Comparison of the effects of using feedback devices for training or simulated cardiopulmonary arrest
Abstract Background High-quality chest compression is essential for successful cardiac arrest resuscitation. High-quality cardiopulmonary resuscitation (CPR) can effectively improve the survival rate of patients with cardiopulmonary arrest. However, bystanders untrained in cardiopulmonary resuscitat...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-024-02669-z |
| _version_ | 1797233271692591104 |
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| author | Jinghao Jiang Jinghuang Yan Dongai Yao Jinsong Xiao Rongtao Chen Yan Zhao Xiaoqing Jin |
| author_facet | Jinghao Jiang Jinghuang Yan Dongai Yao Jinsong Xiao Rongtao Chen Yan Zhao Xiaoqing Jin |
| author_sort | Jinghao Jiang |
| collection | DOAJ |
| description | Abstract Background High-quality chest compression is essential for successful cardiac arrest resuscitation. High-quality cardiopulmonary resuscitation (CPR) can effectively improve the survival rate of patients with cardiopulmonary arrest. However, bystanders untrained in cardiopulmonary resuscitation may provide inadequate chest compressions. Previous studies have shown that the use of feedback devices in training alone or in simulated cardiopulmonary arrest alone can improve cardiopulmonary resuscitation. This study aims to determine whether using an audiovisual feedback (AVF) device during CPR training or a simulated cardiopulmonary arrest (CA) scenario would be more effective in improving the quality of chest compressions (CC). Methods We use a prospective, randomized, 2 × 2 factorial design trial. A total of 160 participants from Wuhan University and senior clinical medicine undergraduates who had not participated in any CPR training before and had no actual CPR experience are recruited. Each participant is randomized to 1 of 4 permutations, including AVF device vs. no AVF device during CPR training and AVF device vs. no AVF device during simulated CA. Main outcomes and measures are the depth, the percentage of CCs with correct depth (5–6 cm), the rate of CCs, and the percentage of CCs with the correct rate (100–120 cpm). Results The use of the AVF device during simulated CA resulted in improved CC quality. In CA without AVF device, the average compression depth and the percentage of adequate depth with AVF device are 5.1 cm, 5.0 cm and 55.5%, 56.3%, respectively, which are higher than those without AVF device (4.5 cm, 4.7 cm and 32.8%, 33.6%). (p = 0.011, p = 0.000, both < 0.05).Compared with CA without AVF device, the average compression rate and the percentage of adequate rate with AVF device are 112.3 cpm, 111.2 cpm and 79.4%, 83.1%, respectively. The average compression rate and the percentage of adequate rate without using the AVF device are 112.4 cpm, 110.3 cpm and 71.5%, 68.5%, respectively. (p = 0.567 > 0.05, p = 0.017 < 0.05)Although the average compression rate in group D is slightly lower than that in group C, the percentage of suitable frequency with the feedback device is still higher than that without AVF device. Conclusion Using a feedback device during simulated cardiopulmonary arrest is more effective in improving cardiopulmonary resuscitation than during training. |
| first_indexed | 2024-04-24T16:13:31Z |
| format | Article |
| id | doaj.art-a2ae34fa89644b2aae4d10fbc0d0f3fe |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-24T16:13:31Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-a2ae34fa89644b2aae4d10fbc0d0f3fe2024-03-31T11:35:15ZengBMCJournal of Cardiothoracic Surgery1749-80902024-03-011911610.1186/s13019-024-02669-zComparison of the effects of using feedback devices for training or simulated cardiopulmonary arrestJinghao Jiang0Jinghuang Yan1Dongai Yao2Jinsong Xiao3Rongtao Chen4Yan Zhao5Xiaoqing Jin6Emergency Center, Zhongnan Hospital of Wuhan UniversityEmergency department, The First People’s Hospital of WuxuePhysical Examination Center, Zhongnan Hospital of Wuhan UniversityDepartment of Neurology, Zhongnan Hospital of Wuhan UniversityEmergency department, The Second People’s Hospital of China Three Gorges UniversityEmergency Center, Zhongnan Hospital of Wuhan UniversityEmergency Center, Zhongnan Hospital of Wuhan UniversityAbstract Background High-quality chest compression is essential for successful cardiac arrest resuscitation. High-quality cardiopulmonary resuscitation (CPR) can effectively improve the survival rate of patients with cardiopulmonary arrest. However, bystanders untrained in cardiopulmonary resuscitation may provide inadequate chest compressions. Previous studies have shown that the use of feedback devices in training alone or in simulated cardiopulmonary arrest alone can improve cardiopulmonary resuscitation. This study aims to determine whether using an audiovisual feedback (AVF) device during CPR training or a simulated cardiopulmonary arrest (CA) scenario would be more effective in improving the quality of chest compressions (CC). Methods We use a prospective, randomized, 2 × 2 factorial design trial. A total of 160 participants from Wuhan University and senior clinical medicine undergraduates who had not participated in any CPR training before and had no actual CPR experience are recruited. Each participant is randomized to 1 of 4 permutations, including AVF device vs. no AVF device during CPR training and AVF device vs. no AVF device during simulated CA. Main outcomes and measures are the depth, the percentage of CCs with correct depth (5–6 cm), the rate of CCs, and the percentage of CCs with the correct rate (100–120 cpm). Results The use of the AVF device during simulated CA resulted in improved CC quality. In CA without AVF device, the average compression depth and the percentage of adequate depth with AVF device are 5.1 cm, 5.0 cm and 55.5%, 56.3%, respectively, which are higher than those without AVF device (4.5 cm, 4.7 cm and 32.8%, 33.6%). (p = 0.011, p = 0.000, both < 0.05).Compared with CA without AVF device, the average compression rate and the percentage of adequate rate with AVF device are 112.3 cpm, 111.2 cpm and 79.4%, 83.1%, respectively. The average compression rate and the percentage of adequate rate without using the AVF device are 112.4 cpm, 110.3 cpm and 71.5%, 68.5%, respectively. (p = 0.567 > 0.05, p = 0.017 < 0.05)Although the average compression rate in group D is slightly lower than that in group C, the percentage of suitable frequency with the feedback device is still higher than that without AVF device. Conclusion Using a feedback device during simulated cardiopulmonary arrest is more effective in improving cardiopulmonary resuscitation than during training.https://doi.org/10.1186/s13019-024-02669-zCardiopulmonary resuscitationAudiovisual feedbackTrainingSimulated cardiopulmonary arrestChest compression |
| spellingShingle | Jinghao Jiang Jinghuang Yan Dongai Yao Jinsong Xiao Rongtao Chen Yan Zhao Xiaoqing Jin Comparison of the effects of using feedback devices for training or simulated cardiopulmonary arrest Journal of Cardiothoracic Surgery Cardiopulmonary resuscitation Audiovisual feedback Training Simulated cardiopulmonary arrest Chest compression |
| title | Comparison of the effects of using feedback devices for training or simulated cardiopulmonary arrest |
| title_full | Comparison of the effects of using feedback devices for training or simulated cardiopulmonary arrest |
| title_fullStr | Comparison of the effects of using feedback devices for training or simulated cardiopulmonary arrest |
| title_full_unstemmed | Comparison of the effects of using feedback devices for training or simulated cardiopulmonary arrest |
| title_short | Comparison of the effects of using feedback devices for training or simulated cardiopulmonary arrest |
| title_sort | comparison of the effects of using feedback devices for training or simulated cardiopulmonary arrest |
| topic | Cardiopulmonary resuscitation Audiovisual feedback Training Simulated cardiopulmonary arrest Chest compression |
| url | https://doi.org/10.1186/s13019-024-02669-z |
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