Paediatric chest compression performance improves via novel augmented-reality cardiopulmonary resuscitation feedback system: A mixed-methods pilot study in a simulation-based setting
Aim: More than 20,000 children experience a cardiac arrest event each year in the United States. Most children do not survive. High-quality cardiopulmonary resuscitation (CPR) has been associated with improved outcomes yet adherence to guidelines is poor. We developed and tested an augmented reality...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-09-01
|
| Series: | Resuscitation Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S266652042200073X |
| _version_ | 1798033081170395136 |
|---|---|
| author | Justin M. Jeffers Blake A. Schreurs James L. Dean Brandon Scott Therese Canares Sean Tackett Brittany Smith Emma Billings Veena Billioux Harshini D. Sampathkumar Keith Kleinman |
| author_facet | Justin M. Jeffers Blake A. Schreurs James L. Dean Brandon Scott Therese Canares Sean Tackett Brittany Smith Emma Billings Veena Billioux Harshini D. Sampathkumar Keith Kleinman |
| author_sort | Justin M. Jeffers |
| collection | DOAJ |
| description | Aim: More than 20,000 children experience a cardiac arrest event each year in the United States. Most children do not survive. High-quality cardiopulmonary resuscitation (CPR) has been associated with improved outcomes yet adherence to guidelines is poor. We developed and tested an augmented reality head mounted display chest compression (CC) feedback system (AR-CPR) designed to provide real-time CC feedback and guidance. Methods: We conducted an unblinded randomized crossover simulation-based study to determine whether AR-CPR changes a user's CC performance. A convenience sample of healthcare providers who perform CC on children were included. Subjects performed three two-minute cycles of CC during a simulated 18-minute paediatric cardiac arrest. Subjects were randomized to utilize AR-CPR in the second or third CC cycle. After, subjects participated in a qualitative portion to inquire about their experience with AR-CPR and offer criticisms and suggestions for future development. Results: There were 34 subjects recruited. Sixteen subjects were randomly assigned to have AR-CPR in cycle two (Group A) and 18 subjects were randomized to have AR-CPR in cycle three (Group B). There were no differences between groups CC performance in cycle one (baseline). In cycle two, subjects in Group A had 73% (SD 18%) perfect CC epochs compared to 17% (SD 26%) in Group B (p < 0.001). Overall, subjects enjoyed using AR-CPR and felt it improved their CC performance. Conclusion: This novel AR-CPR feedback system showed significant CC performance change closer to CC guidelines. Numerous hardware, software, and user interface improvements were made during this pilot study. |
| first_indexed | 2024-04-11T20:24:33Z |
| format | Article |
| id | doaj.art-18c7c4aaed464fb29976a6638e2f150d |
| institution | Directory Open Access Journal |
| issn | 2666-5204 |
| language | English |
| last_indexed | 2024-04-11T20:24:33Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj.art-18c7c4aaed464fb29976a6638e2f150d2022-12-22T04:04:42ZengElsevierResuscitation Plus2666-52042022-09-0111100273Paediatric chest compression performance improves via novel augmented-reality cardiopulmonary resuscitation feedback system: A mixed-methods pilot study in a simulation-based settingJustin M. Jeffers0Blake A. Schreurs1James L. Dean2Brandon Scott3Therese Canares4Sean Tackett5Brittany Smith6Emma Billings7Veena Billioux8Harshini D. Sampathkumar9Keith Kleinman10Department of Paediatrics, The Johns Hopkins University, Bloomberg Children’s Center, 1800 Orleans St., Baltimore, MD 21287, United States; Corresponding author at: Bloomberg Children’s Center, 1800 Orleans St, Suite G-1509, United States.The Johns Hopkins University Applied Physics Laboratory, LLC, The Johns Hopkins University, 11100 Johns Hopkins Rd, Laurel, MD 20723, United StatesThe Johns Hopkins University Applied Physics Laboratory, LLC, The Johns Hopkins University, 11100 Johns Hopkins Rd, Laurel, MD 20723, United StatesThe Johns Hopkins University Applied Physics Laboratory, LLC, The Johns Hopkins University, 11100 Johns Hopkins Rd, Laurel, MD 20723, United StatesDepartment of Paediatrics, The Johns Hopkins University, Bloomberg Children’s Center, 1800 Orleans St., Baltimore, MD 21287, United StatesBiostatistics, Epidemiology, and Data Management Core, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, United StatesDepartment of Paediatrics, The Johns Hopkins University, Bloomberg Children’s Center, 1800 Orleans St., Baltimore, MD 21287, United StatesDepartment of Paediatrics, The Johns Hopkins University, Bloomberg Children’s Center, 1800 Orleans St., Baltimore, MD 21287, United StatesDepartment of Paediatrics, The Johns Hopkins University, Bloomberg Children’s Center, 1800 Orleans St., Baltimore, MD 21287, United StatesDepartment of International Health, Johns Hopkins University School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, United StatesDepartment of Paediatrics, The Johns Hopkins University, Bloomberg Children’s Center, 1800 Orleans St., Baltimore, MD 21287, United StatesAim: More than 20,000 children experience a cardiac arrest event each year in the United States. Most children do not survive. High-quality cardiopulmonary resuscitation (CPR) has been associated with improved outcomes