{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,27]],"date-time":"2024-07-27T08:30:20Z","timestamp":1722069020916},"reference-count":32,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T00:00:00Z","timestamp":1711497600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Non-Profit Central Research Institute Fund of Chinese Academy of Medical Sciences","award":["2023-RC320-01"]},{"name":"Peking Union Medical College 2023 Medical Education Scholar Program","award":["2023zlgc0711"]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"High-quality cardiopulmonary resuscitation (CPR) and training are important for successful revival during out-of-hospital cardiac arrest (OHCA). However, existing training faces challenges in quantifying each aspect. This study aimed to explore the possibility of using a three-dimensional motion capture system to accurately and effectively assess CPR operations, particularly about the non-quantified arm postures, and analyze the relationship among them to guide students to improve their performance. We used a motion capture system (Mars series, Nokov, China) to collect compression data about five cycles, recording dynamic data of each marker point in three-dimensional space following time and calculating depth and arm angles. Most unstably deviated to some extent from the standard, especially for the untrained students. Five data sets for each parameter per individual all revealed statistically significant differences (p < 0.05). The correlation between Angle 1\u2032 and Angle 2\u2032 for trained (rs = 0.203, p < 0.05) and untrained students (rs = \u22120.581, p < 0.01) showed a difference. Their performance still needed improvement. When conducting assessments, we should focus on not only the overall performance but also each compression. This study provides a new perspective for quantifying compression parameters, and future efforts should continue to incorporate new parameters and analyze the relationship among them.<\/jats:p>","DOI":"10.3390\/s24072154","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T17:39:56Z","timestamp":1711561196000},"page":"2154","source":"Crossref","is-referenced-by-count":1,"title":["Detection and Evaluation for High-Quality Cardiopulmonary Resuscitation Based on a Three-Dimensional Motion Capture System: A Feasibility Study"],"prefix":"10.3390","volume":"24","author":[{"ORCID":"http:\/\/orcid.org\/0009-0007-6992-4710","authenticated-orcid":false,"given":"Xingyi","family":"Tang","sequence":"first","affiliation":[{"name":"School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100144, China"}]},{"ORCID":"http:\/\/orcid.org\/0000-0001-7396-7739","authenticated-orcid":false,"given":"Yan","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100144, China"}]},{"given":"Haoming","family":"Ma","sequence":"additional","affiliation":[{"name":"School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100144, China"}]},{"given":"Aoqi","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100144, China"}]},{"ORCID":"http:\/\/orcid.org\/0000-0002-1352-0211","authenticated-orcid":false,"given":"You","family":"Zhou","sequence":"additional","affiliation":[{"name":"School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100144, China"}]},{"given":"Sijia","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100144, China"}]},{"ORCID":"http:\/\/orcid.org\/0009-0007-8190-2477","authenticated-orcid":false,"given":"Runyuan","family":"Pei","sequence":"additional","affiliation":[{"name":"School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100144, China"}]},{"ORCID":"http:\/\/orcid.org\/0000-0001-8890-2161","authenticated-orcid":false,"given":"Hongzhen","family":"Cui","sequence":"additional","affiliation":[{"name":"School of Computer and Communication Engineering, University of Science and Technology Beijing, Beijing 100083, China"}]},{"given":"Yunfeng","family":"Peng","sequence":"additional","affiliation":[{"name":"School of Computer and Communication Engineering, University of Science and Technology Beijing, Beijing 100083, China"}]},{"given":"Meihua","family":"Piao","sequence":"additional","affiliation":[{"name":"School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100144, China"}]}],"member":"1968","published-online":{"date-parts":[[2024,3,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"109757","DOI":"10.1016\/j.resuscitation.2023.109757","article-title":"Three-year trends in out-of-hospital cardiac arrest across the world: Second report from the International Liaison Committee on Resuscitation (ILCOR)","volume":"186","author":"Nishiyama","year":"2023","journal-title":"Resuscitation"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"105755","DOI":"10.1016\/j.nedt.2023.105755","article-title":"Using real-time device-based visual feedback in CPR recertification programs: A prospective randomised controlled study","volume":"124","author":"Lee","year":"2023","journal-title":"Nurse Educ. Today"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e041917","DOI":"10.1136\/bmjopen-2020-041917","article-title":"Outcomes of out-of-hospital cardiac arrest in Beijing: A 5-year cross-sectional study","volume":"11","author":"Shao","year":"2021","journal-title":"BMJ Open"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1016\/S0140-6736(18)30472-0","article-title":"Out-of-hospital cardiac arrest: Current concepts","volume":"391","author":"Myat","year":"2018","journal-title":"Lancet"},{"key":"ref_5","first-page":"e59144","article-title":"Ultrasonographic Assessment During Cardiopulmonary Resuscitation","volume":"164","author":"Lien","year":"2020","journal-title":"J. Vis. Exp."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1487","DOI":"10.1016\/j.resuscitation.2013.07.020","article-title":"The formula for survival in resuscitation","volume":"84","author":"Soreide","year":"2013","journal-title":"Resuscitation"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.resuscitation.2021.02.009","article-title":"European Resuscitation Council Guidelines 2021: Basic Life Support","volume":"161","author":"Olasveengen","year":"2021","journal-title":"Resuscitation"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"S366","DOI":"10.1161\/CIR.0000000000000916","article-title":"Part 3: Adult Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care","volume":"142","author":"Panchal","year":"2020","journal-title":"Circulation"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.afjem.2023.06.006","article-title":"Accuracy of two-rescuer adult CPR performed by medical registrars at a South African university","volume":"13","author":"Hartslief","year":"2023","journal-title":"Afr. J. Emerg. Med."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Di Mitri, D., Schneider, J., Specht, M., and Drachsler, H. (2019). Detecting Mistakes in CPR Training with Multimodal Data and Neural Networks. Sensors, 19.","DOI":"10.3390\/s19143099"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1037\/a0034752","article-title":"A meta-analysis of the effectiveness of intelligent tutoring systems on college students\u2019 academic learning","volume":"106","author":"Cooper","year":"2014","journal-title":"J. Educ. Psychol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1080\/00461520.2011.611369","article-title":"The relative effectiveness of human tutoring, intelligent tutoring systems, and other tutoring systems","volume":"46","author":"VanLehn","year":"2011","journal-title":"Educ. Psychol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1007\/s00101-011-1909-9","article-title":"Real-time feedback systems for improvement of resuscitation quality","volume":"60","author":"Lukas","year":"2011","journal-title":"Anaesthesist"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Gonzalez-Otero, D.M., Ruiz, J.M., Ruiz de Gauna, S., Gutierrez, J.J., Daya, M., Russell, J.K., Azcarate, I., and Leturiondo, M. (2018). Monitoring chest compression quality during cardiopulmonary resuscitation: Proof-of-concept of a single accelerometer-based feedback algorithm. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0192810"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.jbi.2018.09.014","article-title":"A novel depth estimation algorithm of chest compression for feedback of high-quality cardiopulmonary resuscitation based on a smartwatch","volume":"87","author":"Lu","year":"2018","journal-title":"J. Biomed. Inform."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Engan, K., Hinna, T., Ryen, T., Birkenes, T.S., and Myklebust, H. (2016). Chest compression rate measurement from smartphone video. Biomed. Eng. Online, 15.","DOI":"10.1186\/s12938-016-0218-6"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1016\/j.ajem.2017.09.022","article-title":"Kinect-based real-time audiovisual feedback device improves CPR quality of lower-body-weight rescuers","volume":"36","author":"Wang","year":"2018","journal-title":"Am. J. Emerg. