Unit:
ΠΜΣ Καρδιοαναπνευστική ΑναζωογόνησηLibrary of the School of Health Sciences
Supervisors info:
Τσεκούρα Δωροθέα, ΕΔΙΠ, Ιατρική, ΕΚΠΑ
Ιακωβίδου Νικολέτα, Αναπληρώτρια Καθηγήτρια, Ιατρική, ΕΚΠΑ
Ξάνθος Θεόδωρος, Καθηγητής, Ιατρική, Ευρωπαϊκό Πανεπιστήμιο Κύπρου
Original Title:
Αξιολόγηση της γνώσης του ιατρονοσηλευτικού προσωπικού όσον αφορά την εξειδικευμένη υποστήριξη της ζωής σε σχέση με τα ποσοστά επιβίωσης των θυμάτων μετά από ενδονοσοκομειακή ανακοπή: συγκριτική μελέτη μεταξύ ευρωπαϊκών πανεπιστημιακών καρδιολογικών κλινικών, ΜΕΘ και αναισθησιολογικών τμημάτων
Translated title:
Assessment of the medical and nurse staff’ s knowledge regarding the advanced life support in relation to the survival rates of victims after inhospital cardiac arrest: a comparative study among european university cardiology clinics, intensive care units and anesthesiology clinics
Summary:
Purpose of the study: In-hospital cardiac arrest is a major problem within European countries and their health care systems with a tremendous burden on resources. Improvements of survival of patients after cardiac arrest are non-satisfying over the last years. One reason might be failure in recognizing early warning signs of possible cardiac arrest resulting in more cardiopulmonary resuscitation (CPR) in order to save the patient’s life. The purpose of this study is to assess health care professionals’ knowledge on CPR among university hospitals in 12 European countries and correlate it with survival rates of patients after an in-hospital cardiac arrest.
Materials and methods: 570 health care professionals from cardiology, anesthesiology and intensive care medicine departments of European university hospitals in Italy, Poland, Hungary, Belgium, Spain, Slovakia, Germany, Finland, Netherlands, Switzerland, France and Greece, completed a questionnaire. The questionnaire consisted of 12 questions on epidemiology data and education and 26 multiple choice questions on CPR knowledge (total score), of which 10 were on Basic Life Support (BLS), 3 on ischemic stroke and 13 on Advanced Life Support (ALS). Each participant was given 20 minutes to answer the questionnaire, which was anonymous. The questionnaire was standardized with the method of verification by the participant twice and Spearman’s correlation factor (Spearman’s rho) analyzed correlations Non parametric Kruskal Wallis test analyzed differences. Fractional response regression with a logit model for the conditional mean analyzed correlation with survival rates. Values are expressed as median (interquartile range). A p<0.05 was considered as significant.
Results: Differences were found among countries in all categories. Hospitals in Switzerland scored highest on BLS with 8 out of 10 (7-8) correct answers (p=0.005) while Belgium hospitals scored highest on ALS with 10 correct answers out of 13 questions (9-11, p<0.0001) and total score with 19 correct answers out of 26 questions (17-21, p=0.011). The Swiss hospitals scored highest in education with 2 (1-3) different CPR courses per participant (p<0.0001).
Correlation between CPR knowledge and survival rates of patients with in-hospital cardiac arrest demonstrated that each unit increase on ALS score results in 3.94 times [2.78-5.57] increase in survival rates (p<0.001).
Conclusion: The results demonstrated higher performance of the Swiss and Belgium hospitals on CPR knowledge and education. Establishing effective CPR educational standards tailored to the needs of each specialty could be vital and contribute to higher performance on knowledge. Higher performance in CPR knowledge results in higher survival rates of patients with in-hospital cardiac arrest.
Main subject category:
Health Sciences
Keywords:
CPR, ALS, Κnowledge, Αssessment
