Immediate and high-quality chest compressions (CC) make the background of in-hospital cardiopulmonary resuscitation. The aim of the study is to assess the quality of CC in healthcare providers in the multidisciplinary hospital.
Materials and methods. The study was performed in 42 healthcare professionals in Moscow hospital in 2016-2017. Chest compressions were assessed in 2 steps by means of CPR-challenge tool: 2 mins of CC without feedback then 2 mins of CC with feedback on rate, depth and recoil (ZOLL R-series defibrillator). The ERC Guidelines for Resuscitation 2015 were used as reference criteria for CC quality. The analysis was performed using the ZOLL RescueNet Code ReviewR software. Statistical analysis was done by Statistica 7.0 (Mann-Whitney U-test). Data were presented as mean±SD. Difference was considered significant at P<0.05.
Results. Without feedback devices percentage of CC in target (with correct rate, depth and recoil) was 5,4±18,3% in 86% of healthcare providers. With feedback devices percentage of CC in target was 68,3%±27,4% (p=0,000). While only one provider was able to perform the target CC without the feedback device (4,5%), 17 providers were able to do it with the device (77,3%) (P=0.001, exact Fisher`s test).
Conclusions. Healthcare providers have low background CC skills which improve when feedback devices are used. Regular simulation training and retraining is required.