In situ simulation for cardiopulmonary resuscitation training: A systematic review
Objectives: To evaluate the effectiveness of in situ simulation for cardiopulmonary resuscitation (CPR) training on clinical and educational outcomes. Methods: Randomised controlled trials (RCT) and non-randomised studies evaluating in situ simulation for cardiopulmonary resuscitation CPR training o...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-01-01
|
| Series: | Resuscitation Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S266652042400314X |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832595731358154752 |
|---|---|
| author | Andrea Cortegiani Mariachiara Ippolito Cristian Abelairas-Gómez Sabine Nabecker Alexander Olaussen Kasper G. Lauridsen Yiqun Lin Taylor Sawyer Joyce Yeung Andrew S. Lockey Adam Cheng Robert Greif Aaron Donoghue Barbara Farquharson Chih-Wei Yang Heike Geduld Kathryn Eastwood Kevin Nation Sebastian Sch naubelt Tasuku Matsuyama Ying-Chih Ko Katherine S. Allen Tracy Kidd Jan Breckwoldt Ming-Ju Hsieh |
| author_facet | Andrea Cortegiani Mariachiara Ippolito Cristian Abelairas-Gómez Sabine Nabecker Alexander Olaussen Kasper G. Lauridsen Yiqun Lin Taylor Sawyer Joyce Yeung Andrew S. Lockey Adam Cheng Robert Greif Aaron Donoghue Barbara Farquharson Chih-Wei Yang Heike Geduld Kathryn Eastwood Kevin Nation Sebastian Sch naubelt Tasuku Matsuyama Ying-Chih Ko Katherine S. Allen Tracy Kidd Jan Breckwoldt Ming-Ju Hsieh |
| author_sort | Andrea Cortegiani |
| collection | DOAJ |
| description | Objectives: To evaluate the effectiveness of in situ simulation for cardiopulmonary resuscitation (CPR) training on clinical and educational outcomes. Methods: Randomised controlled trials (RCT) and non-randomised studies evaluating in situ simulation for cardiopulmonary resuscitation CPR training of healthcare workers in any setting compared to traditional training and reporting data on patients’ survival, patients’ outcomes, clinical performance and teamwork in actual or simulated resuscitation and resources needed were included. PubMed, Embase and Cochrane were searches from inception to October 28th 2024 (PROSPERO CRD42024521780). The assessment of risk of bias was done using RoB2 or ROBINS-I and the certainty of evidence was assessed by the GRADE approach. Meta-analysis was not possible due to significant heterogeneity in setting, interventions, control, and outcome definitions. The evidence was summarised according to the Synthesis Without Meta-Analysis (SwiM) reporting guidelines. No funding has been obtained. Results: From 1062 records, 10 articles were included after full-text review (4 RCTs, 6 non-randomised). The risk of bias was judged as high or some concerns for RCTs and critical or serious for non-randomised studies. The certainty of evidence was very low for all the evaluated outcomes mainly due to risk of bias, inconsistency and imprecision. Two non-randomised studies reported data on patient survival, while two other non-randomized studies provided data on the review outcome of ’patient outcomes’, suggesting a potential benefit of in situ simulation or no difference. Four non-randomised studies reported improving or no difference in clinical performance in actual resuscitation. One study reported improved teamwork in actual resuscitation while another reported no difference. Most included studies reported improved clinical performance, teamwork and CPR skill in simulated resuscitation after in situ simulation training vs. traditional training. No study evaluated the resources needed. Conclusion: The heterogenous evidence suggests that in situ simulation should be considered as an option for CPR training. The certainty of evidence is very low and cost-benefit balance is uncertain due to lack of data about resource needed. |
| format | Article |
| id | doaj-art-0a73891733a548019d20bc4448892240 |
| institution | Kabale University |
| issn | 2666-5204 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-0a73891733a548019d20bc44488922402025-01-18T05:05:17ZengElsevierResuscitation Plus2666-52042025-01-0121100863In situ simulation for cardiopulmonary resuscitation training: A systematic reviewAndrea Cortegiani0Mariachiara Ippolito1Cristian Abelairas-Gómez2Sabine Nabecker3Alexander Olaussen4Kasper G. Lauridsen5Yiqun Lin6Taylor Sawyer7Joyce Yeung8Andrew S. Lockey9Adam Cheng10Robert Greif11Aaron DonoghueBarbara FarquharsonChih-Wei YangHeike GeduldKathryn EastwoodKevin NationSebastian Sch naubeltTasuku MatsuyamaYing-Chih KoKatherine S. AllenTracy KiddJan BreckwoldtMing-Ju HsiehDepartment of Precision Medicine in Medical, Surgical and Critical Care Area (Me.Pre.C.C.), University of Palermo, Palermo, Italy; Department of Anaesthesia, Intensive Care and Emergency, University Hospital Policlinico Paolo Giaccone, Palermo, Italy; Corresponding author at: Department of Precision Medicine in Medical, Surgical and Critical Care Area (Me.Pre.C.C.), University of Palermo, Palermo, Italy. Department of Anaesthesia, Intensive Care and Emergency, University Hospital Policlinico Paolo Giaccone, Via del vespro 129, 90127 Palermo, Italy.Department of Precision Medicine in Medical, Surgical and Critical Care Area (Me.Pre.C.C.), University of Palermo, Palermo, Italy; Department of Anaesthesia, Intensive Care and Emergency, University Hospital Policlinico Paolo Giaccone, Palermo, ItalyFaculty of Education Sciences and CLINURSID Research Group, Universidade de Santiago de Compostela, Santiago de Compostela, Spain; Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela-CHUS, Santiago de Compostela, SpainDepartment of Anesthesiology and Pain Management, Sinai Health System, University of Toronto, Toronto, CanadaAlfred Health Emergency Service, Melbourne, Victoria, Australia; School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia; Department of Paramedicine, Monash University, Melbourne, Victoria, Australia; Ambulance Victoria, Doncaster, Victoria, Australia; National Trauma Research Institute, Melbourne, AustraliaResearch Center for Emergency Medicine, Aarhus University Hospital, Aarhus, Denmark; Department of Medicine, Randers Regional Hospital, Randers, Denmark; Department of Anesthesiology and Critical Care Medicine, Children’s Hospital of