The clinical practice of small animal CPR and compliance with RECOVER guidelines in Switzerland: an internet-based survey

Kruppert, A; Adamik, Katja‐Nicole; Hoehne, Sabrina N.

doi:10.17236/sat00281

Cited by 5 publications

(19 citation statements)

References 29 publications

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“…In 2019 the Federation of Veterinarians of Europe reported the demographics of the European veterinary population, listed by country, and shows the demographic data presented in our study to be reflective of the veterinary population in clinical practice within each region ( 19 ). Median age of respondents was similar to previously published veterinary CPR performance studies, with the average respondent being aged between 32 and 41 years old ( 17 , 18 , 20 ). The most commonly reported age group for European veterinarians in a large demographic survey is 30–44 years ( 19 ).…”

Section: Discussionsupporting

confidence: 77%

Section: Methodsmentioning

confidence: 99%

“…This study was a follow up study to a national survey investigating the clinical practice of small animal CPR and compliance with RECOVER guidelines in Switzerland previously conducted by two investigators (AK and SNH) of this group ( 18 ). The questionnaire used to survey veterinarians of individual countries was comprised of the same questions and format used in the Swiss study, which were initially adapted from an international survey on small animal CPR conduction ( 17 , 18 ). Questionnaires contained up to 49 questions covering respondent demographics, work environment, opinions on small animal CPR, familiarity with the RECOVER guidelines, and specific questions pertaining to CPR training frequency, preparedness measures, equipment available in the workplace, and BLS and ALS techniques routinely employed.…”

Section: Methodsmentioning

confidence: 99%

“…All surveys closed on April 10 th , 2020 and raw data was downloaded from the survey collector homepage on April 16 th , 2020. A survey of Swiss veterinarians was not repeated, instead data from the initial survey was included in this analysis ( 18 ). Links to German, French, and Italian surveys were initially distributed to Swiss veterinarians in July 2019, a reminder sent in August 2019, and the surveys closed at the end of September 2019 ( 18 ).…”

Section: Methodsmentioning

confidence: 99%

“…Less is known specifically about awareness of and compliance with RECOVER guidelines among European veterinarians as only 24% of respondents in the worldwide study were based in Europe ( 17 ). In one previous study surveying veterinarians in Switzerland, only 8% of general practitioner respondents reported to have heard of the RECOVER clinical practice guidelines and self-reported CPR practice amongst Swiss veterinarians was assessed to largely not be in agreement with current recommendations ( 18 ). This may differ in other European countries and further information on regional CPR practice is needed to develop strategies to increase guideline awareness and compliance amongst European veterinary professionals.…”

Section: Introductionmentioning

confidence: 99%

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Self-Reported Clinical Practice of Small Animal Cardiopulmonary Resuscitation and Compliance With RECOVER Guidelines Among Veterinarians in Eight Western European Regions

et al. 2022

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IntroductionThe objective of this study was to assess whether small animal veterinarians across Western Europe are compliant with the 2012 cardiopulmonary resuscitation (CPR) guidelines by the Reassessment Campaign on Veterinary Resuscitation (RECOVER).MethodsA previously published online questionnaire from Switzerland was adapted and translated into 7 languages, corresponding to national languages in Austria, France, Germany, Ireland, Italy, Liechtenstein, Netherlands, Portugal, Spain, and the United Kingdom. The survey was distributed via respective national veterinary organizations and social media outlets. A subset of questions was analyzed to evaluate respondent demographics, RECOVER guideline awareness, and to allocate composite compliance scores for CPR preparedness, basic life support (BLS) and advanced life support (ALS). Percentages of group total (95% confidence interval) were calculated. Multivariable logistic regression was used to evaluate the effects of region of practice, gender, age, specialty training, and guideline awareness on compliance. Odds ratios (95% confidence interval) were generated and significance set at P < 0.05.ResultsNine-hundred and thirty respondents were included in analysis. Awareness of and compliance with RECOVER guidelines varied widely across regions. Compliance with all assessed RECOVER guideline recommendations was highest in Germany/Austria [14% (7- 27%)] and lowest in France and Portugal [0% (0–3%)]. CPR preparedness compliance was higher in participants aware of RECOVER guidelines [OR 10.1 (5.2-19.5)], those practicing in Germany/Austria [OR 4.1 (1.9–8.8)] or UK/Ireland [OR 2.2 (1.3–3.7)], and lower in those practicing in Portugal [OR 0.2 (0.1–0.9)]. Specialty training [OR 1.8 (1.1–2.9)], guideline awareness [OR 5.2 (3.2–8.6)], and practice in Germany/Austria [OR 3.1 (1.5–6.5)], UK/Ireland [OR 2.6 (1.7–4.1)], or the Netherlands [OR 5.3 (2.0–14.2)] were associated with increased BLS compliance. ALS compliance was higher in participants with guideline awareness [OR 7.0 (2.9–17.0)], specialty training [OR 6.8 (3.8–12.1)], those practicing in Germany/Austria [OR 3.5 (1.3–9.6)], UK/Ireland [OR 4.0 (1.9–8.3)], or Spain [OR 3.2 (1.2–8.3)] and in younger survey participants [OR 0.9 (0.9–1.0)].ConclusionsAwareness and compliance with RECOVER guidelines varied widely among countries surveyed, however overall compliance scores in all countries were considered low. Further research may highlight factors surrounding poor guideline awareness and compliance so targeted efforts can be made to improve veterinary CPR in Europe.

