title: Quality of chest compressions by Down syndrome people: a pilot trial.
abstract: BACKGROUND
  Immediate bystander cardiopulmonary resuscitation (CPR) is essential for survival after out-of-hospital cardiac arrest. Down syndrome (DS) citizens have improved their active engagement in society. The objective of this pilot trial was to investigate if they are able to perform quality chest compression-only CPR after a brief training.
  
  
  METHODS
  Nineteen DS young people (15-30 year old) and 20 University level subjects (18-29 year old) were trained by means of a short video and a brief hands-on session on manikins, to perform chest compression-only CPR. All participants were naïve in CPR. Chest compression (CC) quality (percentage of correct CC, CC rate and depth and chest complete release) was measured during a 2min test. CPR quality goal was according to 2010 European Resuscitation Council guidelines.
  
  
  RESULTS
  DS people had similar weight, lower height and a higher BMI than controls. They were able to deliver chest compression-only CPR but with higher mean CC rate (140±30 vs 123±12CC/min, p=0.03), less mean CC depth (35.4±10.3 vs 47.2±9.6mm, p=0.03) and lower % of full correct CC (13±18 vs 39±37, p=0.02) than controls. Differences were maintained when first and second minute of test were compared.
  
  
  CONCLUSIONS
  After a short instruction based on a brief video and hands-on session DS people were able to deliver CC but with poor quality.
authors: Pediatric Area, Pediatric Emergency and Critical Care Division, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain; School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; Institute of Investigation of Santiago (IDIS), Santiago de Compostela, Spain; Research Network on Maternal and Child Health and Development II (Red SAMID II), Spanish Health Institute Carlos III, Madrid, Spain. Electronic address: Antonio.Rodriguez.Nunez@sergas.es.
authors: Antonio
authors: A
authors: Rodríguez-Núñez
authors: Pediatric Area, Pediatric Emergency and Critical Care Division, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain.
authors: Alexandra
authors: A
authors: Regueiro-García
authors: School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain.
authors: Cristina
authors: C
authors: Jorge-Soto
authors: Education and Sports Sciences University School, University of Vigo, Pontevedra, Spain.
authors: Janali
authors: J
authors: Cañas-González
authors: Pediatric Area, Pediatric Emergency and Critical Care Division, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain; Down Compostela Foundation, Santiago de Compostela, Spain.
authors: Pilar
authors: P
authors: Leboráns-Iglesias
authors: Social Sciences and Communiation School, University of Vigo, Pontevedra, Spain.
authors: Oswaldo
authors: O
authors: García-Crespo
authors: School of Nursing, University of Santiago de Compostela, Santiago de Compostela, Spain; Education and Sports Sciences University School, University of Vigo, Pontevedra, Spain.
authors: Roberto
authors: R
authors: Barcala-Furelos
mesh_terms: D000293:Adolescent; D000328:Adult; D001076:Aptitude; D016887:Cardiopulmonary Resuscitation / Q000193:education*; D016022:Case-Control Studies; D003479:Curriculum; D004314:Down Syndrome / Q000503:physiopathology* / Q000523:psychology*; D006336:Heart Massage; D006801:Humans; D058687:Out-of-Hospital Cardiac Arrest / Q000628:therapy*; D010865:Pilot Projects; D011446:Prospective Studies; D055815:Young Adult
keywords: Cardiopulmonary resuscitation; Chest compressions; Down syndrome; Laypeople; Quality of CPR; Training