Chest Compression Depth and Rate - Effect on Instructor Visual Assessment of Chest Compression Quality

( 最大 2000 件 )
URI http://shark.lib.kagawa-u.ac.jp/kuir/metadata/28680
タイトル
Chest Compression Depth and Rate - Effect on Instructor Visual Assessment of Chest Compression Quality
ファイル
内容記述

Abstract
BACKGROUND:

The aim of the present study was to determine whether instructors could accurately assess chest compression quality visually, considering the association between chest compression depth and rate. Methods and Results: In this prospective, observational study, the quality of chest compressions performed by a simulated actor in a video was visually assessed by certified instructors. The film consisted of 14 case scenarios, each including a combination of depth (2 patterns: adequate, 5-6 cm; and inadequate, <5 cm) and rate (7 categories: compressions 90-150 times/min in increments of 10 times/min). The participants evaluated whether the compression depth was adequate, deep, or inadequate; and whether the compression rate was appropriate, fast, or slow. Of 198 instructors, 56% of participants misidentified adequate depth as deep at a chest compression rate of 120/min (the tendency toward this response increased as chest compression rate increased), and 64.1% of participants incorrectly determined 130/min to be appropriate. On generalized linear mixed-effects model analysis, perceived chest compression depth and rate were significant factors for a correct response (P<0.01, both). A significant interaction between chest compression depth and rate was observed (P<0.01).
CONCLUSIONS:

In the visual assessment of chest compression quality, recognition of chest compression depth was closely associated with compression rate. Misidentification of adequate chest compression depth as deep increased as the compression rate increased.

KEYWORDS:

Basic science; Cardiopulmonary resuscitation; Chest compression resuscitation

(医博甲720)

著者
著者 永渕 克弥
著者(ヨミ) ナガフチ カツヤ
著者(別表記) Nagafuchi Katsuya
掲載誌
Circulation Journal
掲載誌(別表記)
Circ J.
83
2
開始ページ
418
終了ページ
423
出版者
Japanese Circulation Society
日本循環器学会
出版者(別表記)
日本循環器学会
出版年月日
2018-12-29
ISSN
1346-9843
NCID
AA11591968
PMID
30606940
DOI
10.1253/circj.CJ-18-0952
資料タイプ
学位論文
言語
英語
関連情報
出版社版DOIリンク(URL): https://doi.org/10.1253/circj.CJ-18-0952
関連情報URL
https://doi.org/10.1253/circj.CJ-18-0952
関連情報(isVersionOf)
Publisher's Version.
権利関係
Copyright © 2019 THE JAPANESE CIRCULATION SOCIETY
"This is the Publisher's version of the following article: Chest Compression Depth and Rate - Effect on Instructor Visual Assessment of Chest Compression Quality; Circulation Journal;Volume 83 Number 2 (2019) 418-423; doi: 10.1253/circj.CJ-18-0952, which has been published in final form at https://doi.org/10.1253/circj.CJ-18-0952 . "
https://doi.org/10.1253/circj.CJ-18-0952
博士論文(全文を含む)
学位授与番号
博甲第720号
学位授与年月日
2019-03-24
学位名
博士(医学)
学位授与機関
香川大学
区分
香川大学
Copyright (C) 2009 Kagawa University All rights reserved.