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Section: Discussionsupporting

confidence: 77%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Self-Reported Clinical Practice of Small Animal Cardiopulmonary Resuscitation and Compliance With RECOVER Guidelines Among Veterinarians in Eight Western European Regions

et al. 2022

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Cardiopulmonary resuscitation outcomes of dogs and cats at a veterinary teaching hospital before and after publication of the RECOVER guidelines

Dazio

Gay

Hoehne

2022

J of Small Animal Practice

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To describe and compare cardiopulmonary resuscitation outcomes at a Swiss veterinary teaching hospital before and after publication of the Reassessment Campaign on Veterinary Resuscitation guidelines. Materials and MethOds: Between 2018 and 2020, hospital staff underwent various types of yearly Reassessment Campaign on Veterinary Resuscitation-based cardiopulmonary resuscitation trainings. Canine and feline cardiopulmonary resuscitation events during that period (post-Reassessment Campaign on Veterinary Resuscitation) and between 2010 and 2012 (pre-Reassessment Campaign on Veterinary Resuscitation) were identified and animal, arrest and outcome variables recorded retrospectively. Factors associated with return of spontaneous circulation were determined using multivariable logistic regression, odds ratios (95% confidence interval) generated, and significance set at P < 0.05. results: Eighty-one animals were included in the pre-Reassessment Campaign on Veterinary Resuscitation group and 190 in the post-Reassessment Campaign on Veterinary Resuscitation group. Twentythree percent in the pre-Reassessment Campaign on Veterinary Resuscitation group and 28% in the post-Reassessment Campaign on Veterinary Resuscitation group achieved return of spontaneous circulation and 1% and 4% survived to hospital discharge, respectively. Patients undergoing anaesthesia [odds ratio 4.26 (1.76 to 10.27)], elective [odds ratio 5.16 (1.06 to 25.02)] or emergent surgery [odds ratio 3.09 (1.20 to 8.00)], or experiencing cardiopulmonary arrest (CPA) due to arrhythmias [odds ratio 4.31 (1.44 to 12.93)] had higher odds of return of spontaneous circulation, while those with unknown cause of CPA [odds ratio 0.25 (0.08 to 0.78)] had lower odds. Undergoing cardiopulmonary resuscitation in the post-Reassessment Campaign on Veterinary Resuscitation period was not statistically significantly associated with return of spontaneous circulation [odds ratio 1.38 (0.68 to 2.79)]. clinical significance: Unchanged odds of return of spontaneous circulation in the post-Reassessment Campaign on Veterinary Resuscitation period could suggest that once-yearly cardiopulmonary resuscitation training is insufficient, effects of animal and tertiary referral hospital variables confounded

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Reassessment Campaign on Veterinary Resuscitation (RECOVER) Initiative small animal CPR registry report 2016–2021

Hoehne

Balakrishnan

Silverstein

et al. 2022

J Vet Emergen Crit Care

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The clinical practice of small animal CPR and compliance with RECOVER guidelines in Switzerland: an internet-based survey

Cited by 5 publications

References 29 publications

Self-Reported Clinical Practice of Small Animal Cardiopulmonary Resuscitation and Compliance With RECOVER Guidelines Among Veterinarians in Eight Western European Regions

Self-Reported Clinical Practice of Small Animal Cardiopulmonary Resuscitation and Compliance With RECOVER Guidelines Among Veterinarians in Eight Western European Regions

Cardiopulmonary resuscitation outcomes of dogs and cats at a veterinary teaching hospital before and after publication of the RECOVER guidelines

Reassessment Campaign on Veterinary Resuscitation (RECOVER) Initiative small animal CPR registry report 2016–2021

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