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/j.resuscitation.2012.12.006","article-title":"Motion detection technology as a tool for cardiopulmonary resuscitation (CPR) quality training: A randomised crossover mannequin pilot study","volume":"84","author":"Semeraro","year":"2013","journal-title":"Resuscitation"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Bakshi, I.K. (2023). A Novel Approach and Apparatus for the Measurement and Evaluation of the Quality of Cardiopulmonary Resuscitation. medRxiv.","DOI":"10.1101\/2023.05.29.23290692"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1186\/s40001-019-0369-6","article-title":"The assessment of the kinematics of the rescuer in continuous chest compression during a 10-min simulation of cardiopulmonary resuscitation","volume":"24","author":"Bucki","year":"2019","journal-title":"Eur. J. Med. Res."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"303","DOI":"10.54409\/hod.1150760","article-title":"Determining the effectiveness of cardiopulmonary resuscitation using a manikin","volume":"7","author":"Kizil","year":"2023","journal-title":"Hastan. \u00d6ncesi Derg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"2783","DOI":"10.7150\/ijms.59037","article-title":"Effect of Ambulance Stretcher Bed Height Adjustment on CPR Quality and Rescuer Fatigue in a Laboratory Environment","volume":"18","author":"Ho","year":"2021","journal-title":"Int. J. Med. Sci."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1016\/j.resuscitation.2009.06.002","article-title":"Rescuer fatigue during actual in-hospital cardiopulmonary resuscitation with audiovisual feedback: A prospective multicenter study","volume":"80","author":"Sugerman","year":"2009","journal-title":"Resuscitation"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/s41077-023-00251-6","article-title":"Data-driven resuscitation training using pose estimation","volume":"8","author":"Weiss","year":"2023","journal-title":"Adv. Simul."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.5811\/westjem.2015.9.28167","article-title":"A Simulation-based Randomized Controlled Study of Factors Influencing Chest Compression Depth","volume":"16","author":"Mayrand","year":"2015","journal-title":"West. J. Emerg. Med."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Chen, K.Y., Ko, Y.C., Hsieh, M.J., Chiang, W.C., and Ma, M.H. (2019). Interventions to improve the quality of bystander cardiopulmonary resuscitation: A systematic review. PLoS ONE, 14.","DOI":"10.1371\/journal.pone.0211792"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"400","DOI":"10.15441\/ceem.23.049","article-title":"An expert consensus-based checklist for quality appraisal of educational resources on adult Basic Life Support: A Delphi study","volume":"10","author":"Birkun","year":"2023","journal-title":"Clin. Exp. Emerg. Med."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1186\/s13049-022-01043-z","article-title":"How to evaluate first aid skills after training: A systematic review","volume":"30","author":"Minna","year":"2022","journal-title":"Scand. J. Trauma Resusc. Emerg. Med."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.resuscitation.2019.03.019","article-title":"Associations between cardiopulmonary resuscitation (CPR) knowledge, self-efficacy, training history and willingness to perform CPR and CPR psychomotor skills: A systematic review","volume":"138","author":"Riggs","year":"2019","journal-title":"Resuscitation"},{"key":"ref_30","first-page":"1105","article-title":"A study on the Quality Analysis of CPR Techniques after CPR Simulation Education","volume":"25","author":"Cho","year":"2021","journal-title":"Ann. Rom. Soc. Cell Biol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"19852","DOI":"10.1038\/s41598-023-46862-x","article-title":"Chest compression quality and patient outcomes with the use of a CPR feedback device: A retrospective study","volume":"13","author":"Leo","year":"2023","journal-title":"Sci. Rep."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Lee, H., Kim, J., Joo, S., Na, S.H., Lee, S., Ko, S.B., Lee, J., Oh, S.Y., Ha, E.J., and Ryu, H.G. (2023). The effect of audiovisual feedback of monitor\/defibrillators on percentage of appropriate compression depth and rate during cardiopulmonary resuscitation. BMC Anesthesiol., 23.","DOI":"10.1186\/s12871-023-02304-9"}],"container-title":["Sensors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1424-8220\/24\/7\/2154\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T18:00:44Z","timestamp":1711562444000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1424-8220\/24\/7\/2154"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,27]]},"references-count":32,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2024,4]]}},"alternative-id":["s24072154"],"URL":"https:\/\/doi.org\/10.3390\/s24072154","relation":{},"ISSN":["1424-8220"],"issn-type":[{"value":"1424-8220","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,27]]}}}
