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Abstract

Background

Training families of patients at risk for sudden cardiac death in basic life support (BLS) has been recommended, but remains challenging. This research aimed to determine the impact of embedding resuscitation training for patients in a cardiac rehabilitation programme on relatives' BLS skill retention at six months.

Design

Intervention community study.

Methods

Relatives of patients suffering acute coronary syndrome or revascularization enrolled on an exercise-based cardiac rehabilitation programme were included. BLS skills of relatives linked to patients in a resuscitation-retraining programme (G-CPR) were compared with those of relatives of patients in a standard programme (G-Stan) at baseline, following brief instruction and six months after. Differences in skill performance and deterioration and self-perceived preparation between groups over time were assessed.

Results

Seventy-nine relatives were included and complete data from 66 (G-Stan=33, G-CPR=33) was analysed. Baseline BLS skills were equally poor, improved irregularly following brief instruction and decayed afterwards. G-CPR displayed six-month better performance and lessened skill deterioration over time compared with G-Stan, including enhanced compliance with the BLS sequence (p = 0.006 for group*time interaction) and global resuscitation quality (p = 0.007 for group*time interaction). Self-perceived preparation was higher in G-CPR (p = 0.002).

Conclusions

Relatives of patients suffering acute coronary syndrome or revascularization enrolled on a cardiac rehabilitation programme showed poor BLS skills. A resuscitation-retraining cardiac rehabilitation programme resulted in relatives' higher BLS awareness, skill retention and confidence at six months compared with the standard programme. This may suggest a significant impact of this formula on the family setting and support the active role of patients to enhance health education in their environment.

Keywords

Ischaemic heart disease out-of-hospital cardiac arrest sudden cardiac death health education cardiopulmonary resuscitation defibrillation cardiac rehabilitation

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References

Greif

Lockey

Conaghan

et al.

European Resuscitation Council Guidelines for resuscitation 2015. Section 10. Education and implementation of resuscitation. Resuscitation2015; 95: 288–301.

Gräsner

J-T

Lefering

Koster

et al.

EuReCa ONE-27 Nations, ONE Europe, ONE Registry: A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation2016; 105: 188–195.

Wissenberg

Lippert

Folke

et al.

Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA2013; 310: 1377–1384.

Lindner

Søreide

Nilsen

et al.

Good outcome in every fourth resuscitation attempt is achievable—An Utstein template report from the Stavanger region. Resuscitation2011; 82: 1508–1513.

Strömsöe

Andersson

Ekström

et al.

Education in cardiopulmonary resuscitation in Sweden and its clinical consequences. Resuscitation2010; 81: 211–216.

Ringh

Jonsson

Nordberg

et al.

Survival after public access defibrillation in Stockholm, Sweden – A striking success. Resuscitation2015; 91: 1–7.

Case

Cartledge

Siedenburg

et al.

Identifying barriers to the provision of bystander cardiopulmonary resuscitation (CPR) in high-risk regions: A qualitative review of emergency calls. Resuscitation2018; 129: 43–47.

Nakanishi

Nishizawa

Kitamura

et al.

The increased mortality from witnessed out-of-hospital cardiac arrest in the home. Prehosp Emerg Care2011; 15: 271–277.

Anderson

Oldridge

Thompson

et al.

Exercise-based cardiac rehabilitation for coronary heart disease. J Am Coll Cardiol2016; 67: 1–12.

10.

Cartledge

Finn

Bray

et al.

Incorporating cardiopulmonary resuscitation training into a cardiac rehabilitation programme: A feasibility study. Eur J Cardiovasc Nurs2018; 17: 148–158.

11.

González-Salvado

Abelairas-Gómez

Peña-Gil

et al.

Basic life support training into cardiac rehabilitation programs: A chance to give back. A community intervention controlled manikin study. Resuscitation2018; 127: 14–20.

12.

Perkins

Handley

Koster

et al.

European Resuscitation Council Guidelines for resuscitation 2015. Section 2. Adult basic life support and automated external defibrillation. Resuscitation2015; 95: 81–99.

13.

Bates

Maechler

Bolker

et al.

Fitting linear mixed-effects models using lme4. J Stat Softw2015; 67: 1–48.

