Using an audiovisual feedback device improves cardiopulmonary resuscitation performance during day and night – a randomized controlled simulation study
Abstract Background Survival of in-hospital-cardiac-arrests is lower when they occur at night and at weekends than when they occur during the day. Despite numerous studies, there is little evidence regarding the cardiopulmonary resuscitation quality at night and the influence of a feedback device de...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-06-01
|
| Series: | BMC Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12873-025-01249-1 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849387931027898368 |
|---|---|
| author | Melanie Preuss Rainer Röhrig Christian Hübel Clara Vos Jenny Unterkofler Jörg Christian Brokmann Klaus Willmes Christopher Plata |
| author_facet | Melanie Preuss Rainer Röhrig Christian Hübel Clara Vos Jenny Unterkofler Jörg Christian Brokmann Klaus Willmes Christopher Plata |
| author_sort | Melanie Preuss |
| collection | DOAJ |
| description | Abstract Background Survival of in-hospital-cardiac-arrests is lower when they occur at night and at weekends than when they occur during the day. Despite numerous studies, there is little evidence regarding the cardiopulmonary resuscitation quality at night and the influence of a feedback device depending on time of day. The present study investigates the differences between chest compressions at night and during the day, with and without the use of a feedback device. Methods The study was approved by the local Ethics Committee and registered in the German Clinical Trials Register on 22nd of February 2022 (DRKS00027309) prior to inclusion of the first participant. 158 medical professionals were randomized into one of two groups: “no feedback” and “feedback”-group. In both groups, participants carried out three two-minute intervals of cardiopulmonary resuscitation on a manikin at day and at night. Members of the “feedback”-group received guidance by a feedback device. Primary endpoint was the mean compression depth at two time-intervals at the beginning (t1 = 30–60 s) and the end (t2 = 480–540 s) of the experience at night. Secondary endpoints included mean compression depth, adequate compression depth (%), compression rate and effective compressions (%). Results At night, mean compression depth was significantly higher in the “feedback”-group at t1 (47.7 ± 7.9 mm, 95% CI [45.6–49.8] vs 42.9 ± 11.0 mm, 95% CI [40.8–45.0]) and t2 (46.2 ± 7.9 mm, 95% CI [44.0–48.4] vs 39.6 ± 11.6 mm, 95% CI [37.3–41.8]). There was no significant difference in mean compression depth between day and night in the “no feedback”-group (41.4 ± 10.8 mm, 95% CI [39.3–43.5] vs 42.2 ± 10.8 mm, 95% CI [40.1–44.3]) nor in the “feedback-group” (47.4 ± 7.6 mm, 95% CI [45.3–49.4] vs 47.4 ± 7.5 mm; 95% CI [45.4–49.5]). Conclusion The use of a real-time audiovisual feedback significantly improved compression depth during the day and night in a manikin-based simulation study with medical professionals. |
| format | Article |
| id | doaj-art-acd93cb5d992484d84fcf2152f6e5f1f |
| institution | Kabale University |
| issn | 1471-227X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Emergency Medicine |
| spelling | doaj-art-acd93cb5d992484d84fcf2152f6e5f1f2025-08-20T03:42:26ZengBMCBMC Emergency Medicine1471-227X2025-06-012511910.1186/s12873-025-01249-1Using an audiovisual feedback device improves cardiopulmonary resuscitation performance during day and night – a randomized controlled simulation studyMelanie Preuss0Rainer Röhrig1Christian Hübel2Clara Vos3Jenny Unterkofler4Jörg Christian Brokmann5Klaus Willmes6Christopher Plata7Center for Acute and Emergency Medicine, University Hospital, RWTH Aachen UniversityInstitute for Medical Informatics, University Hospital, RWTH Aachen UniversityCenter for Acute and Emergency Medicine, University Hospital, RWTH Aachen UniversityCenter for Acute and Emergency Medicine, University Hospital, RWTH Aachen UniversityCenter for Acute and Emergency Medicine, University Hospital, RWTH Aachen UniversityCenter for Acute and Emergency Medicine, University Hospital, RWTH Aachen UniversityDepartment of Neurology, University Hospital, RWTH Aachen UniversityCenter for Acute and Emergency Medicine, University Hospital, RWTH Aachen UniversityAbstract Background Survival of in-hospital-cardiac-arrests is lower when they occur at night and at weekends than when they occur during the day. Despite numerous studies, there is little evidence regarding the cardiopulmonary resuscitation quality at night and the influence of a feedback device depending on time of day. The present study investigates the differences between chest compressions at night and during the day, with and without the use of a feedback device. Methods The study was approved by the local Ethics Committee and registered in the German Clinical Trials Register on 22nd of February 2022 (DRKS00027309) prior to inclusion of the first participant. 