The nationwide impact of COVID-19 on life support courses. A retrospective evaluation by Resuscitation Council UK
Aim: To determine the impact of the COVID-19 pandemic on Resuscitation Council UK Advanced Life Support (ALS) and Immediate Life Support (ILS) course numbers and outcomes. Methods: We conducted a before-after study using course data from the Resuscitation Council UK Learning Management System betwee...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-03-01
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| Series: | Resuscitation Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520423000097 |
| _version_ | 1797894419065602048 |
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| author | C.J. Thorne P.K. Kimani S. Hampshire I. Hamilton-Bower S. Begum-Ali A. Benson-Clarke K. Couper J. Yeung A. Lockey G.D. Perkins J. Soar |
| author_facet | C.J. Thorne P.K. Kimani S. Hampshire I. Hamilton-Bower S. Begum-Ali A. Benson-Clarke K. Couper J. Yeung A. Lockey G.D. Perkins J. Soar |
| author_sort | C.J. Thorne |
| collection | DOAJ |
| description | Aim: To determine the impact of the COVID-19 pandemic on Resuscitation Council UK Advanced Life Support (ALS) and Immediate Life Support (ILS) course numbers and outcomes. Methods: We conducted a before-after study using course data from the Resuscitation Council UK Learning Management System between January 2018 and December 2021, using 23 March 2020 as the cut-off between pre- and post-pandemic periods. Demographics and outcomes were analysed using chi-squared tests and regression models. Results: There were 90,265 ALS participants (51,464 pre-; 38,801 post-) and 368,140 ILS participants (225,628 pre-; 142,512 post-). There was a sharp decline in participants on ALS/ILS courses due to COVID-19. ALS participant numbers rebounded to exceed pre-pandemic levels, whereas ILS numbers recovered to a lesser degree with increased uptake of e-learning versions. Mean ALS course participants reduced from 20.0 to 14.8 post-pandemic (P < 0.001).Post-pandemic there were small but statistically significant decreases in ALS Cardiac Arrest Simulation Test pass rates (from 82.1 % to 80.1 % (OR = 0.90, 95 % CI = 0.86–0.94, P < 0.001)), ALS MCQ score (from 86.6 % to 86.0 % (mean difference = -0.35, 95 % CI −0.44 to −0.26, P < 0.001)), and overall ALS course results (from 95.2 %to 94.7 %, OR = 0.92, CI = 0.85–0.99, P = 0.023). ILS course outcomes were similar post-pandemic (from 99.4 % to 99.4 %, P = 0.037). Conclusion: COVID-19 caused a sharp decline in the number of participants on ALS/ILS courses and an accelerated uptake of e-learning versions, with the average ALS course size reducing significantly. The small reduction in performance on ALS courses requires further research to clarify the contributing factors. |
| first_indexed | 2024-04-10T07:08:45Z |
| format | Article |
| id | doaj.art-bed8dfb38aa34343a077c60bf26e5c3c |
| institution | Directory Open Access Journal |
| issn | 2666-5204 |
| language | English |
| last_indexed | 2024-04-10T07:08:45Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj.art-bed8dfb38aa34343a077c60bf26e5c3c2023-02-27T04:07:34ZengElsevierResuscitation Plus2666-52042023-03-0113100366The nationwide impact of COVID-19 on life support courses. A retrospective evaluation by Resuscitation Council UKC.J. Thorne0P.K. Kimani1S. Hampshire2I. Hamilton-Bower3S. Begum-Ali4A. Benson-Clarke5K. Couper6J. Yeung7A. Lockey8G.D. Perkins9J. Soar10Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK; North Bristol NHS Trust, Bristol BS10 5NB, UK; Corresponding author at: North Bristol NHS Trust, Bristol BS10 5NB, UK.Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UKResuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UKResuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UKResuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UKResuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UKResuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK; Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK; Critical Care Unit, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UKResuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK; Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK; Critical Care Unit, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UKResuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK; Calderdale & Huddersfield NHS Foundation Trust, Halifax, United Kingdom; School of Human and Health Sciences, University of Huddersfield, Huddersfield, UKResuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK; Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK; Critical Care Unit, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UKResuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK; North Bristol NHS Trust, Bristol BS10 5NB, UKAim: To determine the impact of the COVID-19 pandemic on Resuscitation Council UK Advanced Life Support (ALS) and Immediate Life Support (ILS) course numbers and outcomes. Methods: We conducted a before-after study using course data from the Resuscitation Council UK Learning Management System between January 2018 and December 2021, using 23 March 2020 as the cut-off between pre- and post-pandemic periods. Demographics and outcomes were analysed using chi-squared tests and regression models. Results: There were 90,265 ALS participants (51,464 pre-; 38,801 post-) and 368,140 ILS participants (225,628 pre-; 142,512 post-). There was a sharp decline in participants on ALS/ILS courses due to COVID-19. ALS participant numbers rebounded to exceed pre-pandemic levels, whereas ILS numbers recovered to a lesser degree with increased uptake of e-learning versions. Mean ALS course participants reduced from 20.0 to 14.8 post-pandemic (P < 0.001).Post-pandemic there were small but statistically significant decreases in ALS Cardiac Arrest Simulation Test pass rates (from 82.1 % to 80.1 % (OR = 0.90, 95 % CI = 0.86–0.94, P < 0.001)), ALS MCQ score (from 86.6 % to 86.0 % (mean difference = -0.35, 95 % CI −0.44 to −0.26, P < 0.001)), and overall ALS course results (from 95.2 %to 94.7 %, OR = 0.92, CI = 0.85–0.99, P = 0.023). ILS course outcomes were similar post-pandemic (from 99.4 % to 99.4 %, P = 0.037). Conclusion: COVID-19 caused a sharp decline in the number of participants on ALS/ILS courses and an accelerated uptake of e-learning versions, with the average ALS course size reducing significantly. The small reduction in performance on ALS courses requires further research to clarify the contributing factors.http://www.sciencedirect.com/science/article/pii/S2666520423000097Advanced life supportImmediate life supportEducationCovid-19E-learningAssessment |
| spellingShingle | C.J. Thorne P.K. Kimani S. Hampshire I. Hamilton-Bower S. Begum-Ali A. Benson-Clarke K. Couper J. Yeung A. Lockey G.D. Perkins J. Soar The nationwide impact of COVID-19 on life support courses. A retrospective evaluation by Resuscitation Council UK Resuscitation Plus Advanced life support Immediate life support Education Covid-19 E-learning Assessment |
| title | The nationwide impact of COVID-19 on life support courses. A retrospective evaluation by Resuscitation Council UK |
| title_full | The nationwide impact of COVID-19 on life support courses. A retrospective evaluation by Resuscitation Council UK |
| title_fullStr | The nationwide impact of COVID-19 on life support courses. A retrospective evaluation by Resuscitation Council UK |
| title_full_unstemmed | The nationwide impact of COVID-19 on life support courses. A retrospective evaluation by Resuscitation Council UK |
| title_short | The nationwide impact of COVID-19 on life support courses. A retrospective evaluation by Resuscitation Council UK |
| title_sort | nationwide impact of covid 19 on life support courses a retrospective evaluation by resuscitation council uk |
| topic | Advanced life support Immediate life support Education Covid-19 E-learning Assessment |
| url | http://www.sciencedirect.com/science/article/pii/S2666520423000097 |
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