Effect of Face-to-Face vs Virtual Reality Training on Cardiopulmonary Resuscitation Quality: A Randomized Clinical Trial
| Autor: | Joris Nas, Jos Thannhauser, Priya Vart, J. Vos, Judith L. Bonnes, Hella E C Muijsers, Lara S. F. Konijnenberg, Frank Gommans, Marc A. Brouwer, Sandra G.A.M. Ahoud-Schoenmakers, Robert-Jan van Geuns, Jan Quinten Mol, Niels van Royen, Goaris W.A. Aarts |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Resuscitation medicine.medical_treatment Vascular damage Radboud Institute for Health Sciences [Radboudumc 16] education lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4] 030204 cardiovascular system & hematology Manikins law.invention 03 medical and health sciences Young Adult 0302 clinical medicine All institutes and research themes of the Radboud University Medical Center Randomized controlled trial Interquartile range law medicine Humans 030212 general & internal medicine Cardiopulmonary resuscitation Prospective Studies Prospective cohort study Automated external defibrillator Original Investigation business.industry Virtual Reality Vascular damage Radboud Institute for Molecular Life Sciences [Radboudumc 16] Guideline Cardiopulmonary Resuscitation Equivalence Trial Physical therapy Female Educational Measurement Renal disorders Radboud Institute for Health Sciences [Radboudumc 11] Cardiology and Cardiovascular Medicine business |
| Zdroj: | JAMA Cardiol JAMA Cardiology, 5, 3, pp. 328-335 JAMA Cardiology, 5, 328-335 |
| ISSN: | 2380-6591 2380-6583 |
| Popis: | IMPORTANCE: Bystander cardiopulmonary resuscitation (CPR) is crucial for survival after cardiac arrest but not performed in most cases. New, low-cost, and easily accessible training methods, such as virtual reality (VR), may reach broader target populations, but data on achieved CPR skills are lacking. OBJECTIVE: To compare CPR quality between VR and face-to-face CPR training. DESIGN, SETTING, AND PARTICIPANTS: Randomized noninferiority trial with a prospective randomized open blinded end point design. Participants were adult attendees from the science section of the Lowlands Music Festival (August 16 to 18, 2019) in the Netherlands. Analysis began September 2019. INTERVENTIONS: Two standardized 20-minute protocols on CPR and automated external defibrillator use: instructor-led face-to-face training or VR training using a smartphone app endorsed by the Resuscitation Council (United Kingdom). MAIN OUTCOMES AND MEASURES: During a standardized CPR scenario following the training, we assessed the primary outcome CPR quality, measured as chest compression depth and rate using CPR manikins. Overall CPR performance was assessed by examiners, blinded for study groups, using a European Resuscitation Council–endorsed checklist (maximum score, 13). Additional secondary outcomes were chest compression fraction, proportions of participants with mean depth (50 mm-60 mm) or rate (100 min(−1)-120 min(−1)) within guideline ranges, and proportions compressions with full release. RESULTS: A total of 381 participants were randomized: 216 women (57%); median (interquartile range [IQR]) age, 26 (22-31) years. The VR app (n = 190 [49.9%]) was inferior to face-to-face training (n = 191 [50.1%]) for chest compression depth (mean [SD], VR: 49 [10] mm vs face to face: 57 [5] mm; mean [95% CI] difference, −8 [−9 to −6] mm), and noninferior for chest compression rate (mean [SD]: VR: 114 [12] min(−1) vs face to face: 109 [12] min(−1); mean [95% CI] difference, 6 [3 to 8] min(−1)). The VR group had lower overall CPR performance scores (median [IQR], 10 [8-12] vs 12 [12-13]; P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|