Physical activity and quality of cardiopulmonary resuscitation: A secondary analysis of the MANI-CPR trial

Am J Emerg Med. 2021 Dec:50:330-334. doi: 10.1016/j.ajem.2021.08.039. Epub 2021 Aug 19.

Abstract

Introduction: The association between the level of physical activity and quality of cardio-pulmonary resuscitation (CPR) performed by laypeople is unclear. The aim of this study was to evaluate the associations between physical activity level and laypeople performance during an eight-minute scenario of CPR.

Materials and methods: This study was a secondary analysis of the MANI-CPR Trial. The entire cohort of participants was grouped based on the level of physical activity assessed using the International Physical Activity Questionnaire (IPAQ) into a "low-moderate" level group and a "high" level group. Descriptive statistics were used for unadjusted analysis and multivariate logistic and linear regression models were also performed.

Results: A total of 492 participants who reached the score of "Advanced CPR performer" at the 1-min final test monitored by Laerdal Resusci Anne QCPR were included in this analysis; 224 with a low-moderate level and 268 with a high level of physical activity. A statistically significant difference was found for the outcome of percentage of compressions with adequate depth (low-moderate group: 87.8% [41·4%-99·3%], high group: 97% [63·2%-100%]; P = 0·003). No associations remained significant after controlling for biometric characteristics of the participants, compression protocols and sex.

Conclusion: Adequate quality CPR may not need high baseline level of physical activity to be performed by a lay rescuer.

Keywords: CPR; OHCA; Physical activity.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Cardiopulmonary Resuscitation / standards*
  • Exercise*
  • Female
  • Humans
  • Male
  • Manikins*
  • Muscle Fatigue
  • Surveys and Questionnaires