiovisual feedback: a prospective multicenter study","volume":"80","author":"Sugerman","year":"2009","journal-title":"Resuscitation"},{"issue":"2","key":"10.1016\/j.resplu.2026.101461_b0060","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/S0300-9572(02)00168-5","article-title":"Effect of rescuer fatigue on performance of continuous external chest compressions over 3 min","volume":"55","author":"Ashton","year":"2002","journal-title":"Resuscitation"},{"issue":"1","key":"10.1016\/j.resplu.2026.101461_b0065","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1186\/s13049-014-0059-x","article-title":"Comparison of CPR quality and rescuer fatigue between standard 30:2 CPR and chest compression-only CPR: a randomized crossover manikin trial","volume":"22","author":"Shin","year":"2014","journal-title":"Scand J Trauma Resusc Emerg Med"},{"issue":"6","key":"10.1016\/j.resplu.2026.101461_b0070","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1017\/cem.2016.373","article-title":"Bystander fatigue and CPR quality by older bystanders: a randomized crossover trial comparing continuous chest compressions and 30:2 compressions to ventilations","volume":"18","author":"Liu","year":"2016","journal-title":"Can J Emerg Med"},{"issue":"10","key":"10.1016\/j.resplu.2026.101461_b0075","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000033066","article-title":"CPR quality with rotation of every 1 versus 2 minutes: a randomized crossover simulation study","volume":"102","author":"Kim","year":"2023","journal-title":"Medicine (Baltimore)"},{"issue":"9","key":"10.1016\/j.resplu.2026.101461_b0080","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.1016\/j.ajem.2017.03.060","article-title":"Complete chest recoil during laypersons' CPR: is it a matter of weight?","volume":"35","author":"Contri","year":"2017","journal-title":"Am J Emerg Med"},{"issue":"16","key":"10.1016\/j.resplu.2026.101461_b0085","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000025425","article-title":"Correlation between real-time heart rate and fatigue in chest compression providers during CPR: a simulation-based interventional study","volume":"100","author":"Bae","year":"2021","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.resplu.2026.101461_b0090","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.resuscitation.2018.06.035","article-title":"Impact of a CPR feedback device on healthcare provider workload during simulated cardiac arrest","volume":"130","author":"Brown","year":"2018","journal-title":"Resuscitation"},{"issue":"9","key":"10.1016\/j.resplu.2026.101461_b0095","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0203576","article-title":"Acute muscle fatigue and CPR quality assisted by visual feedback devices: a randomized-crossover simulation trial","volume":"13","author":"Abelairas-G\u00f3mez","year":"2018","journal-title":"PLoS One"},{"key":"10.1016\/j.resplu.2026.101461_b0100","doi-asserted-by":"crossref","DOI":"10.1016\/j.resplu.2021.100177","article-title":"Different resting methods in improving laypersons\u2019 hands-only CPR quality and reducing fatigue: a randomized crossover study","volume":"8","author":"Dong","year":"2021","journal-title":"Resusc Plus"},{"issue":"6","key":"10.1016\/j.resplu.2026.101461_b0105","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000024666","article-title":"Comparison of the effects of shortening rest intervals on the quality of CPR in well-trained rescuers: randomized simulation study","volume":"100","author":"Kim","year":"2021","journal-title":"Medicine (Baltimore)"},{"issue":"4","key":"10.1016\/j.resplu.2026.101461_b0110","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1097\/SIH.0000000000000505","article-title":"and the MANI-CPR investigators. A multicenter international randomized controlled manikin study on different protocols of cardiopulmonary resuscitation for laypeople: the MANI-CPR trial","volume":"16","author":"Baldi","year":"2021","journal-title":"Simul Healthc"}],"container-title":["Resuscitation Plus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666520426002468?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666520426002468?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:31:54Z","timestamp":1792164714000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666520426002468"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":22,"alternative-id":["S2666520426002468"],"URL":"https:\/\/doi.org\/10.1016\/j.resplu.2026.101461","relation":{},"ISSN":["2666-5204"],"issn-type":[{"value":"2666-5204","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Temporal trends in chest compression quality during a metronome-guided CPR simulation: a secondary analysis of the RITMICO study","name":"articletitle","label":"Article Title"},{"value":"Resuscitation Plus","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.resplu.2026.101461","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"101461"}}