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

Abstract

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.

Copyright © 2010 Society of Hospital Medicine.

Figures

FIG. 1

Schematic of experimental design and enrollment. *Denotes experimental CPR arm that will be reported elsewhere.

FIG. 2

Compiled survey responses from the enrolled subjects immediately after training. Data from 4 questions are shown, each with the Likert scale (1-5) responses as indicated.