Perception among family members and physicians about the recommendation for family members to learn cardiovascular resuscitation in patients at high risk for sudden cardiac arrest.
Introduction: most out-of-hospital cardiac arrests (OHCA) in patients with cardiovascular disease occur at home or in the vicinity of relatives. Someone in the patient's entourage should be able to administer cardiopulmonary resuscitation (CPR). We conducted two surveys to evaluate if CPR learning i...
| Publicado en: | Cardiovascular & Metabolic Science Vol. 36; no. 2; pp. 104 - 113 |
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| Autores principales: | , , , , |
| Formato: | Artículo |
| Publicado: |
Cardiovascular & Metabolic Science, Asociacion Nacional de Cardiologos de Mexico A.C. (ANCAM)
Apr-Jun2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | Introduction: most out-of-hospital cardiac arrests (OHCA) in patients with cardiovascular disease occur at home or in the vicinity of relatives. Someone in the patient's entourage should be able to administer cardiopulmonary resuscitation (CPR). We conducted two surveys to evaluate if CPR learning is suggested to patients and relatives by their physician and to the patients to know their perception in that regard. Material and methods: two surveys were conducted among physicians (cardiologists) and patients (heart disease). All were voluntary and anonymous. Physicians were contacted through an internet survey tool that included both private and public practices, and patients responded in the waiting room of private practices located in private hospitals. Responses were analyzed as categorical variables with the X² test and, when necessary, Student's t-test. Results: one hundred and eighty-four cardiologists and 432 patients responded. Among physicians, 95.7% see high-risk OHCA patients, and 97.8% consider «important» or «very important» that someone close to them is able to perform CPR. Physicians think that less than 5% of family members are able to do so, and 59% suggest always, or almost always, the need for someone to learn CPR. Among patients, 95.1% consider «important» that «somebody» knows how to perform CPR in their vicinity, 32.8% think someone close knows how to do so, and in 65.5% of them, someone (friends and family 73.6%, their physician 14.1%) has suggested CPR learning. Conclusions: there is a generalized perception of the importance of CPR learning in the proximity of heart patients, but apparently, few people actually know how to do it. Patients consider that their main sources of information are family and friends. Introducción: la mayoría de los paros cardiacos extrahospitalarios (PCEH) en enfermos cardiovasculares ocurren en casa o cerca de familiares. Alguien en el entorno del paciente debería poder administrar maniobras de reanimación cardiopulmonar (RCP) básicas y activar a los servicios médicos de emergencia (SME). Se hicieron encuestas para evaluar si se sugiere a los pacientes y familiares aprender RCP y a los pacientes para conocer su percepción. Material y métodos: se aplicaron dos encuestas sencillas de comprensión y aplicación rápidas, una a médicos (cardiólogos) y otra a pacientes con enfermedad cardiovascular. Todas fueron anónimas y voluntarias. A los médicos con práctica privada y pública se les aplicó con una herramienta de internet y a los pacientes en la sala de espera de prácticas privadas en hospitales privados. Las respuestas se analizaron como variables categóricas con X² y t de Student en caso necesario. Resultados: se obtuvieron 184 respuestas de cardiólogos y 432 de pacientes con enfermedad cardiovascular. El 95.7% de los médicos dijo ver pacientes con alto riesgo de PCEH y el 97.8% consideran importante o muy importante que alguien cercano sepa dar RCP; creen que en menos del 5% de los casos ocurre esto y el 59% de ellos sugieren siempre o casi siempre que alguien aprenda. El 95.1% de los pacientes cree importante que «la gente» sepa dar RCP. El 32.8% de ellos cree que alguien cercano sabe hacerlo. Al 65.5% alguien (familiares y amigos 73.6%, su médico 14.1%) le ha sugerido que aprendan RCP. Conclusiones: aparentemente existe una percepción generalizada sobre la importancia de la RCP en el entorno del enfermo cardiovascular, sin embargo, en apariencia, poca gente está capacitada para realizarla. La mayoría de los pacientes considera que su principal fuente de información y sugerencias son amigos y familiares. |
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