Accuracy of Healthcare Providers' Perception of Chest Compression Depth and Chest Recoil

Sendoa Ballesteros-Peña ,Gorka Vallejo De La Hoz ,Irrintzi Fernández-Aedo ,A Etayo-Sancho ,Leire Berasaluze-Sanz ,Josune Domínguez-García

doi:10.22514/sv.2020.16.0021

Sendoa Ballesteros-Peña , Gorka Vallejo De La Hoz + Show 4 more

Open Access

https://doi.org/10.22514/sv.2020.16.0021

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Journal: Signa Vitae	Publication Date: Jan 1, 2020
Citations: 6	License type: cc-by

Affiliation: BioCruces Health research Institute

Abstract

Objective: The objective of this paper was to evaluate the validity and accuracy of healthcare providers’ perception of chest compression depth and chest recoil during cardiopulmonary resuscitation (CPR). Methods: A clinical simulation study was performed with healthcare providers trained in CPR including physicians, nurses, and Emergency Medical Technicians (EMT). Following 2 minutes of hands-only-CPR on a sensor-programmed manikin, providers were able to respond to subjective questions assessing their adequacy of CPR. The providers’ perception contrasted with the objective data obtained from the manikin. The validity and accuracy of CPR providers’ perception of chest compression depth and chest recoil was assessed by the calculation of sensitivity, specificity and predictive values. Results: 180 Advanced or basic life support certified healthcare providers were enrolled. The degree of correlation between self-perception and actual performance was 52.2% in the thoracic compression depth and 61.7% in the chest recoil. Caregivers’ perception of chest compression depth had a sensitivity of 29.4% and a specificity of 87.3%. Caregivers’ perception of chest recoil had a sensitivity of 30.3% and a specificity of 79.8%. Conclusions: Healthcare providers’ perception for evaluating the accuracy of thoracic compressions is not as accurate as objective feedback methods during CPR. This may impact patient outcomes during a cardiac arrest.

Highlights

The quality of chest compressions during cardiopulmonary resuscitation (CPR) affects both the short-term and long-term survival after cardiac arrest
The study consisted of 180 volunteers (124 nurses, 35 doctors and 21 Emergency Medical Technicians). 79.4% were women and 39.4% had previously participated in more than 10 CPR events
The current results have shown that there is a tendency to overestimate the depth of the thoracic compressions, which may lead to lower quality CPR

Summary

Introduction

The quality of chest compressions during CPR affects both the short-term and long-term survival after cardiac arrest. Well-performed CPR consists of good quality chest compressions with adherence to rate, depth and complete wall recoil. To be considered of high quality, chest compressions should be performed in the centre of the thorax at a rate of 100 - 120 compressions per minute and at a depth of 5 - 6 cm, allowing for a full chest recoil after each compression [1]. High-quality CPR maximizes the survival odds of patients with a cardiac arrest [2]. The objective of this paper was to evaluate the validity and accuracy of healthcare providers’ perception of chest compression depth and chest recoil during cardiopulmonary resuscitation (CPR)

Methods

Results

Conclusion