A nationwide investigation of CPR courses, books, and skill retention

Theo Walther Jensen*, Thea Palsgaard Møller, Søren Viereck, Jens Roland, Thomas Egesborg Pedersen, Annette Kjær Ersbøll, Jens Flensted Lassen, Fredrik Folke, Doris Østergaard, Freddy K Lippert

*Corresponding author for this work

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Abstract

Introduction: Survival from Out-of-Hospital Cardiac Arrest is highly associated with bystander cardiopulmonary resuscitation. The quality of bystander CPR is influenced by citizens attending Basic Life Support (BLS) courses and the quality of these courses. The purpose of the study was to investigate content, quality and compliance with the European Resuscitation Council (ERC) guidelines in national Danish BLS courses and the skill retention. Methods: Books from 16 different course providers were analyzed for compliance with guidelines using the principle of mutually exclusive and collectively exhaustive questioning. Observation of 56 BLS courses were conducted using an evaluation sheet, with a five-point Likert scale including theoretical, technical, and non-technical skills. BLS skills of participants were assessed with a follow-up test 4–6 months after a course using a modified Cardiff Test. Results: Analysis of the books, showed compliance with ERC guidelines of 69% on the examined items. Courses using ERC educational structure and having maximum six participants per instructor were associated with high quality in the course observations and a better follow-up test. Especially, the use of automated external defibrillator showed significant odds ratio (OR) of 21.8 (95% CI 4.1–114.7) to 31.3 (95% CI 3.7–265.1) of achieving high quality on courses with similar results in the follow-up test. Conclusion: National BLS courses had significant variation in the content of books, and compliance to ERC guidelines during courses and in skills retention 4–6 months after the courses. This study can be used to further improve and standardize BLS courses.

Original languageEnglish
JournalResuscitation
Volume134
Pages (from-to)110-121
ISSN0300-9572
DOIs
Publication statusPublished - Jan 2019

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Guidelines
Odds Ratio
Observation

Keywords

  • BLS
  • CPR
  • Education
  • Quality CPR
  • Retention
  • Survival

Cite this

Jensen, T. W., Møller, T. P., Viereck, S., Roland, J., Pedersen, T. E., Ersbøll, A. K., ... Lippert, F. K. (2019). A nationwide investigation of CPR courses, books, and skill retention. Resuscitation, 134, 110-121. https://doi.org/10.1016/j.resuscitation.2018.10.029
Jensen, Theo Walther ; Møller, Thea Palsgaard ; Viereck, Søren ; Roland, Jens ; Pedersen, Thomas Egesborg ; Ersbøll, Annette Kjær ; Lassen, Jens Flensted ; Folke, Fredrik ; Østergaard, Doris ; Lippert, Freddy K. / A nationwide investigation of CPR courses, books, and skill retention. In: Resuscitation. 2019 ; Vol. 134. pp. 110-121.
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title = "A nationwide investigation of CPR courses, books, and skill retention",
abstract = "Introduction: Survival from Out-of-Hospital Cardiac Arrest is highly associated with bystander cardiopulmonary resuscitation. The quality of bystander CPR is influenced by citizens attending Basic Life Support (BLS) courses and the quality of these courses. The purpose of the study was to investigate content, quality and compliance with the European Resuscitation Council (ERC) guidelines in national Danish BLS courses and the skill retention. Methods: Books from 16 different course providers were analyzed for compliance with guidelines using the principle of mutually exclusive and collectively exhaustive questioning. Observation of 56 BLS courses were conducted using an evaluation sheet, with a five-point Likert scale including theoretical, technical, and non-technical skills. BLS skills of participants were assessed with a follow-up test 4–6 months after a course using a modified Cardiff Test. Results: Analysis of the books, showed compliance with ERC guidelines of 69{\%} on the examined items. Courses using ERC educational structure and having maximum six participants per instructor were associated with high quality in the course observations and a better follow-up test. Especially, the use of automated external defibrillator showed significant odds ratio (OR) of 21.8 (95{\%} CI 4.1–114.7) to 31.3 (95{\%} CI 3.7–265.1) of achieving high quality on courses with similar results in the follow-up test. Conclusion: National BLS courses had significant variation in the content of books, and compliance to ERC guidelines during courses and in skills retention 4–6 months after the courses. This study can be used to further improve and standardize BLS courses.",
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Jensen, TW, Møller, TP, Viereck, S, Roland, J, Pedersen, TE, Ersbøll, AK, Lassen, JF, Folke, F, Østergaard, D & Lippert, FK 2019, 'A nationwide investigation of CPR courses, books, and skill retention', Resuscitation, vol. 134, pp. 110-121. https://doi.org/10.1016/j.resuscitation.2018.10.029

