Evidence map›Paper›PMID 30114240›Full record

Trial reportPloS one2018

The impact of cardiopulmonary resuscitation (CPR) manikin chest stiffness on motivation and CPR performance measures in children undergoing CPR training-A prospective, randomized, single-blind, controlled trial.

David Weidenauer, Thomas Hamp, Christoph Schriefl, Caroline Holaubek, Markus Gattinger, Mario Krammel, Markus Winnisch, Ana Weidenauer, Gerald Mundigler, Irene Lang and 4 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

David WeidenauerDepartment of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Thomas HampDepartment of General Anesthesia and Intensive Care, Prehospital Emergency Medicine Research Group, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-7294-9168
Christoph SchrieflDepartment of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Caroline HolaubekDepartment of Cardiothoracic and Vascular Anesthesia, Medical University of Vienna, Vienna, Austria.
Markus GattingerMedical University of Vienna, Vienna, Austria.
Mario KrammelMunicipal Ambulance Service of Vienna, Vienna, Austria.
Markus WinnischDepartment of Trauma Surgery, Medical University of Vienna, Vienna, Austria.
Ana WeidenauerDepartment of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Gerald MundiglerDepartment of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Irene LangDepartment of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Wolfgang SchreiberDepartment of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Fritz SterzDepartment of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Harald HerknerDepartment of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Hans DomanovitsDepartment of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardio-pulmonary-resuscitation (CPR) training starting at the age of 12 years is recommended internationally. Training younger children is not recommended because young children lack the physical ability to perform adequate CPR and discouragement to perform CPR later is apprehended. The aim of this study was to answer the following questions: Are younger children discouraged after CPR training? Is discouragement caused by their lack in physical ability to perform adequate chest compressions on a standard manikin and would the use of manikins with a reduced resistance affect their motivation or performance?

methodsWe investigated the motivation and CPR performance of children aged 8-13 years after CPR training on manikins of different chest stiffness in a prospective, randomized, single-blind, controlled trial. 322 children underwent randomization and received 30 minutes CPR training in small groups at school. We used two optically identical resuscitation manikins with different compression resistances of 45kg and 30kg. Motivation was assessed with a self-administered questionnaire. Performance was measured with the Resusci®Anne SkillReporter™.

findingsMotivation after the training was generally high and there was no difference between the two groups in any of the questionnaire items on motivation: Children had fun (98 vs. 99%; P = 0.32), were interested in the training (99 vs. 98%; P = 0.65), and were glad to train resuscitation again in the future (89 vs. 91%; P = 0.89). CPR performance was generally poor (median compression score (8, IQR 1-45 and 29, IQR 11-54; P<0.001) and the mean compression depth was lower in the 45kg-resistance than in the 30kg-resistance group (33±10mm vs. 41±9; P<0.001).

conclusionsCompression resistances of manikins, though influencing CPR performance, did not discourage 8 to 13 year old children after CPR training. The findings refute the view that young children are discouraged when receiving CPR training even though they are physically not able to perform adequate CPR.

Indexed as

MotivationAdolescentCardiopulmonary ResuscitationChildFemaleHumansMaleManikinsProspective StudiesSingle-Blind Method

Identifiers

PMID30114240
PMCPMC6095555
OpenAlexW2887418913

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.