14.

De Waard

A-KM

Wändell

Holzmann

et al.

Barriers and facilitators to participation in a health check for cardiometabolic diseases in primary care: A systematic review. Eur J Prev Cardiol2018; 25: 1326–1340.

15.

Eliasson

Eriksson

Lundqvist

et al.

Comparison of trends in cardiovascular risk factors between two regions with and without a community and primary care prevention programme. Eur J Prev Cardiol2018; 25: 1765–1772.

16.

Dracup

Heaney

Taylor

et al.

Can family members of high-risk cardiac patients learn cardiopulmonary resuscitation?

Arch Intern Med1989; 149: 61–64.

17.

Goldberg

Gore

Love

et al.

Layperson CPR – are we training the right people?

Ann Emerg Med1984; 13: 701–704.

18.

Brennan

Braslow

. Are we training the right people yet? A survey of participants in public cardiopulmonary resuscitation classes. Resuscitation1998; 37: 21–25.

19.

Khan

Shafquat

Kundi

. Basic life support skills: assessment and education of spouse and first degree relatives of patients with coronary disease. J Coll Physicians2010; 20: 299–302.

20.

Blewer

Putt

Becker

et al.

Video-only cardiopulmonary resuscitation education for high-risk families before hospital discharge: A multicenter pragmatic trial. Circ Cardiovasc Qual Outcomes2016; 9: 740–748.

21.

Kim

Suh

. The effect of patient-centered CPR education for family caregivers of patients with cardiovascular diseases. J Korean Acad Nurs2016; 46: 463–474.

22.

Priori

Blomström-Lundqvist

Mazzanti

et al.

2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. Eur Heart J2015; 36: 2793–2867.

23.

González-Salvado

Rodríguez-Núñez

González-Juanatey

. From prevention to rehabilitation: Toward a comprehensive approach to tackling cardiac arrest. Rev Esp Cardiol (Engl Ed)2019; 72: 3–6.

24.

Viereck

Møller

Ersbøll

et al.

Recognising out-of-hospital cardiac arrest during emergency calls increases bystander cardiopulmonary resuscitation and survival. Resuscitation2017; 115: 141–147.

25.

Lewis

Stubbs

Eisenberg

. Dispatcher-assisted cardiopulmonary resuscitation: Time to identify cardiac arrest and deliver chest compression instructions. Circulation2013; 128: 1522–1530.

26.

Perkins

Walker

Christensen

et al.

Teaching recognition of agonal breathing improves accuracy of diagnosing cardiac arrest. Resuscitation2006; 70: 432–437.

27.

Smith

Lim Choi Keung

Khan

et al.

Barriers and facilitators to public access defibrillation in out-of-hospital cardiac arrest: A systematic review. Eur Heart J Qual Care Clin Outcomes2017; 3: 264–273.

28.

Oliver

Cooper

McKinney

. Can first aid training encourage individuals' propensity to act in an emergency situation? A pilot study. Emerg Med J2014; 31: 518–520.

29.

Harvey

Higenbottam

Owen

et al.

Peer-led training and assessment in basic life support for healthcare students: Synthesis of literature review and fifteen years practical experience. Resuscitation2012; 83: 894–899.

30.

Beck

Issleib

Daubmann

et al.

Peer education for BLS-training in schools? Results of a randomized-controlled, noninferiority trial. Resuscitation2015; 94: 85–90.

31.

Kreidler

Muller

Gary

et al.

GLIMMPSE: Online power computation for linear models with and without a baseline covariate. J Stat Softw2013; 54: i10.

32.

Cartledge

Bray

Leary

et al.

A systematic review of basic life support training targeted to family members of high-risk cardiac patients. Resuscitation2016; 105: 70–78.

33.

Malta Hansen

Kragholm

Pearson

et al.

Association of bystander and first-responder intervention with survival after out-of-hospital cardiac arrest in North Carolina, 2010–2013. JAMA2015; 314: 255–264.

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Targeting relatives: Impact of a cardiac rehabilitation programme including basic life support training on their skills and attitudes

Abstract

Background

Design

Methods

Results

Conclusions

Keywords

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References

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