Physical activity and quality of cardiopulmonary resuscitation: A secondary analysis of the MANI-CPR trial - 30/11/21

Doi : 10.1016/j.ajem.2021.08.039

Mariachiara Ippolito, MD ^a, Andrea Cortegiani, MD ^a,^b,^{^⁎} , Ottavia Eleonora Ferraro, PhD ^c, Paola Borrelli, PhD ^d, Enrico Contri, MD ^e, Roman Burkart, CNS ^f,^g, Enrico Baldi, MD ^h,^i,^j,^k
The MANI-CPR Investigators
^a Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.), University of Palermo, Italy
^b Department of Anaesthesia, Intensive Care and Emergency, Policlinico Paolo Giaccone, Palermo, Italy
^c Department of Public Health, Experimental and Forensic Medicine, Unit of Biostatistics and Clinical Epidemiology, University of Pavia, Pavia, Italy
^d Department of Medical, Oral, and Biotechnological Sciences, Laboratory of Biostatistics, University “G. d'Annunzio” Chieti-Pescara, Chieti, Italy
^e AAT 118 Pavia, AREU Lombardia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
^f Swiss Resuscitation Council, Bern, Switzerland
^g Interassociation of Rescue Services, Bern, Switzerland.
^h Pavia nel Cuore, Pavia, Italy
ⁱ Robbio nel Cuore, Robbio, Italy
^j Department of Molecular Medicine, Section of Cardiology, University of Pavia, Pavia, Italy
^k Cardiac Intensive Care Unit, Arrhythmia and Electrophysiology and Experimental Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy

^⁎Corresponding author at: Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.), University of Palermo, Italy.Department of Surgical, Oncological and Oral Science (Di.Chir.On.S.)University of PalermoItaly

Abstract

Introduction

The association between the level of physical activity and quality of cardio-pulmonary resuscitation (CPR) performed by laypeople is unclear. The aim of this study was to evaluate the associations between physical activity level and laypeople performance during an eight-minute scenario of CPR.

Materials and methods

This study was a secondary analysis of the MANI-CPR Trial. The entire cohort of participants was grouped based on the level of physical activity assessed using the International Physical Activity Questionnaire (IPAQ) into a “low-moderate” level group and a “high” level group. Descriptive statistics were used for unadjusted analysis and multivariate logistic and linear regression models were also performed.

Results

A total of 492 participants who reached the score of “Advanced CPR performer” at the 1-min final test monitored by Laerdal Resusci Anne QCPR were included in this analysis; 224 with a low-moderate level and 268 with a high level of physical activity. A statistically significant difference was found for the outcome of percentage of compressions with adequate depth (low-moderate group: 87.8% [41·4%-99·3%], high group: 97% [63·2%–100%]; P = 0·003). No associations remained significant after controlling for biometric characteristics of the participants, compression protocols and sex.

Conclusion

Adequate quality CPR may not need high baseline level of physical activity to be performed by a lay rescuer.

Le texte complet de cet article est disponible en PDF.

Highlights

•	Associations between physical activity and quality of cardio-pulmonary resuscitation are unclear.
•	Biometric characteristics may affect the quality of cardio-pulmonary resuscitation.
•	Adequate quality CPR may not need high level of physical activity to be performed by laypeople.

Le texte complet de cet article est disponible en PDF.

Keywords : CPR, Physical activity, OHCA

Abbreviations : BLS, BMI, CPR, IPAQ, OHCA

Plan

Introduction

Materials and methods

Data management and analysis

Authors' contribution

Data sharing statement

Declaration of interests

Export

Vol 50

P. 330-334 - décembre 2021 Retour au numéro

Article précédent

Clinical differentiation between acute renal infarction and acute ureteral stone in the emergency department: A single-center retrospective case-control study
Seung Bae Ahn, Jang Young Lee

| Article suivant

The high impulse, palm lift technique for chest compression: Prospective, experimental, pilot study
Przemys?aw Wo?oszyn, Ignacy Baumberg, David Baker

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

Déjà abonné à cette revue ?

connectez-vous ou créez un compte

Physical activity and quality of cardiopulmonary resuscitation: A secondary analysis of the MANI-CPR trial - 30/11/21

Abstract

Introduction

Materials and methods

Results

Conclusion

Highlights

Plan

Export citations

Fichier

Contenu

Accès rapides

Mon compte

Aide & support

Plateformes Elsevier Masson

Déclaration CNIL