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- Title
Long-term Retention of Cardiopulmonary Resuscitation Skills After Shortened Chest Compression-only Training and Conventional Training: A Randomized Controlled Trial Ensayo Clínico Aleatorizado Acerca de la Retención a Largo Plazo de las Habilidades en Resucitación Cardiopulmonar: Comparación entre una Formación Abreviada sólo con Compresión Torácica y una Formación Convencional
- Authors
Nishiyama, Chika; Iwami, Taku; Kitamura, Tetsuhisa; Ando, Masahiko; Sakamoto, Tetsuya; Marukawa, Seishiro; Kawamura, Takashi; Gratton, Matthew
- Abstract
Objectives It is unclear how much the length of a cardiopulmonary resuscitation ( CPR) training program can be reduced without ruining its effectiveness. The authors aimed to compare CPR skills 6 months and 1 year after training between shortened chest compression-only CPR training and conventional CPR training. Methods Participants were randomly assigned to either the compression-only CPR group, which underwent a 45-minute training program consisting of chest compressions and automated external defibrillator ( AED) use with personal training manikins, or the conventional CPR group, which underwent a 180-minute training program with chest compressions, rescue breathing, and AED use. Participants' resuscitation skills were evaluated 6 months and 1 year after the training. The primary outcome measure was the proportion of appropriate chest compressions 1 year after the training. Results A total of 146 persons were enrolled, and 63 (87.5%) in the compression-only CPR group and 56 (75.7%) in the conventional CPR group completed the 1-year evaluation. The compression-only CPR group was superior to the conventional CPR group regarding the proportion of appropriate chest compression (mean ± SD = 59.8% ± 40.0% vs. 46.3% ± 28.6%; p = 0.036) and the number of appropriate chest compressions (mean ± SD = 119.5 ± 80.0 vs. 77.2 ± 47.8; p = 0.001). Time without chest compression in the compression-only CPR group was significantly shorter than that in the conventional CPR group (mean ± SD = 11.8 ± 21.1 seconds vs. 52.9 ± 14.9 seconds; p < 0.001). Conclusions The shortened compression-only CPR training program appears to help the general public retain CPR skills better than the conventional CPR training program.
- Subjects
HEART disease genetics; CARDIOPULMONARY resuscitation; ABILITY; CLINICAL trials; DEFIBRILLATORS; EMERGENCY medicine; HOSPITAL medical staff; MEDICAL care; EVALUATION of medical care; MEMORY; PATIENTS; SUDDEN death; DATA analysis; DESCRIPTIVE statistics
- Publication
Academic Emergency Medicine, 2014, Vol 21, Issue 1, p47
- ISSN
1069-6563
- Publication type
Article
- DOI
10.1111/acem.12293