ABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Aged , Aged, 80 and over , Aortic Valve Stenosis/diagnostic imaging , Amyloidosis/diagnostic imaging , Transcatheter Aortic Valve Replacement/methods , Echocardiography/methods , Ventricular Dysfunction, Left/diagnostic imagingSubject(s)
Amyloidosis , Aortic Valve Stenosis , Heart Valve Prosthesis Implantation , Transcatheter Aortic Valve Replacement , Amyloidosis/complications , Amyloidosis/diagnosis , Aortic Valve/diagnostic imaging , Aortic Valve/surgery , Aortic Valve Stenosis/complications , Aortic Valve Stenosis/diagnosis , Aortic Valve Stenosis/surgery , Cardiac Catheterization , Clinical Trials as Topic , Heart Ventricles/diagnostic imaging , Humans , Treatment OutcomeABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Young Adult , Adult , Middle Aged , Feeding Behavior , Track and Field/physiology , Running/physiology , Diet, Mediterranean/statistics & numerical data , Diet, Healthy/statistics & numerical data , Nutrition Surveys/statistics & numerical dataSubject(s)
Diet Surveys , Diet, Mediterranean , Feeding Behavior , Running/psychology , Adult , Female , Humans , MaleABSTRACT
BACKGROUND: Training families of patients at risk for sudden cardiac death in basic life support (BLS) has been recommended, but remains challenging. This research aimed to determine the impact of embedding resuscitation training for patients in a cardiac rehabilitation programme on relatives' BLS skill retention at six months. DESIGN: Intervention community study. METHODS: Relatives of patients suffering acute coronary syndrome or revascularization enrolled on an exercise-based cardiac rehabilitation programme were included. BLS skills of relatives linked to patients in a resuscitation-retraining programme (G-CPR) were compared with those of relatives of patients in a standard programme (G-Stan) at baseline, following brief instruction and six months after. Differences in skill performance and deterioration and self-perceived preparation between groups over time were assessed. RESULTS: Seventy-nine relatives were included and complete data from 66 (G-Stan=33, G-CPR=33) was analysed. Baseline BLS skills were equally poor, improved irregularly following brief instruction and decayed afterwards. G-CPR displayed six-month better performance and lessened skill deterioration over time compared with G-Stan, including enhanced compliance with the BLS sequence ( p = 0.006 for group*time interaction) and global resuscitation quality ( p = 0.007 for group*time interaction). Self-perceived preparation was higher in G-CPR ( p = 0.002). CONCLUSIONS: Relatives of patients suffering acute coronary syndrome or revascularization enrolled on a cardiac rehabilitation programme showed poor BLS skills. A resuscitation-retraining cardiac rehabilitation programme resulted in relatives' higher BLS awareness, skill retention and confidence at six months compared with the standard programme. This may suggest a significant impact of this formula on the family setting and support the active role of patients to enhance health education in their environment.
Subject(s)
Acute Coronary Syndrome/rehabilitation , Cardiac Rehabilitation , Cardiopulmonary Resuscitation/education , Death, Sudden, Cardiac/prevention & control , Exercise Therapy , Family , Health Education , Myocardial Revascularization/rehabilitation , Acute Coronary Syndrome/diagnosis , Acute Coronary Syndrome/mortality , Acute Coronary Syndrome/physiopathology , Adult , Cardiac Rehabilitation/adverse effects , Cardiac Rehabilitation/mortality , Death, Sudden, Cardiac/epidemiology , Exercise Therapy/adverse effects , Exercise Therapy/mortality , Female , Health Knowledge, Attitudes, Practice , Humans , Male , Middle Aged , Myocardial Revascularization/adverse effects , Myocardial Revascularization/mortality , Risk Assessment , Risk Factors , Spain , Task Performance and Analysis , Time Factors , Treatment OutcomeABSTRACT
The aim of this study was to examine the effectiveness of a novel cardiopulmonary resuscitation (CPR) training method embedded in a cardiac rehabilitation program at enhancing patients' CPR and defibrillation skills. One hundred and fourteen participants with coronary heart disease enrolled on an exercise-based cardiac rehabilitation program were included. Two groups were randomly allocated to different training programs: CPR-retraining based on hands-on rolling refreshers during the 2-month program (G-CPR, n = 53) versus standard one-time training (G-Stan, n = 61). Resuscitation and defibrillation skills and self-confidence were evaluated at baseline, following brief basic life support (BLS) instruction and after the distinct training programs. Baseline skills were equally poor, improving significantly although irregularly after brief instruction. After the program, CPR quality was further enhanced in G-CPR, which achieved better results regarding correct compressions by depth, rate, hands position and global CPR quality (P < 0.01, all analysis). Defibrillation skills improved similarly after instruction and were reasonably maintained after the program, although delay to shock was reduced in G-CPR. CPR self-confidence was superior in G-CPR (P < 0.001). In conclusion, CPR hands-on rolling refreshers embedded into an exercise-based cardiac rehabilitation program enhanced patients' CPR and defibrillation skills and self-confidence to perform CPR at 2 months, compared with standard one-time training. This method could help to bring effective training to high-risk populations.
Subject(s)
Cardiac Rehabilitation/methods , Cardiopulmonary Resuscitation/education , Coronary Disease/epidemiology , Electric Countershock , Patient Education as Topic/methods , Adult , Community Health Services/methods , Exercise Therapy , Female , Humans , Male , Middle Aged , Self ConceptABSTRACT
AIM: Early basic life support is crucial to enhance survival from out-of-hospital cardiac arrest but rates remain low, especially in households. High-risk groups' training has been advocated, but the optimal method is unclear. The CArdiac REhabilitation and BAsic life Support (CAREBAS) project aims to compare the effectiveness of two basic life support educational strategies implemented in a cardiac rehabilitation program. METHODS: A community intervention study including consecutive patients enrolled on an exercise-based cardiac rehabilitation program after acute coronary syndrome or revascularization was conducted. A standard basic life support training (G-Stan) and a novel approach integrating cardiopulmonary resuscitation hands-on rolling refreshers (G-CPR) were randomly assigned to each group and compared. Basic life support performance was assessed by means of simulation at baseline, following brief instruction and after the 2-month program. RESULTS: 114 participants were included and 108 completed the final evaluation (G-Stan:58, G-CPR:50). Basic life support performance was equally poor at baseline and significantly improved following a brief instruction. A better skill retention was found after the 2-month program in G-CPR, significantly superior for safety and sending for an automated external defibrillator. Confidence and self-perceived preparation were also significantly greater in G-CPR after the program. CONCLUSIONS: Integrating cardiopulmonary resuscitation hands-on rolling refreshers in the training of an exercise-based cardiac rehabilitation program is feasible and improves patients' skill retention and confidence to perform a basic life support sequence, compared to conventional training. Exporting this formula to other programs may result in increased numbers of trained citizens, enhanced social awareness and bystander resuscitation.