Gender aspects in cardiopulmonary resuscitation by schoolchildren: A systematic review

Finke, Simon-Richard; Schroeder, Daniel C.; Ecker, Hannes; Wingen, Sabine; Hinkelbein, Jochen; Wetsch, Wolfgang A.; Köhler, Daniela; Böttiger, Bernd W.

doi:10.1016/j.resuscitation.2018.01.025

Cited by 29 publications

(43 citation statements)

References 74 publications

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“…Students with a mean age of 14 years and a mean weight of 55 kg, who had participated in 2013/14 in our BLStraining with the same training setting and assessment, had achieved pass-rates of about 40% [30]. Compared to the students with 14 years, the 12-year-old students of this study had about 20% lower pass-rates for the items compression depth, compression rate and pauses less than 30 s. This is in line with the literature demonstrating higher physical capacity to maintain effective chest compression with higher age and higher weight [31].…”

Section: Discussionsupporting

confidence: 86%

“…The males of the intervention scored higher than the males of the control because of better retention for breathing check, chest compression quality and less pauses. Up to date there are only some studies reporting an interaction between gender and training method in medical education, because gender is not routinely considered as variable in the analysis [31]. Sopka et al demonstrated that the training environment interacts with learning of different genders.…”

Section: Discussionmentioning

confidence: 99%

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Implementation of Basic Life Support training in schools: a randomised controlled trial evaluating self-regulated learning as alternative training concept

et al. 2020

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Background: The Kids save lives statement recommends annual Basic Life Support (BLS) training for school children but the implementation is challenging. Trainings should be easy to realise and every BLS training should be as effective as possible to prepare learners for lifesaving actions. Preparedness implies skills and positive beliefs in the own capability (high self-efficacy). Methods: This randomized controlled cluster study investigates, if self-regulated learning promotes self-efficacy and long-term retention of practical BLS skills. Students in the age of 12 years participated in a practical training in BLS and a scenario testing of skills. In the control group the practical training was instructor-led. In the intervention group the students self-regulated their learning processes and feedback was provided by the peer-group. The primary outcome self-efficacy for helping in cardiac arrest after the training and 9 months later was analysed using a multilevel mixed model. Means and pass-rates for BLS skills were secondary outcomes. Results: Contrary to the assumptions, this study could not measure a higher self-efficacy for helping in cardiac arrest of the students participating in the intervention (n = 307 students) compared to the control group (n = 293 students) after training and at the follow-up (mean difference: 0.11 points, 95% CI: − 0.26 to 0.04, P = 0.135). The odds to pass all items of the BLS exam was not significantly different between the groups (OR 1.11, 95% CI: 0.81 to 1.52, p = 0.533). Self-regulated learning was associated with a higher performance of male students in the BLS exam (mean score: 7.35) compared to females of the intervention (female: 7.05) and compared to males of the control (7.06).Conclusion: This study could not resolve the question, if self-regulated learning in peer-groups improves selfefficacy for helping in cardiac arrest. Self-regulated learning is an effective alternative to instructor-led training in BLS skills training and may be feasible to realise for lay-persons. For male students self-regulated learning seems to be beneficial to support long-term retention of skills. Trial registration: ISRCTN17334920, retrospectively registered 07.03.2019.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Implementation of Basic Life Support training in schools: a randomised controlled trial evaluating self-regulated learning as alternative training concept

et al. 2020

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“…In detail, we adjusted for body weight as it is considered a major factor in delivering proper chest compression along with age and gender. 13 The likelihood of CPR training varies in groups with different age, educational status or income. 14 We also used CPR course attendance, professional experience, department and specialty as indicators of education and experience in CPR or possible confounders (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…By multivariable logistic regression analysis, hospitals in Belgium were associated with higher ALS score than hospitals in Poland, Hungary, Spain, Germany, The Netherlands, Switzerland and Greece and a higher total score in CPR knowledge than hospitals in Spain, Germany, The Netherlands and Greece after taking into account between-countries differences in age, 13 gender, 13 CPR course attendance, 14 professional experience and department and specialty distribution (see Supplementary Table 3).…”

Section: Differences In Cpr Knowledge and Cpr Course Attendance Amongmentioning

confidence: 99%

Healthcare professionals’ knowledge on cardiopulmonary resuscitation correlated with return of spontaneous circulation rates after in-hospital cardiac arrests: A multicentric study between university hospitals in 12 European countries

