Assessment of Cardiopulmonary Resuscitation Knowledge Among Physicians in the Pediatrics Department of an Urban Tertiary Referral Hospital in Ethiopia: A Cross-Sectional Study

Overview

Journal Emerg Med Int

Publisher Wiley

Specialty Emergency Medicine

Date 2024 Nov 6

PMID 39502495

Authors

Muluwork Tefera Dinberu

Dagmawi Hailu Yemane

Affiliations

Soon will be listed here.

Abstract

Early recognition of cardiac arrest and prompt start of cardiopulmonary resuscitation (CPR) boost survival rates and reduce postarrest consequences. Little information is available about the fundamental CPR knowledge of healthcare workers who work with children in Ethiopia. All physicians, regardless of seniority, participated in this cross-sectional survey from June to August 2022. They received a structured survey that was modified from the American Heart Association (AHA) Basic Life Support (BLS) test which was made up of 10 questions about participants' job experience and 25 multiple-choice CPR knowledge questions. Data analysis was done using a multinomial logistic regression test with a value of 0.05. One hundred sixty-eight doctors with various levels of seniority participated in this study. The participants included a male-to-female ratio of 1.3:1, a median age of 28 years, 92 (57.9%) male participants, and 124 (78%) participants with less than 5 years of clinical experience. Ninety-seven participants, or 61%, had scored less than 75% whereas 13 (8.2%), participants, had good knowledge that is scoring above 75%. Participants who had training in CPR within the previous year showed significantly higher levels of knowledge than those who hadn't. Even though 90% of the participants claimed to have CPR knowledge, the majority of participants were found not to have below 75%. The study concludes that while many doctors believe they have adequate CPR knowledge, actual knowledge levels are insufficient. Staff should undergo regular certification and assessments to ensure they retain their resuscitation knowledge. This ongoing evaluation is crucial for maintaining high standards of care and preparedness in emergencies.

References

Rodriguez-Nunez A, Lopez-Herce J, Garcia C, Carrillo A, Dominguez P, Calvo C . Effectiveness and long-term outcome of cardiopulmonary resuscitation in paediatric intensive care units in Spain. Resuscitation. 2006; 71(3):301-9. DOI: 10.1016/j.resuscitation.2005.11.020. View

Nadkarni V, Larkin G, Peberdy M, Carey S, Kaye W, Mancini M . First documented rhythm and clinical outcome from in-hospital cardiac arrest among children and adults. JAMA. 2006; 295(1):50-7. DOI: 10.1001/jama.295.1.50. View

Busse H, Azazh A, Teklu S, Tupesis J, Woldetsadik A, Wubben R . Creating change through collaboration: a twinning partnership to strengthen emergency medicine at Addis Ababa University/Tikur Anbessa Specialized Hospital--a model for international medical education partnerships. Acad Emerg Med. 2013; 20(12):1310-8. DOI: 10.1111/acem.12265. View

Iqbal A, Nisar I, Arshad I, Butt U, Umar M, Ayyaz M . Cardiopulmonary resuscitation: Knowledge and Attitude of doctors from Lahore. Ann Med Surg (Lond). 2021; 69:102600. PMC: 8379428. DOI: 10.1016/j.amsu.2021.102600. View

Abebe A, Kebede Z, Demissie D . Practice of Pre-Hospital Emergency Care and Associated Factors in Addis Ababa, Ethiopia: Facility-Based Cross-Sectional Study Design. Open Access Emerg Med. 2023; 15:277-287. PMC: 10493197. DOI: 10.2147/OAEM.S424814. View

Chew F Z A W M N K, Mohd Hashairi F, Ida Zarina Z, Shaik Farid A, Abu Yazid M, Nik Hisamuddin N . A Survey on The Knowledge, Attitude and Confidence Level of Adult Cardiopulmonary Resuscitation Among Junior Doctors in Hospital Universiti Sains Malaysia and Hospital Raja Perempuan Zainab II, Kota Bharu, Kelantan, Malaysia. Med J Malaysia. 2013; 66(1):56-9. View

