Abstract 12388: Infant CPRAnytime: Self-Instructional CPR Training for Parents of High Risk Infants
Objective: Premature infants (PRE) and infants with congenital heart disease (CHD) have a high risk of respiratory or cardiac arrest within the first year. Bystander CPR is a major predictor of resuscitation outcome. The purpose of this study was to assess usefulness of a self-instructional DVD kit (Infant CPRAnytime™) for families of high risk infants. We hypothesized that comfort level of providing CPR would increase, the kit would be shared with other caregivers and would be reviewed at regular intervals.
Methods: Parents of PRE infants (<35 wks or <2500 gms) or with CHD were given a self-instructional CPR kit. One parent completed a questionnaire, reviewed the DVD, and practiced CPR before discharge. The parent was asked to share the kit with other care providers, practice CPR every 3 months and respond to questionnaires at 4 and 12 month intervals. The questionnaire surveyed prior CPR training, comfort level doing CPR on their child, plans to share the kit with other care providers and plans to review the kit. The 4 and 12 month surveys assessed comfort level performing CPR (5 point Likert scale), number of additional persons who reviewed the kit, and how often the kit was reviewed by the parent.
Results: We enrolled 311 parents: 238 in the PRE group and 73 in the CHD group. Seventy-five percent of parents had prior CPR training. Comfort level increased from 2.8 at baseline to 3.3 at 4 months to 3.5 at 12 months (p value = 0.0281). The kit was shared with 2.8 additional persons and was reviewed by the parent 1.8 times over the 12 month interval. There were 8 reported events with need for rescue: choking (3) and CPR (5). All events requiring CPR were in infants with CHD. Six infants survived the event. Parents of these infants indicated that the CPR training was very useful.
Conclusions: There was a significant increase in caregiver comfort level at 4 and 12 months compared to baseline, despite a high level of prior CPR training. There was a marked multiplier effect for the number of persons trained. Easily available self instruction provides an excellent method of CPR training for parents of high risk infants and likely contributed to a high survival rate. Family caregivers recognize Infant CPR Anytime™ as a useful method of learning CPR skills.
- Cardiopulmonary resuscitation
- Pediatric cardiology
- Sudden cardiac death
- Patient education/teaching psychosocial aspects
- Health education
- © 2010 by American Heart Association, Inc.