Evidence map›Paper›PMID 34406321›Full record

Observational studyArquivos brasileiros de cardiologia2021

Retention of Cardiopulmonary Resuscitation Skills in Medical Students.

Miguel Antônio Moretti, Adriana de Oliveira Camboim, Caroline Awoki Ferrandez, Isabela Corralo Ramos, Iaggo Bemini Costa, Juliana Seidler Canonaco, Vanessa Lopes Mathia, João Fernando Monteiro Ferreira, Antonio Carlos Palandri Chagas

Abstract readObservational Study
In one paragraph

Observational study in Arquivos brasileiros de cardiologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Miguel Antônio MorettiFaculdade de Medicina da Fundação do ABC - Cardiologia,1 Santo André, SP - Brasil.ORCID 0000-0001-6134-3654
Adriana de Oliveira CamboimFaculdade de Medicina da Fundação do ABC - Cardiologia,1 Santo André, SP - Brasil.
Caroline Awoki FerrandezFaculdade de Medicina da Fundação do ABC - Cardiologia,1 Santo André, SP - Brasil.ORCID 0000-0002-4221-7457
Isabela Corralo RamosFaculdade de Medicina da Fundação do ABC - Cardiologia,1 Santo André, SP - Brasil.ORCID 0000-0002-6342-1959
Iaggo Bemini CostaFaculdade de Medicina da Fundação do ABC - Cardiologia,1 Santo André, SP - Brasil.
Juliana Seidler CanonacoFaculdade de Medicina da Fundação do ABC - Cardiologia,1 Santo André, SP - Brasil.ORCID 0000-0003-3451-5187
Vanessa Lopes MathiaFaculdade de Medicina da Fundação do ABC - Cardiologia,1 Santo André, SP - Brasil.ORCID 0000-0002-5677-8810
João Fernando Monteiro FerreiraFaculdade de Medicina da Fundação do ABC - Cardiologia,1 Santo André, SP - Brasil.
Antonio Carlos Palandri ChagasFaculdade de Medicina da Fundação do ABC - Cardiologia,1 Santo André, SP - Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReduction of mortality and sequelae of cardiac arrest depends on an effective and fast intervention, started as soon as possible. Basic life support involves a series of steps that may be initiated out of the hospital setting and taught to any person in specific courses. However, it is important that the rescuers retain the knowledge and skills to perform cardiopulmonary resuscitation (CPR), as one never knows when they will be required. Studies have shown that a loss of skills occurs as early as 30 days after the training course, with variations according to personal and professional characteristics.

objectivesto assess whether medical students are able to retain skills acquired in a BLS course for more than six months.

methodsProspective, case-control, observational study. Medical students attended a 40-hour course on sudden death and cardiac arrest. Skills acquired during the course were evaluated immediately after and six months after the course. Students' individual scores were compared between these time points, the percentage of correct answers was evaluated, and overall performance was rated as excellent, good, and poor. Observers and evaluation criteria were the same immediately after the course and six months later. Data were analyzed using the paired t-test and the McNemar test. The 95% confidence interval was established, and a p < 0.05 was set as statistically significant.

resultsFifty students (27 female) in the first year of medical school aged from 18 to 24 years (mean of 21 years) attended the course. The number of steps successfully completed by the students at six months was significantly lower than immediately after the course (10.8 vs 12.5 p < 0.001). Neither sex nor age affected the results. Overall performance of 78% of the students was considered excellent immediately after the course, and this percentage was significantly higher than six months later (p < 0.01). After six months, the steps that the students failed to complete at six months were those related to practical skills (such as a correct hand positioning).

conclusionA significant loss of skills was detected six months after the BLS course among medical students, compromising their overall performance.

Indexed as

Cardiopulmonary ResuscitationHeart ArrestStudents, MedicalCase-Control StudiesChildFemaleHumansProspective Studies

Identifiers

PMID34406321
PMCPMC8682095

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Registered trials

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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.