Effectiveness of simplified chest compression-only CPR training for the general public: a randomized controlled trial.

Full Abstract

OBJECTIVES: To compare the quality of resuscitation between those with a simplified chest compression-only cardiopulmonary resuscitation (CPR) program and those with a conventional CPR program. METHODS: The participants were randomly assigned to either the 120-min training program of chest compressions (chest compression-only CPR) or the 180-min training program of chest compressions and ventilations (conventional CPR). Main outcome measures were the net number of appropriate chest compressions during the 2-min test period and the proportion of appropriate chest compressions over the theoretically attainable number one month after the training. RESULTS: 223 participants were enrolled and 104 in each group completed this study. The 2-min number of appropriate chest compressions was 86.1+/-57.2 in the chest compression-only CPR group, which was significantly greater than 57.1+/-30.2 in the conventional CPR group (p<0.001). The proportion of appropriate chest compressions was higher in the chest compression-only CPR group than in the conventional CPR group (47.1+/-31.1% versus 38.1+/-20.1%, p=0.022). Time without chest compressions during conventional CPR reached 85.5+/-17.0 s out of 120 s, which was significantly longer than that during chest compression-only CPR (33.9+/-10.0 s, p<0.001). The total number of ventilations and the number of appropriate ventilations during 2 min was 2.5+/-3.0 and 0.9+/-1.6, respectively. CONCLUSIONS: A simplified chest compression-only CPR program makes it possible for the general public to perform a greater number of appropriate chest compressions than the conventional CPR program (UMIN-CTR C0000000321).

Author information

Author/s: Nishiyama, Chika (C); Iwami, Taku (T); Kawamura, Takashi (T); Ando, Masahiko (M); Yonemoto, Naohiro (N); Hiraide, Atsushi (A); Nonogi, Hiroshi (H);

Affiliation: Department of Preventative Services, Kyoto University School of Public Health, Yoshida-Honmachi, Sakyo-ku, Kyoto, Japan.

Journal and publication information

Publication Type: Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't

Journal: Resuscitation (Resuscitation), published in Ireland. (Language: eng)

Reference: 2008-Oct; vol 79 (issue 1) : pp 90-6

Dates: Created 2008/09/22; Completed 2009/01/27; Revised 2009/08/25;

PMID: 18656300, status: MEDLINE (last retrieval date: 8/25/2009, IMS Date: )

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