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Vol. 33. Issue 3.
Pages 126-131 (July - September 2022)
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Vol. 33. Issue 3.
Pages 126-131 (July - September 2022)
Original article
Rescuers’ characteristics associated with the correct chest compression during cardiopulmonary resuscitation
Características de los reanimadores asociadas a la correcta compresión torácica durante la reanimación cardiopulmonar
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S. Ballesteros-Peñaa,
Corresponding author
sendoa.ballesteros@ehu.eus

Corresponding author.
, G. Vallejo-de la Hozb,c,d, I. Fernández-Aedob,c, A. Etayo-Sanchoe, L. Berasaluze-Sanzb,d, J. Domínguez-Garcíab,f
a Osakidetza, Organización Sanitaria Integrada Bilbao-Basurto, Bilbao, Vizcaya, Spain
b Biocruces Bizkaia Health Research Institute, Barakaldo, Vizcaya, Spain
c Universidad del País Vasco/Euskal Herriko Unibertsitatea (UPV/EHU), Leioa, Vizcaya, Spain
d Osakidetza, Organización Sanitaria Integrada Barrualde-Galdakao, Galdakao, Vizcaya, Spain
e Red de Transporte Sanitario Urgente de Bizkaia, Urduliz, Vizcaya, Spain
f Osakidetza, Organización Sanitaria Integrada Ezkerraldea-Enkarterri-Cruces, Barakaldo, izcaya, Spain
Article information
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Abstract
Aim

To analyse the caregivers’ physical, anthropometrical and educational characteristics associated with adequate chest compression and full chest recoil during cardiopulmonary resuscitation (CPR).

Methods

An observational prospective research study was conducted. Emergency and critical care health professionals and students performed two minutes of chest compressions on a dummy. Depth and residual leaning after the compressions were assessed and their association with several variables (physical, anthropometrical, and educational) was analysed using logistic regression models.

Results

Two hundred thirty-eight volunteers participated. Previous experience of the rescuer in less than six CPRs (OR = 3.03; 95% CI 1.2–7.63) was related to a higher probability of not achieving an adequate depth of compressions. Greater height (OR: .93; 95% CI .87–.99) and grip strength (OR: .94; 95% CI .89–.99) were associated with correct performance of chest compression. We did not find any characteristic related to chest recoil.

Conclusions

The caregiver’s previous experience with CPR was the strongest factor associated with adequate performance of chest compressions. To a lesser extent, the professional’s height and upper body muscle strength also have an influence. No factors associated with the adequacy of full chest recoil were identified.

Keywords:
Cardiopulmonary resuscitation
Heart massage
Cardiac arrest
Simulation training
Anthropometry
Body weight
Resumen
Objetivos

Analizar las características físicas, antropométricas y formativas de los reanimadores asociadas a la correcta compresión y reexpansión torácica durante la reanimación cardiopulmonar.

Metodología

Estudio observacional prospectivo. Profesionales y estudiantes sanitarios de urgencias y cuidados críticos realizaron 2 minutos de compresiones torácicas sobre un maniquí. Se evaluó la profundidad y la presión residual tras las compresiones y se estudió su asociación a diferentes variables (físicas, antropométricas y formativas) mediante la creación de modelos de regresión logística.

Resultados

Participaron 238 voluntarios. Que el reanimador tuviese una experiencia previa en menos de 6 reanimaciones cardiopulmonares (OR = 0,03; IC 95% 1,2–7,63) se asoció a una mayor probabilidad de no lograr una profundidad adecuada en las compresiones. Una mayor estatura (OR: 0,93; IC 95% 0,87–0,99) y fuerza de aprehensión (OR: 0,94; IC 95% 0,89–0,99) fueron condiciones que actuaron como factores predisponentes a la ejecución de una técnica correcta. Ninguna característica se asoció a la adecuación de la reexpansión torácica.

Conclusiones

La experiencia previa del reanimador es el factor más fuertemente asociado a la correcta ejecución de las compresiones torácicas. En menor medida, también influye la estatura y la fuerza del tren superior del profesional. No se han identificado factores asociados a la adecuación de la reexpansión torácica tras las compresiones.

Palabras clave:
Reanimación cardiopulmonar
Masaje cardiaco
Paro cardiaco
Simulación
Antropometría
Peso corporal

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