The nationwide impact of COVID-19 on life support courses. A retrospective evaluation by Resuscitation Council UK.

Autor:	Thorne CJ; Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK.; North Bristol NHS Trust, Bristol BS10 5NB, UK., Kimani PK; Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK., Hampshire S; Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK., Hamilton-Bower I; Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK., Begum-Ali S; Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK., Benson-Clarke A; Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK., Couper K; Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK.; Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.; Critical Care Unit, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK., Yeung J; Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK.; Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.; Critical Care Unit, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK., Lockey A; Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK.; Calderdale & Huddersfield NHS Foundation Trust, Halifax, United Kingdom.; School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK., Perkins GD; Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK.; Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.; Critical Care Unit, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK., Soar J; Resuscitation Council UK, Tavistock House North, Tavistock Square, London WC1H 9HR, UK.; North Bristol NHS Trust, Bristol BS10 5NB, UK.
Jazyk:	angličtina
Zdroj:	Resuscitation plus [Resusc Plus] 2023 Mar; Vol. 13, pp. 100366. Date of Electronic Publication: 2023 Feb 13.
DOI:	10.1016/j.resplu.2023.100366
Abstrakt:	Aim: To determine the impact of the COVID-19 pandemic on Resuscitation Council UK Advanced Life Support (ALS) and Immediate Life Support (ILS) course numbers and outcomes. Methods: We conducted a before-after study using course data from the Resuscitation Council UK Learning Management System between January 2018 and December 2021, using 23 March 2020 as the cut-off between pre- and post-pandemic periods. Demographics and outcomes were analysed using chi-squared tests and regression models. Results: There were 90,265 ALS participants (51,464 pre-; 38,801 post-) and 368,140 ILS participants (225,628 pre-; 142,512 post-). There was a sharp decline in participants on ALS/ILS courses due to COVID-19. ALS participant numbers rebounded to exceed pre-pandemic levels, whereas ILS numbers recovered to a lesser degree with increased uptake of e-learning versions. Mean ALS course participants reduced from 20.0 to 14.8 post-pandemic (P < 0.001).Post-pandemic there were small but statistically significant decreases in ALS Cardiac Arrest Simulation Test pass rates (from 82.1 % to 80.1 % (OR = 0.90, 95 % CI = 0.86-0.94, P < 0.001)), ALS MCQ score (from 86.6 % to 86.0 % (mean difference = -0.35, 95 % CI -0.44 to -0.26, P < 0.001)), and overall ALS course results (from 95.2 %to 94.7 %, OR = 0.92, CI = 0.85-0.99, P = 0.023). ILS course outcomes were similar post-pandemic (from 99.4 % to 99.4 %, P = 0.037). Conclusion: COVID-19 caused a sharp decline in the number of participants on ALS/ILS courses and an accelerated uptake of e-learning versions, with the average ALS course size reducing significantly. The small reduction in performance on ALS courses requires further research to clarify the contributing factors. (© 2023 The Author(s).)
Databáze:	MEDLINE
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