Irfan B, Zahid I, Khan M, Khan O, Zaidi S, Awan S . Current state of knowledge of basic life support in health professionals of the largest city in Pakistan: a cross-sectional study. BMC Health Serv Res. 2019; 19(1):865. PMC: 6868838. DOI: 10.1186/s12913-019-4676-y. View

Kaihula W, Sawe H, Runyon M, Murray B . Assessment of cardiopulmonary resuscitation knowledge and skills among healthcare providers at an urban tertiary referral hospital in Tanzania. BMC Health Serv Res. 2018; 18(1):935. PMC: 6278030. DOI: 10.1186/s12913-018-3725-2. View

Rottenberg E . eComment: avoiding the adverse consequences of external cardiac massage during in-hospital resuscitation after cardiac surgery. Interact Cardiovasc Thorac Surg. 2008; 7(5):885-6. DOI: 10.1510/icvts.2008.182980A. View

10.

Reis A, Nadkarni V, Perondi M, Grisi S, Berg R . A prospective investigation into the epidemiology of in-hospital pediatric cardiopulmonary resuscitation using the international Utstein reporting style. Pediatrics. 2002; 109(2):200-9. DOI: 10.1542/peds.109.2.200. View

11.

Sultan M, Abebe Y, Tsadik A, Jennings C, Mould-Millman N . Epidemiology of ambulance utilized patients in Addis Ababa, Ethiopia. BMC Health Serv Res. 2018; 18(1):997. PMC: 6307284. DOI: 10.1186/s12913-018-3820-4. View

12.

Adal O, Emishaw S . Knowledge and attitude of healthcare workers toward advanced cardiac life support in Felege Hiwot Referral Hospital, Bahir Dar, Ethiopia, 2022. SAGE Open Med. 2023; 11:20503121221150101. PMC: 9850119. DOI: 10.1177/20503121221150101. View

13.

du Plessis N, Lamacraft G, Joubert G . Training, knowledge, experience and perceptions regarding cardiopulmonary resuscitation of doctors at an academic hospital in central South Africa. Afr J Emerg Med. 2022; 12(4):344-351. PMC: 9363964. DOI: 10.1016/j.afjem.2022.07.001. View

14.

Yung B, Marsh K . Outcome of cardiopulmonary resuscitation in hospitalized African children. J Trop Pediatr. 2001; 47(2):108-10. View

15.

Evans L, Rhodes A, Alhazzani W, Antonelli M, Coopersmith C, French C . Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Crit Care Med. 2021; 49(11):e1063-e1143. DOI: 10.1097/CCM.0000000000005337. View

16.

Gonzalez R, Urbano J, Botran M, Lopez J, Solana M, Garcia A . Adrenaline, terlipressin, and corticoids versus adrenaline in the treatment of experimental pediatric asphyxial cardiac arrest. Pediatr Crit Care Med. 2014; 15(6):e280-7. DOI: 10.1097/PCC.0000000000000127. View

17.

Mohammed Z, Arafa A, Saleh Y, Dardir M, Taha A, Shaban H . Knowledge of and attitudes towards cardiopulmonary resuscitation among junior doctors and medical students in Upper Egypt: cross-sectional study. Int J Emerg Med. 2020; 13(1):19. PMC: 7178981. DOI: 10.1186/s12245-020-00277-x. View

18.

Amien N, Bresick G, Evans K . Preparedness for paediatric cardiopulmonary resuscitation amongst medical doctors working in primary health care facilities in Cape Town, South Africa. S Afr Fam Pract (2004). 2022; 64(1):e1-e8. PMC: 8832027. DOI: 10.4102/safp.v64i1.5323. View

19.

Sultan M, Abebe Y, Tsadik A, Ababa A, Yesus A, Mould-Millman N . Trends and barriers of emergency medical service use in Addis Ababa; Ethiopia. BMC Emerg Med. 2019; 19(1):28. PMC: 6471849. DOI: 10.1186/s12873-019-0242-5. View