158 medical professionals were randomized into one of two groups: “no feedback” and “feedback”-group. In both groups, participants carried out three two-minute intervals of cardiopulmonary resuscitation on a manikin at day and at night. Members of the “feedback”-group received guidance by a feedback device. Primary endpoint was the mean compression depth at two time-intervals at the beginning (t1 = 30–60 s) and the end (t2 = 480–540 s) of the experience at night. Secondary endpoints included mean compression depth, adequate compression depth (%), compression rate and effective compressions (%). Results At night, mean compression depth was significantly higher in the “feedback”-group at t1 (47.7 ± 7.9 mm, 95% CI [45.6–49.8] vs 42.9 ± 11.0 mm, 95% CI [40.8–45.0]) and t2 (46.2 ± 7.9 mm, 95% CI [44.0–48.4] vs 39.6 ± 11.6 mm, 95% CI [37.3–41.8]). There was no significant difference in mean compression depth between day and night in the “no feedback”-group (41.4 ± 10.8 mm, 95% CI [39.3–43.5] vs 42.2 ± 10.8 mm, 95% CI [40.1–44.3]) nor in the “feedback-group” (47.4 ± 7.6 mm, 95% CI [45.3–49.4] vs 47.4 ± 7.5 mm; 95% CI [45.4–49.5]). Conclusion The use of a real-time audiovisual feedback significantly improved compression depth during the day and night in a manikin-based simulation study with medical professionals.https://doi.org/10.1186/s12873-025-01249-1CPRBLSFeedbackT-CPRIn-hospital-cardiac-arrestSimulation |
| spellingShingle | Melanie Preuss Rainer Röhrig Christian Hübel Clara Vos Jenny Unterkofler Jörg Christian Brokmann Klaus Willmes Christopher Plata Using an audiovisual feedback device improves cardiopulmonary resuscitation performance during day and night – a randomized controlled simulation study BMC Emergency Medicine CPR BLS Feedback T-CPR In-hospital-cardiac-arrest Simulation |
| title | Using an audiovisual feedback device improves cardiopulmonary resuscitation performance during day and night – a randomized controlled simulation study |
| title_full | Using an audiovisual feedback device improves cardiopulmonary resuscitation performance during day and night – a randomized controlled simulation study |
| title_fullStr | Using an audiovisual feedback device improves cardiopulmonary resuscitation performance during day and night – a randomized controlled simulation study |
| title_full_unstemmed | Using an audiovisual feedback device improves cardiopulmonary resuscitation performance during day and night – a randomized controlled simulation study |
| title_short | Using an audiovisual feedback device improves cardiopulmonary resuscitation performance during day and night – a randomized controlled simulation study |
| title_sort | using an audiovisual feedback device improves cardiopulmonary resuscitation performance during day and night a randomized controlled simulation study |
| topic | CPR BLS Feedback T-CPR In-hospital-cardiac-arrest Simulation |
| url | https://doi.org/10.1186/s12873-025-01249-1 |
| work_keys_str_mv | AT melaniepreuss usinganaudiovisualfeedbackdeviceimprovescardiopulmonaryresuscitationperformanceduringdayandnightarandomizedcontrolledsimulationstudy AT rainerrohrig usinganaudiovisualfeedbackdeviceimprovescardiopulmonaryresuscitationperformanceduringdayandnightarandomizedcontrolledsimulationstudy AT christianhubel usinganaudiovisualfeedbackdeviceimprovescardiopulmonaryresuscitationperformanceduringdayandnightarandomizedcontrolledsimulationstudy AT claravos usinganaudiovisualfeedbackdeviceimprovescardiopulmonaryresuscitationperformanceduringdayandnightarandomizedcontrolledsimulationstudy AT jennyunterkofler usinganaudiovisualfeedbackdeviceimprovescardiopulmonaryresuscitationperformanceduringdayandnightarandomizedcontrolledsimulationstudy AT jorgchristianbrokmann usinganaudiovisualfeedbackdeviceimprovescardiopulmonaryresuscitationperformanceduringdayandnightarandomizedcontrolledsimulationstudy AT klauswillmes usinganaudiovisualfeedbackdeviceimprovescardiopulmonaryresuscitationperformanceduringdayandnightarandomizedcontrolledsimulationstudy AT christopherplata usinganaudiovisualfeedbackdeviceimprovescardiopulmonaryresuscitationperformanceduringdayandnightarandomizedcontrolledsimulationstudy |