Características de los reanimadores asociadas a la correcta compresión torácica durante la reanimación cardiopulmonar

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-07-01 DOI:10.1016/j.enfi.2021.05.002

S. Ballesteros-Peña RN, MPH, PhD , G. Vallejo-de la Hoz RN, PhD , I. Fernández-Aedo RN, PhD , A. Etayo-Sancho RN , L. Berasaluze-Sanz RN , J. Domínguez-García RN, MPH

{"title":"Características de los reanimadores asociadas a la correcta compresión torácica durante la reanimación cardiopulmonar","authors":"S. Ballesteros-Peña RN, MPH, PhD , G. Vallejo-de la Hoz RN, PhD , I. Fernández-Aedo RN, PhD , A. Etayo-Sancho RN , L. Berasaluze-Sanz RN , J. Domínguez-García RN, MPH","doi":"10.1016/j.enfi.2021.05.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><p>To analyse the caregivers’ physical, anthropometrical and educational characteristics associated with adequate chest compression and full chest recoil during cardiopulmonary resuscitation (CPR).</p></div><div><h3>Methods</h3><p>An observational prospective research study was conducted. Emergency and critical care health professionals and students performed two minutes of chest compressions on a dummy. Depth and residual leaning after the compressions were assessed and their association with several variables (physical, anthropometrical, and educational) was analysed using logistic regression models.</p></div><div><h3>Results</h3><p>Two hundred thirty-eight volunteers participated. Previous experience of the rescuer in less than six CPRs (OR: 3.03; CI 95%: 1.2-7.63) was related to a higher probability of not achieving an adequate depth of compressions. Greater height (OR: .93; 95% CI: .87-.99) and grip strength (OR: .94; 95% CI: .89-.99) were associated with correct performance of chest compression. We did not find any characteristic related to chest recoil.</p></div><div><h3>Conclusions</h3><p>The caregiver's previous experience with CPR was the strongest factor associated with adequate performance of chest compressions. To a lesser extent, the professional's height and upper body muscle strength also have an influence. No factors associated with the adequacy of full chest recoil were identified.</p></div>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1130239921000821","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}

引用次数: 0

Abstract

Aim

To analyse the caregivers’ physical, anthropometrical and educational characteristics associated with adequate chest compression and full chest recoil during cardiopulmonary resuscitation (CPR).

Methods

An observational prospective research study was conducted. Emergency and critical care health professionals and students performed two minutes of chest compressions on a dummy. Depth and residual leaning after the compressions were assessed and their association with several variables (physical, anthropometrical, and educational) was analysed using logistic regression models.

Results

Two hundred thirty-eight volunteers participated. Previous experience of the rescuer in less than six CPRs (OR: 3.03; CI 95%: 1.2-7.63) was related to a higher probability of not achieving an adequate depth of compressions. Greater height (OR: .93; 95% CI: .87-.99) and grip strength (OR: .94; 95% CI: .89-.99) were associated with correct performance of chest compression. We did not find any characteristic related to chest recoil.

Conclusions

The caregiver's previous experience with CPR was the strongest factor associated with adequate performance of chest compressions. To a lesser extent, the professional's height and upper body muscle strength also have an influence. No factors associated with the adequacy of full chest recoil were identified.

查看原文本刊更多论文

心肺复苏过程中与正确胸部压迫相关的复苏器的特点

目的分析心肺复苏(CPR)过程中护理人员的身体、人体测量学和教育特征与充分胸部按压和充分胸部后坐力的关系。方法采用观察性前瞻性研究。急诊和重症护理卫生专业人员和学生对假人进行了两分钟的胸外按压。评估压缩后的深度和残余倾斜，并使用逻辑回归模型分析它们与几个变量(物理、人体测量和教育)的关联。结果共有238名志愿者参与。救助者过往少于6次cpr经验(OR: 3.03;可信区间95%:1.2-7.63)与没有达到足够的按压深度的可能性较高有关。更高的高度(OR: 0.93;95% CI: 0.87 - 0.99)和握力(OR: 0.94;95% CI: 0.89 - 0.99)与正确实施胸外按压相关。我们没有发现任何与胸部后坐力有关的特征。结论护理人员以往的心肺复苏术经验是影响胸外按压效果的最重要因素。职业运动员的身高和上身肌肉力量也有一定的影响。未发现与全胸后坐力充足性相关的因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.