IntroductionAn out-of-hospital cardiac arrest occurs at a rate of 67–170 cases per 100 000 inhabitants per year in Europe. The early recognition of the occurrence of a cardiac arrest, placing an ...emergency call, performing cardiopulmonary resuscitation (CPR) and performing defibrillation are the most important response measures. The objective of this systematic review and meta-analysis is to assess the effects of laypersons’ CPR training with respect to CPR initiation rates, cardiovascular mortality rates, survival rate and the use of an automated external defibrillator.Methods and analysisThe literature search will be performed in the following databases: MEDLINE, Web of Science, the Cochrane Central Register of Controlled Studies, CINAHL, HBI, TESEO and NTX. Intervention studies and quasi-experimental studies in which CPR training interventions were performed will be included. We will exclude studies in which the participants do not meet the inclusion criteria, without a control group and in which the methodology of the intervention applied is unclear. There will be no restrictions on publication date or language of publication. The risk of bias will be assessed using the Risk of Bias in Non-randomized Studies of Interventions tool for randomised controlled trials (RCT), non-RCT and quasi-experimental trials. Data analysis and synthesis will be performed using RevMan V.5.4.1 software. The findings will be reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance.Ethics and disseminationEthical approval is not required, as only secondary data will be used. The findings will be published in a journal and presented at conferences.PROSPERO registration numberCRD42022365288.
Virtual reality (VR) is an interesting and promising way to teach cardiopulmonary resuscitation (CPR) to adult laypersons as its high immersive characteristics could improve the level of skills and ...acquired knowledge in learning basic life support (BLS).
This systematic review assesses current literature about BLS training with VR and its possible effect on CPR-quality parameters, self-efficacy, perceived learning, and learners' satisfaction and short and long-term patients' outcome. We screened the Cochrane Library, PubMed, CINAHL, MEDLINE Ovid, Web of Science, and Scopus databases and included only clinical trials and quasi-experimental studies published from inception to October 1, 2021, which analyzed adult laypersons' BLS training with the use of VR. Primary outcomes were CPR parameters (chest compression rate and depth, Automated External Defibrillator use). Secondary outcomes were self-efficacy, perceived learning and learners satisfaction, and patients' outcomes (survival and good neurologic status). The risk of bias of included study was assessed using the Cochrane Handbook for Systematic Reviews of Interventions tool to evaluate randomized control trials and the transparent reporting of evaluations with nonrandomized designs checklist for nonrandomized studies.
After full article screening, 6 studies were included in the systematic review (731 participants) published between 2017 and 2021. Because of the heterogeneity of the studies, we focused on describing the studies rather than meta-analysis. The assessment of the quality of evidence revealed overall a very low quality. Training with VR significantly improved the rate and depth of chest compressions in 4 out of 6 articles. VR was described as an efficient teaching method, exerting a positive effect on self-efficacy, perception of confidence, and competence in 2 articles.
VR in BLS training improves manual skills and self-efficacy of adult laypersons and may be a good teaching method in a blended learning CPR training strategy. VR may add another way to divide complex parts of resuscitation training into easier individual skills. However, the conclusion of this review suggests that VR may improve the quality of the chest compressions as compared to instructor-led face-to-face BLS training.
La relevancia de la presente investigación reside en las posibilidades metodológicas que se derivan para un ámbito tan complejo y fundamental dentro de las ciencias de la salud, como es el soporte ...vital básico, en general, y la reanimación cardiopulmonar (RCP) en particular. El objetivo de este estudio es analizar el efecto que un juego formativo (JF), a través de gafas de Realidad Virtual (RV), tiene en alumnos universitarios. Se trata de un estudio comparativo con evaluación pre-post, con alumnos del Grado en Educación Primaria, donde se analiza el efecto de un JF (a través de gafas de RV) en la formación en RCP. Entre los resultados destacamos que, la calidad media de las compresiones torácicas obtuvo unos resultados previos del 30 % (DE 28) y la posterior fue del 47% (DE 27) diferencia de medias 17% (IC95% 7-26), p<0,001. Así mismo, la formación mediante RV ha conseguido disminuir los tiempos de actuación para cada una de las habilidades evaluadas de la cadena de supervivencia, a excepción del inicio de las compresiones torácicas. Como conclusión destacamos que, el JF analizado, al que accedieron a través de gafas de RV, consiguió mejorar la realización de las maniobras de RCP. Además, el uso educativo de RV, ha conseguido que los estudiantes universitarios del Grado de Educación Primaria obtengan, no solo unos mejores resultados teórico-conceptuales, sino también, una adquisición de competencias y habilidades relacionadas con la RCP.
