Percepción de los estudiantes de pregrado de medicina frente a la tasa de éxito de la reanimación cardiopulmonar, un estudio descriptivo.
HTML Full Text
PDF
XML
HTML Full Text (Spanish)
PDF (Spanish)
XML (Spanish)

Keywords

cardiopulmonary resuscitation - ethics
clinical - education
medical - bioethics

How to Cite

Percepción de los estudiantes de pregrado de medicina frente a la tasa de éxito de la reanimación cardiopulmonar, un estudio descriptivo . (2023). Universitas Medica, 64(1). https://doi.org/10.11144/Javeriana.umed64-1.rced

Abstract

Abstract

Introduction: According to the American Heart Society, survival after cardiopulmonary resuscitation (CPR) at hospital discharge is 25.8%. In both the medical and general population, multiple factors cause an overestimation of the effectiveness of CPR maneuvers.Methods: Observational cross-sectional study, through an online survey, the perception of medical students about survival after receiving CPR in an in-hospital setting was inquired. Additionally, it was asked if they would accept CPR in case of presenting cardiac arrest. Participants were then informed of actual survival rates and again asked if they would accept it.Results: 692 students were surveyed (78.9% of the target population), of which 61% considered that survival to hospital discharge after CPR was greater than 30%. Before knowing the real survival rates, 95.5% would accept CPR maneuvers, and after knowing the real survival rates, only 75.3% would accept that they be performed.Discussion: It is evident that the perception of survival after in-hospital CPR is overestimated by medical students, which can lead to affecting their medical criteria, in shared decision-making with patients. Additionally, it was confirmed that having adequate information about the result of an intervention changes the decision to accept it. Keywords: Cardiopulmonary resuscitation - Ethics,Clinical -  Education, Medical - bioethics 

 

HTML Full Text
PDF
XML
HTML Full Text (Spanish)
PDF (Spanish)
XML (Spanish)

Olmos N, Gempeler FE. Reanimación cardiopulmonar: cuando el corazón para. ¿Reanimar o acompañar? Univ Méd. 2022;63(1):1-8. https://doi.org/10.11144/Javeriana.umed63-1.rcra

American Heart Association (AHA). ACLS: introduction. AHA; 2020.

Harris D, Willoughby H. Resuscitation on television: realistic or ridiculous? A quantitative observational analysis of the portrayal of cardiopulmonary resuscitation in television medical drama. Resuscitation. 2009;80(11):1275-9. https://doi.org/10.1016/j.resuscitation.2009.07.008

Diem S, Lantos J, Tulsky J. Cardiopulmonary resuscitation on television: miracles and misinformation. N Engl J Med. 1996;334(24):1578-82. https://doi.org/10.1056/NEJM199606133342406

Marco C, Larkin G. Cardiopulmonary resuscitation: knowledge and opinions among the U.S. general public. State of the science-fiction. Resuscitation. 2008;79(3):490-8. https://doi.org/10.1016/j.resuscitation.2008.07.013

Gempeler FE. Bioética de la reanimación cardiopulmonar. En Anestesiología: apuntes para el médico general. Bogotá: Editorial Pontificia Universidad Javeriana; 2020. p. 89-102.

Gräsner J, Herlitz J, Tjelmeland I. European resuscitation council guidelines 2021: epidemiology of cardiac arrest in Europe. Resuscitation. 2021 abr;161:61-79. https://doi.org/10.1016/j.resuscitation.2021.02.007

Jones G, Brewer K, Garrison H. Public expectations of survival following cardiopulmonary resuscitation. Acad Emerg Med. 2000;7:48-53.

Van den Bulck J. The impact of television fiction on public expectations of survival following inhospital cardiopulmonary resuscitation by medical professionals. Eur J Emerg Med. 2002;9:325-9. https://doi.org/10.1097/00063110-200212000-00006

Bandolin N, Huang W, Beckett L. Perspectives of emergency department attendees on outcomes of resuscitation efforts: origins and impact on cardiopulmonary resuscitation preference. Emerg Med J. 2020;0(1):1-6. https://doi.org/10.1136/emermed-2018-208084

Adams D, Snedden D. How misconceptions among elderly patients regarding survival outcomes of inpatient cardiopulmonary resuscitation affect do-not-resuscitate orders. J Am Osteopath Assoc. 2006;106:402-4.

Kerridge I, Pearson S, Rolfe I. Impact of written information on knowledge and preferences for cardiopulmonary resuscitation. Med J Aust. 1999;171:239-42. https://doi.org/10.5694/j.1326-5377.1999.tb123629.x

Miller D, Jahnigen D, Gorbien M. Cardiopulmonary resuscitation: how useful? Attitudes and knowledge of an elderly population. Arch Intern Med. 1992;152:578-82. https://doi.org/10.1001/archinte.152.3.578

Marco C, Schears R. Societal opinions regarding CPR. Am J Emerg Med. 2002;20(3):207-11. https://doi.org/10.1053/ajem.2002.32626

American Heart Association. Basic life support training manual: American Heart Association provider manual; 2016.

Murphy D, Brurrows D, Sara S, Kemp A, Tener S, Kreling B. The influence of the probability of survival on patient's preferences regarding cardiopulmonary resuscitation. N Engl J Med. 1994;330(8):545-9. https://doi.org/10.1056/NEJM199402243300807

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2023 Fritz Eduardo Gempeler, Paula Arbelaez, Gabril Salim Rezk Schuler, Diana Carolina Moreno Ormza