Which factors predict candidate outcome in advanced life support courses? A preliminary observational study

Sandroni, Claudio; Gonnella, Gian Luigi; de Waure, Chiara; Cavallaro, Fabio; La Torre, Giuseppe; Antonelli, Massimo
September 2010
Intensive Care Medicine;Sep2010, Vol. 36 Issue 9, p1521
Academic Journal
To identify factors associated with candidate outcome in the European Resuscitation Council (ERC) advanced life support (ALS) provider courses. Medical doctors participating as candidates to consecutive ALS courses organised by an ERC training centre in Italy were enrolled in this prospective cohort study. The association between the ALS course outcome and candidate demographics, professional background and pre-course knowledge measured by using the pre-course multiple choice quiz (MCQ) was investigated by using logistic regression. A total of 283 candidates, median age 31 years, were evaluated. Among them, 269 (95.1%) passed the final evaluation and 14 (4.9%) failed. Candidates who passed were younger (median age 31 vs. 37.5 years; p = 0.006) and attained a higher pre-course MCQ score (median 84 vs. 72.5%; p < 0.0001). On multivariate analysis, a higher pre-course MCQ score (OR 1.18 [95%CI 1.09–1.28]) and a basic life support (BLS) certification (OR 5.00 [95%CI 1.12–22.42]) were independent predictors of candidate success, while older age was associated with a significantly higher risk of failing (OR 0.90 [95%CI 0.83–0.97]). Female candidates had higher pass rates (97.2 vs. 91.2%; p = 0.048); however, after correction for confounders gender was not significantly associated with candidate outcome. Neither candidate specialty nor site of work was a predictor of candidate success. On ALS courses, younger age and a higher level of specific pre-course knowledge, as measured by both the pre-course MCQ and the presence of BLS certification, are the most important predictors of success. Candidate gender and professional background did not show a significant correlation with course outcome.


Related Articles

  • A cross-sectional study to assess knowledge and attitudes related to Basic Life Support among undergraduate medical students in Tamil Nadu, India. Mani, G.; Annadurai, K.; Danasekaran, R.; Ramasamy, J. D. // Progress in Health Sciences;Jun2014, Vol. 4 Issue 1, p47 

    Introduction: Basic life support (BLS) with cardiopulmonary resuscitation (CPR) provided at the right time greatly improves survival following cardiac arrest. Adequate knowledge and skills related to BLS are essential requisites for medical students. This study aimed to explore the knowledge,...

  • Compression-Only CPR: Pushing the Science Forward. Cone, David C. // JAMA: Journal of the American Medical Association;10/6/2010, Vol. 304 Issue 13, p1493 

    The author examines the concept of compression-only cardiopulmonary resuscitation (CPR) as a reasonable alternative to standard CPR by bystanders. He cites several compelling theoretical arguments in favor of compression-only CPR. He compares the effectiveness of standard CPR and...

  • Awareness of Basic Life Support and Cardio-Pulmonary Resuscitation among Medical, Dental and Para- Medical Students. RAO, SINDHU R. // Australasian Medical Journal;Apr2013, Vol. 6 Issue 4, p229 

    Introduction Cardiac arrest is associated with very high mortality. Many lives can be saved by simple manoeuvres and basic life support (BLS), cardiopulmonary resuscitation and defibrillation with an automated external defibrillator (AED) Practical skills are highly important for CPR without...

  • Basic Life Support & Advanced Cardiac Life Support: Knowledge & Attitudes of Medical Students in New Delhi. Sinha, Akriti; Devgan, Arushi; Mehrotra, Mayank; Singh, Avantika; Agarwal, Krishna Adit // New Indian Journal of Surgery;Jul-Sep2012, Vol. 3 Issue 3, p220 

    Background Early intervention, quality of CPR and time to defibrillation improves survival rate after cardiopulmonary arrest. BLS is an important component of the chain of survival. The proper practice of BLS is an important part of a medical student's training, but there is still no standard...

  • Surf Lifeguard Perceptions and Practice of Cardiopulmonary Resuscitation (CPR). Moran, Kevin; Webber, Jonathon // International Journal of Aquatic Research & Education;Feb2012, Vol. 6 Issue 1, p24 

    While the importance of lifeguards in providing immediate and effective basic life support (BLS) in drowning has been well reported, not a lot is known about how lifeguards perceive the relative value of CPR as a lifeguard skill, their training in it, and the likelihood of resuscitation being...

  • Decay in chest compression quality due to fatigue is rare during prolonged advanced life support in a manikin model.  // Scandinavian Journal of Trauma, Resuscitation & Emergency Medici;2011, Vol. 19 Issue 1, p46 

    The article presents information on a study conducted to measure chest compression decay during simulated prolonged advanced life support (ALS) in a cardiac arrest manikin model. The study concluded that only half of the medical personnel achieved guideline recommended compression depth during...

  • Evaluation of a newly developed media-supported 4-step approach for basic life support training.  // Scandinavian Journal of Trauma, Resuscitation & Emergency Medici;2012, Vol. 20 Issue 1, p37 

    The article presents a study which evaluated the effectiveness of a media-supported 4-step approach in basic life support (BLS) training. The external chest compressions (ECC) of the participants who went through the standard 4-step approach for resuscitation training and the media-supported...

  • Reflections on ACLS. Abu-Laban, Riyad B. // CJEM: Canadian Journal of Emergency Medicine;Nov2005, Vol. 7 Issue 6, p415 

    The article focuses on the guidelines for advanced cardiac life support (ACLS). The ACLS guidelines evolved in 1966 at the National Academy of Sciences and the National Research Council's conference on cardiopulmonary resuscitation (CPR). The guidelines helped health care providers make optimal...

  • Changes to guidelines on resuscitation and advanced life support.  // Emergency Nurse;Nov2010, Vol. 18 Issue 7, p4 

    This article reports on the changes to guidelines on resuscitation and advanced life support released by the Resuscitation Council in Great Britain in 2010.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics