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Quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-4064-3815
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Linköping University.ORCID iD: 0000-0002-0961-5250
Linnaeus University, Faculty of Technology, Kalmar Maritime Academy. Linköping University ; Kalmar Cty Hosp.
Kalmar Cty Hosp.
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2017 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, no 5, 453-457 p.Article in journal (Refereed) Published
Abstract [en]

Introduction: A high quality of chest compressions, e.g. sufficient depth (5-6 cm) and rate (100-120 per min), has been associated with survival. The patient's underlay affects chest compression depth. Depth and rate can be assessed by feedback systems to guide rescuers during cardiopulmonary resuscitation. Aim: The purpose of this study was to describe the quality of chest compressions by healthcare professionals using real-time audiovisual feedback during in-hospital cardiopulmonary resuscitation. Method: An observational descriptive study was performed including 63 cardiac arrest events with a resuscitation attempt. Data files were recorded by Zoll AED Pro, and reviewed by RescueNet Code Review software. The events were analysed according to depth, rate, quality of chest compressions and underlay. Results: Across events, 12.7% (median) of the compressions had a depth of 5-6 cm. Compression depth of >6 cm was measured in 70.1% (median). The underlay could be identified from the electronic patient records in 54 events. The median compression depth was 4.5 cm (floor) and 6.7 cm (mattress). Across events, 57.5% (median) of the compressions were performed with a median frequency of 100-120 compressions/min and the most common problem was a compression rate of <100 (median=22.3%). Conclusions: Chest compression quality was poor according to the feedback system. However, the distribution of compression depth with regard to underlay points towards overestimation of depth when treating patients on a mattress. Audiovisual feedback devices ought to be further developed. Healthcare professionals need to be aware of the strengths and weaknesses of their devices.

Place, publisher, year, edition, pages
Sage Publications, 2017. Vol. 16, no 5, 453-457 p.
Keyword [en]
Cardiopulmonary resuscitation, chest compression, feedback devices, mattresses, quality
National Category
Cardiac and Cardiovascular Systems Nursing
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-66970DOI: 10.1177/1474515117701060ISI: 000402662800012PubMedID: 28565967OAI: oai:DiVA.org:lnu-66970DiVA: diva2:1127892
Available from: 2017-07-20 Created: 2017-07-20 Last updated: 2017-07-20Bibliographically approved

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Semark, BirgittaÅrestedt, KristoferIsraelsson, JohanSchildmeijer, Kristina
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Department of Health and Caring SciencesKalmar Maritime Academy
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Cardiac and Cardiovascular SystemsNursing

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