Violeta González-Salvado1, Cristian Abelairas-Gómez2, Carlos Peña-Gil3, Carmen Neiro-Rey4, Roberto Barcala-Furelos5, José Ramón González-Juanatey3, Antonio Rodríguez-Núñez6. 1. Cardiology Department, University Clinical Hospital of Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Institute of Health Research of Santiago (IDIS), Spain. Electronic address: violeta.gonzalez.salvado@sergas.es. 2. Institute of Health Research of Santiago (IDIS), Spain; CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Faculty of Educational Sciences, Universidade de Santiago de Compostela, Santiago de Compostela, Spain. 3. Cardiology Department, University Clinical Hospital of Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Institute of Health Research of Santiago (IDIS), Spain. 4. Cardiology Department, University Clinical Hospital of Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain. 5. Institute of Health Research of Santiago (IDIS), Spain; CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain; REMOSS Research Group, Universidade de Vigo, Pontevedra, Spain. 6. Institute of Health Research of Santiago (IDIS), Spain; CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Paediatric Emergency and Critical Care Division, University Clinical Hospital of Santiago, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; School of Nursing, Universidade de Santiago de Compostela, Santiago de Compostela, Spain.
Abstract
AIM: Early basic life support is crucial to enhance survival from out-of-hospital cardiac arrest but rates remain low, especially in households. High-risk groups' training has been advocated, but the optimal method is unclear. The CArdiac REhabilitation and BAsic life Support (CAREBAS) project aims to compare the effectiveness of two basic life support educational strategies implemented in a cardiac rehabilitation program. METHODS: A community intervention study including consecutive patients enrolled on anexercise-based cardiac rehabilitation programafter acute coronary syndrome or revascularization was conducted. A standard basic life support training (G-Stan) and a novel approach integrating cardiopulmonary resuscitation hands-on rolling refreshers (G-CPR) were randomly assigned to each group and compared. Basic life support performance was assessed by means of simulation at baseline, following brief instruction and after the 2-month program. RESULTS:114 participants were included and 108 completed the final evaluation (G-Stan:58, G-CPR:50). Basic life support performance was equally poor at baseline and significantly improved following a brief instruction. A better skill retention was found after the 2-month program in G-CPR, significantly superior for safety and sending for an automated external defibrillator. Confidence and self-perceived preparation were also significantly greater in G-CPR after the program. CONCLUSIONS: Integrating cardiopulmonary resuscitation hands-on rolling refreshers in the training of an exercise-based cardiac rehabilitation program is feasible and improves patients' skill retention and confidence to perform a basic life support sequence, compared to conventional training. Exporting this formula to other programs may result in increased numbers of trained citizens, enhanced social awareness and bystander resuscitation.
RCT Entities:
AIM: Early basic life support is crucial to enhance survival from out-of-hospital cardiac arrest but rates remain low, especially in households. High-risk groups' training has been advocated, but the optimal method is unclear. The CArdiac REhabilitation and BAsic life Support (CAREBAS) project aims to compare the effectiveness of two basic life support educational strategies implemented in a cardiac rehabilitation program. METHODS: A community intervention study including consecutive patients enrolled on an exercise-based cardiac rehabilitation program after acute coronary syndrome or revascularization was conducted. A standard basic life support training (G-Stan) and a novel approach integrating cardiopulmonary resuscitation hands-on rolling refreshers (G-CPR) were randomly assigned to each group and compared. Basic life support performance was assessed by means of simulation at baseline, following brief instruction and after the 2-month program. RESULTS: 114 participants were included and 108 completed the final evaluation (G-Stan:58, G-CPR:50). Basic life support performance was equally poor at baseline and significantly improved following a brief instruction. A better skill retention was found after the 2-month program in G-CPR, significantly superior for safety and sending for an automated external defibrillator. Confidence and self-perceived preparation were also significantly greater in G-CPR after the program. CONCLUSIONS: Integrating cardiopulmonary resuscitation hands-on rolling refreshers in the training of an exercise-based cardiac rehabilitation program is feasible and improves patients' skill retention and confidence to perform a basic life support sequence, compared to conventional training. Exporting this formula to other programs may result in increased numbers of trained citizens, enhanced social awareness and bystander resuscitation.
Authors: Silvia Aranda-García; Ernesto Herrera-Pedroviejo; Cristian Abelairas-Gómez Journal: Int J Environ Res Public Health Date: 2019-11-28 Impact factor: 3.390