Kourek

Greif

Georgiopoulos

et al. 2020

European Journal of Cardiovascular Nursing

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Background: In-hospital cardiac arrest is a major cause of death in European countries, and survival of patients remains low ranging from 20% to 25%. Aims: The purpose of this study was to assess healthcare professionals’ knowledge on cardiopulmonary resuscitation among university hospitals in 12 European countries and correlate it with the return of spontaneous circulation rates of their patients after in-hospital cardiac arrest. Methods and results: A total of 570 healthcare professionals from cardiology, anaesthesiology and intensive care medicine departments of European university hospitals in Italy, Poland, Hungary, Belgium, Spain, Slovakia, Germany, Finland, The Netherlands, Switzerland, France and Greece completed a questionnaire. The questionnaire consisted of 12 questions based on epidemiology data and cardiopulmonary resuscitation training and 26 multiple choice questions on cardiopulmonary resuscitation knowledge. Hospitals in Switzerland scored highest on basic life support ( P=0.005) while Belgium hospitals scored highest on advanced life support ( P<0.001) and total score in cardiopulmonary resuscitation knowledge ( P=0.01). The Swiss hospitals scored highest in cardiopulmonary resuscitation training ( P<0.001). Correlation between cardiopulmonary resuscitation knowledge and return of spontaneous circulation rates of patients with in-hospital cardiac arrest demonstrated that each additional correct answer on the advanced life support score results in a further increase in return of spontaneous circulation rates (odds ratio 3.94; 95% confidence interval 2.78 to 5.57; P<0.001). Conclusion: Differences in knowledge about resuscitation and course attendance were found between university hospitals in 12 European countries. Education in cardiopulmonary resuscitation is considered to be vital for patients’ return of spontaneous circulation rates after in-hospital cardiac arrest. A higher level of knowledge in advanced life support results in higher return of spontaneous circulation rates.

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“…Since emerging evidence from Western countries has shown that children and adolescents from 5 to 18 years old are able to learn certain first aid techniques and are willing to provide help [12][13][14][15][16], first aid training of children seems a promising way forward in order to maximize impact. However, to our knowledge evidence-based guidelines or teaching materials concerning first aid training to children in LMIC are currently non-existent.…”

Section: Introductionmentioning

confidence: 99%

An educational pathway and teaching materials for first aid training of children in Sub-Saharan Africa based on the best available evidence

Buck

Laermans

Vanhove

et al. 2020

Preprint

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Background First aid training is a cost-effective way to decrease the burden of disease and injury in low- and middle-income countries (LMIC). Since evidence from Western countries has shown that children are able to learn first aid, first aid training of children in LMIC may be a promising way forward. Hence, our project aim was to develop contextualized materials to train Sub-Saharan African children in first aid, based on the best available evidence. Methods Systematic literature searches were conducted to identify studies on first aid education to children up to 18 years old (research question one), and studies investigating different teaching approaches (broader than first aid) in LMIC (research question two). A multidisciplinary expert panel translated the evidence to the context of Sub-Saharan Africa, and evidence and expert input were used to develop teaching materials. Results For question one, we identified 58 studies, measuring the effect of training children in resuscitation, first aid for skin wounds, poisoning etc. For question two, two systematic reviews were included from which we selected 36 studies, revealing the effectiveness of several pedagogical methods, such as problem-solving instruction and small-group instruction. However, the certainty of the evidence was low to very low. Hence expert input was necessary to formulate training objectives and age ranges based on “good practice” whenever the quantity or quality of the evidence was limited. The experts also placed the available evidence against the African context. Conclusions The above approach resulted in an educational pathway (i.e. a scheme with educational goals concerning first aid for different age groups), a list of recommended educational approaches, and first aid teaching materials for children, based on the best available evidence and adapted to the African context.

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Gender aspects in cardiopulmonary resuscitation by schoolchildren: A systematic review

Cited by 29 publications

References 74 publications

Implementation of Basic Life Support training in schools: a randomised controlled trial evaluating self-regulated learning as alternative training concept

Implementation of Basic Life Support training in schools: a randomised controlled trial evaluating self-regulated learning as alternative training concept

Healthcare professionals’ knowledge on cardiopulmonary resuscitation correlated with return of spontaneous circulation rates after in-hospital cardiac arrests: A multicentric study between university hospitals in 12 European countries

An educational pathway and teaching materials for first aid training of children in Sub-Saharan Africa based on the best available evidence

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