A nationwide investigation of CPR courses, books, and skill retention. / Jensen, Theo Walther; Møller, Thea Palsgaard; Viereck, Søren; Roland, Jens; Pedersen, Thomas Egesborg; Ersbøll, Annette Kjær; Lassen, Jens Flensted; Folke, Fredrik; Østergaard, Doris; Lippert, Freddy K.

In: Resuscitation, Vol. 134, 01.2019, p. 110-121.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - A nationwide investigation of CPR courses, books, and skill retention

AU - Jensen, Theo Walther

AU - Møller, Thea Palsgaard

AU - Viereck, Søren

AU - Roland, Jens

AU - Pedersen, Thomas Egesborg

AU - Ersbøll, Annette Kjær

AU - Lassen, Jens Flensted

AU - Folke, Fredrik

AU - Østergaard, Doris

AU - Lippert, Freddy K

N1 - Copyright © 2018. Published by Elsevier B.V.

PY - 2019/1

Y1 - 2019/1

N2 - Introduction: Survival from Out-of-Hospital Cardiac Arrest is highly associated with bystander cardiopulmonary resuscitation. The quality of bystander CPR is influenced by citizens attending Basic Life Support (BLS) courses and the quality of these courses. The purpose of the study was to investigate content, quality and compliance with the European Resuscitation Council (ERC) guidelines in national Danish BLS courses and the skill retention. Methods: Books from 16 different course providers were analyzed for compliance with guidelines using the principle of mutually exclusive and collectively exhaustive questioning. Observation of 56 BLS courses were conducted using an evaluation sheet, with a five-point Likert scale including theoretical, technical, and non-technical skills. BLS skills of participants were assessed with a follow-up test 4–6 months after a course using a modified Cardiff Test. Results: Analysis of the books, showed compliance with ERC guidelines of 69% on the examined items. Courses using ERC educational structure and having maximum six participants per instructor were associated with high quality in the course observations and a better follow-up test. Especially, the use of automated external defibrillator showed significant odds ratio (OR) of 21.8 (95% CI 4.1–114.7) to 31.3 (95% CI 3.7–265.1) of achieving high quality on courses with similar results in the follow-up test. Conclusion: National BLS courses had significant variation in the content of books, and compliance to ERC guidelines during courses and in skills retention 4–6 months after the courses. This study can be used to further improve and standardize BLS courses.

AB - Introduction: Survival from Out-of-Hospital Cardiac Arrest is highly associated with bystander cardiopulmonary resuscitation. The quality of bystander CPR is influenced by citizens attending Basic Life Support (BLS) courses and the quality of these courses. The purpose of the study was to investigate content, quality and compliance with the European Resuscitation Council (ERC) guidelines in national Danish BLS courses and the skill retention. Methods: Books from 16 different course providers were analyzed for compliance with guidelines using the principle of mutually exclusive and collectively exhaustive questioning. Observation of 56 BLS courses were conducted using an evaluation sheet, with a five-point Likert scale including theoretical, technical, and non-technical skills. BLS skills of participants were assessed with a follow-up test 4–6 months after a course using a modified Cardiff Test. Results: Analysis of the books, showed compliance with ERC guidelines of 69% on the examined items. Courses using ERC educational structure and having maximum six participants per instructor were associated with high quality in the course observations and a better follow-up test. Especially, the use of automated external defibrillator showed significant odds ratio (OR) of 21.8 (95% CI 4.1–114.7) to 31.3 (95% CI 3.7–265.1) of achieving high quality on courses with similar results in the follow-up test. Conclusion: National BLS courses had significant variation in the content of books, and compliance to ERC guidelines during courses and in skills retention 4–6 months after the courses. This study can be used to further improve and standardize BLS courses.

KW - BLS

KW - CPR

KW - Education

KW - Quality CPR

KW - Retention

KW - Survival

U2 - 10.1016/j.resuscitation.2018.10.029

DO - 10.1016/j.resuscitation.2018.10.029

M3 - Journal article

VL - 134

SP - 110

EP - 121

JO - Resuscitation

JF - Resuscitation

SN - 0300-9572

ER -