Percepción de los estudiantes de pregrado de medicina frente a la tasa de éxito de la reanimación cardiopulmonar: un estudio descriptivo
https://orcid.org/0000-0003-1118-1866
Gabril Salim Rezk Schuler
https://orcid.org/0000-0001-6499-9325
Diana Carolina Moreno Ormza
https://orcid.org/0000-0001-6499-9325
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Introduction: According to the American Heart Association, the survival rate after cardiopulmonary resuscitation (CPR) performed at a hospital is 25.8%. In both medical staff and the 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 the survival rate after receiving CPR in an in-hospital setting was inquired. Additionally, it was asked if they would accept CPR in case of presenting a cardiac arrest. Participants were then informed of the actual survival rates and asked again if they would accept receiving CPR. Results: 692 students were surveyed (78.9% of the target population). 61% of the participants stated that the survival rate after CPR was greater than 30%. Before knowing the actual survival rates, 95.5% would accept CPR maneuvers, and after knowing the actual survival rates, only 75.3% would accept them. Discussion: The results confirmed that the perception of the survival rate after in-hospital CPR maneuvers is overestimated by medical students. This could affect their medical criteria and shared decision-making process with patients. Additionally, having adequate information about the result of an intervention changes the decision towards receiving it or not.
2. American Heart Association (AHA). ACLS: introduction. AHA; 2020.
3. 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
4. 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
5. 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
6. Gempeler FE. Bioética de la reanimación cardiopulmonar. En Anestesiología: apuntes para el médico general. Bogotá: Editorial Pontificia Universidad Javeriana; 2020. p. 89-102.
7. 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
8. Jones G, Brewer K, Garrison H. Public expectations of survival following cardiopulmonary resuscitation. Acad Emerg Med. 2000;7:48-53.
9. 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
10. 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
11. 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.
12. 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
13. 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
14. 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
15. American Heart Association. Basic life support training manual: American Heart Association provider manual; 2016.
16. 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
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