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Effect of a feedback system on the quality of 2-minute chest compression-only cardiopulmonary resuscitation: a randomised crossover simulation study

OBJECTIVE: We evaluated the quality of 2-minute continuous chest compressions (CCCs) performed by emergency staff in 30-second intervals to determine the effect of a feedback system on maintaining the quality of CCCs. METHODS: Two hundred three physicians and nurses were randomised into two groups....

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Autores principales: Wu, Chunshuang, You, Jingyu, Liu, Shaoyun, Ying, Lan, Gao, Yuzhi, Li, Yulin, Lu, Xiao, Qian, Anyu, Zhang, Mao, Zhou, Guangju
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607526/
https://www.ncbi.nlm.nih.gov/pubmed/31884870
http://dx.doi.org/10.1177/0300060519894440
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author Wu, Chunshuang
You, Jingyu
Liu, Shaoyun
Ying, Lan
Gao, Yuzhi
Li, Yulin
Lu, Xiao
Qian, Anyu
Zhang, Mao
Zhou, Guangju
author_facet Wu, Chunshuang
You, Jingyu
Liu, Shaoyun
Ying, Lan
Gao, Yuzhi
Li, Yulin
Lu, Xiao
Qian, Anyu
Zhang, Mao
Zhou, Guangju
author_sort Wu, Chunshuang
collection PubMed
description OBJECTIVE: We evaluated the quality of 2-minute continuous chest compressions (CCCs) performed by emergency staff in 30-second intervals to determine the effect of a feedback system on maintaining the quality of CCCs. METHODS: Two hundred three physicians and nurses were randomised into two groups. Each participant performed 2-minute CCCs both with and without feedback. Group A performed CCCs under the guidance of a feedback device followed by performance without feedback, and Group B performed these tasks in reverse order. The primary outcome was the proportion of optimal compressions; i.e., compressions at both the correct rate (100–120 beats/minute) and correct depth (5–6 cm). RESULTS: During 2-minute CCCs, the proportion of optimal compressions was poor in personnel without feedback. The proportion of optimal compressions was unchanged and low from 2.4% (interquartile range, 0.0%–32.8%) in the first 30 seconds to 3.3% (0.0%–47.7%) in the last 30 seconds of the 2-minute period. Use of the feedback device significantly improved and maintained the quality of compressions from the first 30 seconds (53.3%; 29.2%–70.4%) to the last 30 seconds (82.8%; 50.8%–96.2%). CONCLUSION: Use of the feedback device was helpful for maintaining the quality of CCCs.
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spelling pubmed-76075262020-11-13 Effect of a feedback system on the quality of 2-minute chest compression-only cardiopulmonary resuscitation: a randomised crossover simulation study Wu, Chunshuang You, Jingyu Liu, Shaoyun Ying, Lan Gao, Yuzhi Li, Yulin Lu, Xiao Qian, Anyu Zhang, Mao Zhou, Guangju J Int Med Res Pre-Clinical Research Report OBJECTIVE: We evaluated the quality of 2-minute continuous chest compressions (CCCs) performed by emergency staff in 30-second intervals to determine the effect of a feedback system on maintaining the quality of CCCs. METHODS: Two hundred three physicians and nurses were randomised into two groups. Each participant performed 2-minute CCCs both with and without feedback. Group A performed CCCs under the guidance of a feedback device followed by performance without feedback, and Group B performed these tasks in reverse order. The primary outcome was the proportion of optimal compressions; i.e., compressions at both the correct rate (100–120 beats/minute) and correct depth (5–6 cm). RESULTS: During 2-minute CCCs, the proportion of optimal compressions was poor in personnel without feedback. The proportion of optimal compressions was unchanged and low from 2.4% (interquartile range, 0.0%–32.8%) in the first 30 seconds to 3.3% (0.0%–47.7%) in the last 30 seconds of the 2-minute period. Use of the feedback device significantly improved and maintained the quality of compressions from the first 30 seconds (53.3%; 29.2%–70.4%) to the last 30 seconds (82.8%; 50.8%–96.2%). CONCLUSION: Use of the feedback device was helpful for maintaining the quality of CCCs. SAGE Publications 2019-12-29 /pmc/articles/PMC7607526/ /pubmed/31884870 http://dx.doi.org/10.1177/0300060519894440 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Pre-Clinical Research Report
Wu, Chunshuang
You, Jingyu
Liu, Shaoyun
Ying, Lan
Gao, Yuzhi
Li, Yulin
Lu, Xiao
Qian, Anyu
Zhang, Mao
Zhou, Guangju
Effect of a feedback system on the quality of 2-minute chest compression-only cardiopulmonary resuscitation: a randomised crossover simulation study
title Effect of a feedback system on the quality of 2-minute chest compression-only cardiopulmonary resuscitation: a randomised crossover simulation study
title_full Effect of a feedback system on the quality of 2-minute chest compression-only cardiopulmonary resuscitation: a randomised crossover simulation study
title_fullStr Effect of a feedback system on the quality of 2-minute chest compression-only cardiopulmonary resuscitation: a randomised crossover simulation study
title_full_unstemmed Effect of a feedback system on the quality of 2-minute chest compression-only cardiopulmonary resuscitation: a randomised crossover simulation study
title_short Effect of a feedback system on the quality of 2-minute chest compression-only cardiopulmonary resuscitation: a randomised crossover simulation study
title_sort effect of a feedback system on the quality of 2-minute chest compression-only cardiopulmonary resuscitation: a randomised crossover simulation study
topic Pre-Clinical Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607526/
https://www.ncbi.nlm.nih.gov/pubmed/31884870
http://dx.doi.org/10.1177/0300060519894440
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