Long‐term Retention of Cardiopulmonary Resuscitation Skills After Shortened Chest Compression–only Training and Conventional Training: A Randomized Controlled Trial. (January 2014)

• Record Type: Journal Article
• Authors: Nishiyama, Chika; Iwami, Taku; Kitamura, Tetsuhisa; Ando, Masahiko; Sakamoto, Tetsuya; Marukawa, Seishiro; Kawamura, Takashi; Gratton, Matthew
• Is Part Of: Academic emergency medicine. Volume 21:Number 1(2014:Jan.)
• Page Start: 47
• Page End: 54
• Publication Date: 2014-01
• Subjects: Emergency medicine -- Periodicals; 616.02505
• DOI: 10.1111/acem.12293
• Languages: English
• ISSNs: 1069-6563

Abstract

<abstract abstract-type="main" id="acem12293-abs-0001"> <title>Abstract</title> <sec id="acem12293-sec-0001" sec-type="section"> <title>Objectives</title> <p>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.</p> </sec> <sec id="acem12293-sec-0002" sec-type="section"> <title>Methods</title> <p>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.</p> </sec> <sec id="acem12293-sec-0003" sec-type="section"> <title>Results</title> <p>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).</p> </sec> <sec id="acem12293-sec-0004" sec-type="section"> <title>Conclusions</title> <p>The shortened compression‐only CPR training program appears to help the general public retain CPR skills better than the conventional CPR training program.</p> </sec> </abstract>