Cardiopulmonary resuscitation training of family members before hospital discharge using video self-instruction: A feasibility trial

Audrey L. Blewer, Marion Leary, Christopher S. Decker, James C. Andersen, Amanda C. Fredericks, Bentley J. Bobrow, Benjamin S. Abella

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

Background: Bystander cardiopulmonary resuscitation (CPR) is a crucial therapy for sudden cardiac arrest (SCA), yet rates of bystander CPR are low. This is especially the case for SCA occurring in the home setting, as family members of at-risk patients are often not CPR trained. Objective: To evaluate the feasibility of a novel hospital-based CPR education program targeted to family members of patients at increased risk for SCA. Design: Prospective, multicenter, cohort study. Setting: Inpatient wards at 3 hospitals. Subjects: Family members of inpatients admitted with cardiac-related diagnoses. Measurements and Results: Family members were offered CPR training via a proctored video-self instruction (VSI) program. After training, CPR skills and participant perspectives regarding their training experience were assessed. Surveys were conducted one month postdischarge to measure the rate of "secondary training" of other individuals by enrolled family members. At the 3 study sites, 756 subjects were offered CPR instruction; 280 agreed to training and 136 underwent instruction using the VSI program. Of these, 78 of 136 (57%) had no previous CPR training. After training, chest compression performance was generally adequate (mean compression rate 90 ± 26/minute, mean depth 37 ± 12 mm). At 1 month, 57 of 122 (47%) of subjects performed secondary training for friends or family members, with a calculated mean of 2.1 persons trained per kit distributed. Conclusions: The hospital setting offers a unique "point of capture" to provide CPR instruction to an important, undertrained population in contact with at-risk individuals.

Original languageEnglish (US)
Pages (from-to)428-432
Number of pages5
JournalJournal of Hospital Medicine
Volume6
Issue number7
DOIs
StatePublished - Sep 1 2011

ASJC Scopus subject areas

  • Leadership and Management
  • Internal Medicine
  • Fundamentals and skills
  • Health Policy
  • Care Planning
  • Assessment and Diagnosis

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