Evidence map›Paper›PMID 32912284›Full record

Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2020

Consistency and variability in human performance during simulate infant CPR: a reliability study.

Debora Almeida, Carol Clark, Michael Jones, Phillip McConnell, Jonathan Williams

Abstract readObservational Study
In one paragraph

Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
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

5 authors.

Debora AlmeidaFaculty of Health and Social Sciences, Bournemouth University, R604, Royal London House, Christchurch Road, Bournemouth, BH1 3LT, England. almeidad@bournemouth.ac.uk.ORCID http://orcid.org/0000-0002-4524-8793
Carol ClarkFaculty of Health and Social Sciences, Bournemouth University, R612, Royal London House, Christchurch Road, Bournemouth, BH1 3LT, England.
Michael JonesCardiff School of Engineering, Cardiff University, Cardiff, CF23 3AA, Wales.
Phillip McConnellResuscitation Services, Heart Club, Royal Bournemouth Hospital, Castle Lane East, Bournemouth, BH7 7DW, England.
Jonathan WilliamsFaculty of Health and Social Sciences, Bournemouth University, R611, Royal London House, Christchurch Road, Bournemouth, BH1 3LT, England.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPositive outcomes from infant cardiac arrest depend on the effective delivery of resuscitation techniques, including good quality infant cardiopulmonary resuscitation (iCPR) However, it has been established that iCPR skills decay within weeks or months after training. It is not known if the change in performance should be considered true change or inconsistent performance. The aim of this study was to investigate consistency and variability in human performance during iCPR.

methodsAn experimental, prospective, observational study conducted within a university setting with 27 healthcare students (mean (SD) age 32.6 (11.6) years, 74.1% female). On completion of paediatric basic life support (BLS) training, participants performed three trials of 2-min iCPR on a modified infant manikin on two occasions (immediately after training and after 1 week), where performance data were captured. Main outcome measures were within-day and between-day repeated measures reliability estimates, determined using Intraclass Correlation Coefficients (ICCs), Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC

resultsA high degree of reliability was found for within-day and between-day for each variable with good to excellent ICCs and narrow confidence intervals. SEM values were low, demonstrating excellent consistency in repeated performance. Within-day MDC values were low for chest compression depth and chest compression rate (6 and 9%) and higher for duty cycle (15%) and residual leaning (22%). Between-day MDC values were low for chest compression depth and chest compression rate (3 and 7%) and higher for duty cycle (21%) and residual leaning (22%). Reliability reduced when metrics were transformed in quality indices.

conclusioniCPR skills are highly repeatable and consistent, demonstrating that changes in performance after training can be considered skill decay. However, when the metrics are transformed in quality indices, large changes are required to be confident of real change.

Indexed as

Clinical CompetenceAdultCardiopulmonary ResuscitationFemaleHumansInfantMaleManikinsProspective StudiesReproducibility of ResultsStudents, Health OccupationsInfant cardiopulmonary resuscitationMinimal detectable changeReliabilityRepeatabilityVariation

Identifiers

PMID32912284
PMCPMC7488154

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.