OUTCOMES OF CARDIAC ARREST BETWEEN REALITY AND TELEVISION MEDICAL DRAMAS: RESULTS OF THE TVMD2 STUDY

Abstract

SESSION TITLE: Tuesday Abstract Posters SESSION TYPE: Original Investigation Posters PRESENTED ON: 10/22/2019 01:00 PM - 02:00 PM PURPOSE: Outcomes of cardiopulmonary resuscitation (CPR) include: death, return of spontaneous circulation (ROSC), sustained ROSC, and discharge from hospital, among others. We aimed to assess if television medical dramas (TVMDs) depictions of CPR outcomes are representative of reality. METHODS: An instrument was created to address quality of CPR in TVMD. It was applied by advanced cardiac life support (ACLS) certified-health care providers, to assess and review CPR scenarios performance and outcomes from 32 different TVMDs from 2010 to 2018. Data was evaluated to explore CPR outcomes. RESULTS: A total of 836 episodes of TVMDs were reviewed with a total of 212 on-screen CPR attempts; of which, 202 revealed the outcome. CPR success rate was 61.9% (n=125). In 189 CPR scenes, patient’s condition was followed during the hospitalization, and 54% (n=102) survived to hospital discharge. Of the survivors, we were able to assess the cerebral performance category (CPC) score in 88 patients. 96.5% (n=85) had favorable neurological outcome (CPC 1,2) and only 3.5% (n=3) had unfavorable neurological outcome (CPC 3,4 and5). Moreover, we assessed if determination of ROSC in TVMDs complied with the Utstein Resuscitation Registry Templates (by spontaneously restoring a palpable pulse or a measurable blood pressure). We found that from 160 episodes, in which we could assess how ROSC was determined, only 30% (n=48) depended on the pulse; while 56.3% (n=90) used the monitor. Other methods to identify ROSC were echocardiography in 3.75% (n=6), waking up in 9.38% (n=15), breathing in 4.38% (n=7), and coughing in 2.5% (n=4) of the patients. CONCLUSIONS: The success rate of CPR and neurological outcomes for survivors in TVMDs are better than outcomes among real patients. ROSC identification also varied from common clinical practice. TVMDs portrayal of CPR outcomes significantly misrepresents outcomes in reality. CLINICAL IMPLICATIONS: TVMDs are a major source of medical education among lay people. Inadequate representation of CPR outcomes may give families false hope. DISCLOSURES: No relevant relationships by Abbas Alshami, source=Web Response Advisory Committee Member relationship with Zoll Please note: $5001 - $20000 Added 03/14/2019 by Sharon Einav, source=Web Response, value=Travel<br Advisory Committee Member relationship with Medtronic Please note: $20001 - $100000 Added 03/14/2019 by Sharon Einav, source=Web Response, value=Intellectual property rights Advisory Committee Member relationship with Diasorin Please note: $1001 - $5000 Added 03/14/2019 by Sharon Einav, source=Web Response, value=Grant/Research Support No relevant relationships by Luz Ramirez, source=Web Response No relevant relationships by Joseph Varon, source=Web Response No relevant relationships by Daryelle Varon, source=Web Response