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Effectiveness of Video-assisted Cardiopulmonary Resuscitation

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT05639868
Recruitment Status : Completed
First Posted : December 6, 2022
Last Update Posted : January 25, 2023
Sponsor:
Information provided by (Responsible Party):
Dr. Bálint Bánfai, University of Pecs

Brief Summary:

Sudden cardiac arrest is a major public health problem worldwide and it is one of the leading causes of death in industrialized countries. Emergency Medical Services (EMS) dispatchers play an important role to recognize cardiac arrest and give help to the lay first responder via telephone CPR (T-CPR) which improves survival rates. The current technology allows the live video connection between the scene and the dispatcher which provides the opportunity for video-assisted CPR (V-CPR) via the bystander smartphone.

Effectiveness of V-CPR has only been investigated to a limited extent. Comparing effectiveness of V-CPR (effectiveness of chest compression, time parameters eg. time to first chest compression) to T-CPR and non-instructed CPR can be useful to implement V-CPR technology.


Condition or disease Intervention/treatment Phase
Cardiac Arrest Other: Video-assisted CPR Other: Telephone-assisted CPR Not Applicable

Detailed Description:

Sudden cardiac arrest is a major public health problem worldwide and it is one of the leading causes of death in industrialized countries. EMS dispatchers play an important role to recognize cardiac arrest and give help to the lay first responder via telephone CPR (T-CPR) which improves survival rates. The current technology allows the live video connection between the scene and the dispatcher which provides the opportunity for video-assisted CPR (V-CPR) via the bystander smartphone.

Effectiveness of V-CPR has only been investigated to a limited extent. Comparing effectiveness of V-CPR (quality of chest compressions: depth, rate, hand position), time parameters: time to recognize cardiac arrest, time of check breathing, total no-flow time, to first chest compression) to T-CPR and non-instructed CPR can be useful to implement V-CPR technology.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 150 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Is Video-assisted Cardiopulmonary Resuscitation More Effective Than Telephone-assisted or Not-instructed Cardiopulmonary Resuscitation by Laypeople? - a Randomized Controlled Simulation Study
Actual Study Start Date : December 1, 2022
Actual Primary Completion Date : January 20, 2023
Actual Study Completion Date : January 23, 2023

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Active Comparator: T-CPR
Participants perform telephone-assisted CPR based on the European Resuscitation Council (ERC) 2021 guidelines.
Other: Video-assisted CPR
Participants in V-CPR group get video-based (vocal and visual) instructions from the dispatcher.

Other: Telephone-assisted CPR
Participants in T-CPR group get voice-based (vocal) instructions from the dispatcher.

Experimental: V-CPR
Participants perform video-assisted CPR based on the European Resuscitation Council (ERC) 2021 guidelines.
Other: Video-assisted CPR
Participants in V-CPR group get video-based (vocal and visual) instructions from the dispatcher.

Other: Telephone-assisted CPR
Participants in T-CPR group get voice-based (vocal) instructions from the dispatcher.

No Intervention: Unassisted CPR
CPR without dispatcher instructions.



Primary Outcome Measures :
  1. Quality of chest compressions (depth of chest compressions). [ Time Frame: During procedure ]
    Chest compression depth will be evaluated by a manikin connected to a CPR software.

  2. Quality of chest compressions (rate of chest compressions). [ Time Frame: During procedure ]
    Chest compression rate will be evaluated by a manikin connected to a CPR software.

  3. Quality of chest compressions (hand position of chest compressions). [ Time Frame: During procedure ]
    Hand position during chest compression will be evaluated by observation.


Secondary Outcome Measures :
  1. Time factors of CPR [ Time Frame: During procedure ]
    Measuring the time of check breathing, time to recognize cardiac arrest, time to first chest compression, and cumulative time of no-flow time by the CPR software and observation.

  2. Attitude of bystanders. [ Time Frame: Immediately after the CPR procedure (within 15 minutes) ]
    Subjective feelings after performing CPR based on a short survey using Likert-scale based queries (lower numbers indicate worse, higher score indicates better opinion).



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 30 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • healthy volunteer

Exclusion Criteria:

  • healthcare professionals (paramedics, nurses, etc.)
  • pregnant women
  • people with cardio-pulmonary and musculoskeletal diseases or any other impairment that would risk harm for the volunteer while performing CPR for 2 minutes
  • psychological disabilities

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05639868


Locations
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Hungary
University of Pécs
Pécs, Hungary, 7621
Sponsors and Collaborators
University of Pecs
Investigators
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Principal Investigator: Bálint Bánfai, PhD University of Pecs
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Responsible Party: Dr. Bálint Bánfai, senior lecturer, University of Pecs
ClinicalTrials.gov Identifier: NCT05639868    
Other Study ID Numbers: Upecs_V-CPR
First Posted: December 6, 2022    Key Record Dates
Last Update Posted: January 25, 2023
Last Verified: January 2023
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Heart Arrest
Heart Diseases
Cardiovascular Diseases