yet adherence to guidelines is poor. We developed and tested an augmented reality head mounted display chest compression (CC) feedback system (AR-CPR) designed to provide real-time CC feedback and guidance. Methods: We conducted an unblinded randomized crossover simulation-based study to determine whether AR-CPR changes a user's CC performance. A convenience sample of healthcare providers who perform CC on children were included. Subjects performed three two-minute cycles of CC during a simulated 18-minute paediatric cardiac arrest. Subjects were randomized to utilize AR-CPR in the second or third CC cycle. After, subjects participated in a qualitative portion to inquire about their experience with AR-CPR and offer criticisms and suggestions for future development. Results: There were 34 subjects recruited. Sixteen subjects were randomly assigned to have AR-CPR in cycle two (Group A) and 18 subjects were randomized to have AR-CPR in cycle three (Group B). There were no differences between groups CC performance in cycle one (baseline). In cycle two, subjects in Group A had 73% (SD 18%) perfect CC epochs compared to 17% (SD 26%) in Group B (p < 0.001). Overall, subjects enjoyed using AR-CPR and felt it improved their CC performance. Conclusion: This novel AR-CPR feedback system showed significant CC performance change closer to CC guidelines. Numerous hardware, software, and user interface improvements were made during this pilot study.http://www.sciencedirect.com/science/article/pii/S266652042200073XPaediatric CPRAugmented RealitySimulationResuscitationCPR FeedbackMixed-methods |
| spellingShingle | Justin M. Jeffers Blake A. Schreurs James L. Dean Brandon Scott Therese Canares Sean Tackett Brittany Smith Emma Billings Veena Billioux Harshini D. Sampathkumar Keith Kleinman Paediatric chest compression performance improves via novel augmented-reality cardiopulmonary resuscitation feedback system: A mixed-methods pilot study in a simulation-based setting Resuscitation Plus Paediatric CPR Augmented Reality Simulation Resuscitation CPR Feedback Mixed-methods |
| title | Paediatric chest compression performance improves via novel augmented-reality cardiopulmonary resuscitation feedback system: A mixed-methods pilot study in a simulation-based setting |
| title_full | Paediatric chest compression performance improves via novel augmented-reality cardiopulmonary resuscitation feedback system: A mixed-methods pilot study in a simulation-based setting |
| title_fullStr | Paediatric chest compression performance improves via novel augmented-reality cardiopulmonary resuscitation feedback system: A mixed-methods pilot study in a simulation-based setting |
| title_full_unstemmed | Paediatric chest compression performance improves via novel augmented-reality cardiopulmonary resuscitation feedback system: A mixed-methods pilot study in a simulation-based setting |
| title_short | Paediatric chest compression performance improves via novel augmented-reality cardiopulmonary resuscitation feedback system: A mixed-methods pilot study in a simulation-based setting |
| title_sort | paediatric chest compression performance improves via novel augmented reality cardiopulmonary resuscitation feedback system a mixed methods pilot study in a simulation based setting |
| topic | Paediatric CPR Augmented Reality Simulation Resuscitation CPR Feedback Mixed-methods |
| url | http://www.sciencedirect.com/science/article/pii/S266652042200073X |
| work_keys_str_mv | AT justinmjeffers paediatricchestcompressionperformanceimprovesvianovelaugmentedrealitycardiopulmonaryresuscitationfeedbacksystemamixedmethodspilotstudyinasimulationbasedsetting AT blakeaschreurs paediatricchestcompressionperformanceimprovesvianovelaugmentedrealitycardiopulmonaryresuscitationfeedbacksystemamixedmethodspilotstudyinasimulationbasedsetting AT jamesldean paediatricchestcompressionperformanceimprovesvianovelaugmentedrealitycardiopulmonaryresuscitationfeedbacksystemamixedmethodspilotstudyinasimulationbasedsetting AT brandonscott paediatricchestcompressionperformanceimprovesvianovelaugmentedrealitycardiopulmonaryresuscitationfeedbacksystemamixedmethodspilotstudyinasimulationbasedsetting AT theresecanares paediatricchestcompressionperformanceimprovesvianovelaugmentedrealitycardiopulmonaryresuscitationfeedbacksystemamixedmethodspilotstudyinasimulationbasedsetting AT seantackett paediatricchestcompressionperformanceimprovesvianovelaugmentedrealitycardiopulmonaryresuscitationfeedbacksystemamixedmethodspilotstudyinasimulationbasedsetting AT brittanysmith paediatricchestcompressionperformanceimprovesvianovelaugmentedrealitycardiopulmonaryresuscitationfeedbacksystemamixedmethodspilotstudyinasimulationbasedsetting AT emmabillings paediatricchestcompressionperformanceimprovesvianovelaugmentedrealitycardiopulmonaryresuscitationfeedbacksystemamixedmethodspilotstudyinasimulationbasedsetting AT veenabillioux paediatricchestcompressionperformanceimprovesvianovelaugmentedrealitycardiopulmonaryresuscitationfeedbacksystemamixedmethodspilotstudyinasimulationbasedsetting AT harshinidsampathkumar paediatricchestcompressionperformanceimprovesvianovelaugmentedrealitycardiopulmonaryresuscitationfeedbacksystemamixedmethodspilotstudyinasimulationbasedsetting AT keithkleinman paediatricchestcompressionperformanceimprovesvianovelaugmentedrealitycardiopulmonaryresuscitationfeedbacksystemamixedmethodspilotstudyinasimulationbasedsetting |