Philadelphia, Philadelphia, PA, United StatesKidSIM Simulation Program, Alberta Children’s Hospital, University of Calgary, Calgary, Alberta, CanadaDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, USAWarwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, United KingdomSchool of Human and Health Sciences, University of Huddersfield, Huddersfield, United KingdomKidSIM Simulation Program, Alberta Children’s Hospital, University of Calgary, Calgary, Alberta, Canada; Department of Pediatrics and Emergency Medicine, Cumming School of Medicine, University of Calgary, CanadaFaculty of Medicine, University of Bern, Bern, Switzerland; Department of Surgical Science, University of Torino, Torino, ItalyObjectives: To evaluate the effectiveness of in situ simulation for cardiopulmonary resuscitation (CPR) training on clinical and educational outcomes. Methods: Randomised controlled trials (RCT) and non-randomised studies evaluating in situ simulation for cardiopulmonary resuscitation CPR training of healthcare workers in any setting compared to traditional training and reporting data on patients’ survival, patients’ outcomes, clinical performance and teamwork in actual or simulated resuscitation and resources needed were included. PubMed, Embase and Cochrane were searches from inception to October 28th 2024 (PROSPERO CRD42024521780). The assessment of risk of bias was done using RoB2 or ROBINS-I and the certainty of evidence was assessed by the GRADE approach. Meta-analysis was not possible due to significant heterogeneity in setting, interventions, control, and outcome definitions. The evidence was summarised according to the Synthesis Without Meta-Analysis (SwiM) reporting guidelines. No funding has been obtained. Results: From 1062 records, 10 articles were included after full-text review (4 RCTs, 6 non-randomised). The risk of bias was judged as high or some concerns for RCTs and critical or serious for non-randomised studies. The certainty of evidence was very low for all the evaluated outcomes mainly due to risk of bias, inconsistency and imprecision. Two non-randomised studies reported data on patient survival, while two other non-randomized studies provided data on the review outcome of ’patient outcomes’, suggesting a potential benefit of in situ simulation or no difference. Four non-randomised studies reported improving or no difference in clinical performance in actual resuscitation. One study reported improved teamwork in actual resuscitation while another reported no difference. Most included studies reported improved clinical performance, teamwork and CPR skill in simulated resuscitation after in situ simulation training vs. traditional training. No study evaluated the resources needed. Conclusion: The heterogenous evidence suggests that in situ simulation should be considered as an option for CPR training. The certainty of evidence is very low and cost-benefit balance is uncertain due to lack of data about resource needed.http://www.sciencedirect.com/science/article/pii/S266652042400314XIn situ simulationCardiopulmonary resuscitation |
| spellingShingle | Andrea Cortegiani Mariachiara Ippolito Cristian Abelairas-Gómez Sabine Nabecker Alexander Olaussen Kasper G. Lauridsen Yiqun Lin Taylor Sawyer Joyce Yeung Andrew S. Lockey Adam Cheng Robert Greif Aaron Donoghue Barbara Farquharson Chih-Wei Yang Heike Geduld Kathryn Eastwood Kevin Nation Sebastian Sch naubelt Tasuku Matsuyama Ying-Chih Ko Katherine S. Allen Tracy Kidd Jan Breckwoldt Ming-Ju Hsieh In situ simulation for cardiopulmonary resuscitation training: A systematic review Resuscitation Plus In situ simulation Cardiopulmonary resuscitation |
| title | In situ simulation for cardiopulmonary resuscitation training: A systematic review |
| title_full | In situ simulation for cardiopulmonary resuscitation training: A systematic review |
| title_fullStr | In situ simulation for cardiopulmonary resuscitation training: A systematic review |
| title_full_unstemmed | In situ simulation for cardiopulmonary resuscitation training: A systematic review |
| title_short | In situ simulation for cardiopulmonary resuscitation training: A systematic review |
| title_sort | in situ simulation for cardiopulmonary resuscitation training a systematic review |
| topic | In situ simulation Cardiopulmonary resuscitation |
| url | http://www.sciencedirect.com/science/article/pii/S266652042400314X |
| work_keys_str_mv | AT andreacortegiani insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT mariachiaraippolito insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT cristianabelairasgomez insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT sabinenabecker insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT alexanderolaussen insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT kasperglauridsen insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT yiqunlin insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT taylorsawyer insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT joyceyeung insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT andrewslockey insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT adamcheng insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT robertgreif insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT aarondonoghue insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT barbarafarquharson insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT chihweiyang insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT heikegeduld insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT kathryneastwood insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT kevinnation insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT sebastianschnaubelt insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT tasukumatsuyama insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT yingchihko insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT katherinesallen insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT tracykidd insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT janbreckwoldt insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview AT mingjuhsieh insitusimulationforcardiopulmonaryresuscitationtrainingasystematicreview |