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

TitleCardiopulmonary resuscitation training of family members before hospital discharge using video self-instruction: a feasibility trial.
Publication TypeJournal Article
Year of Publication2011
AuthorsBlewer AL, Leary M, Decker CS, Andersen JC, Fredericks AC, Bobrow BJ, Abella BS
JournalJ Hosp Med
Date Published2011 Sep
ISSN Number1553-5606
KeywordsAdult, Aged, Cardiopulmonary Resuscitation, Cohort Studies, Family, Feasibility Studies, Female, Heart Arrest, Humans, Longitudinal Studies, Male, Middle Aged, Patient Discharge, Prospective Studies, Videotape Recording, Young Adult

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.

Alternate JournalJ Hosp Med
PubMed ID21916007
PubMed Central IDPMC4091628
Grant ListK23HL083082 / HL / NHLBI NIH HHS / United States
R18 HL107217 / HL / NHLBI NIH HHS / United States