Education in cardiopulmonary resuscitation in Russia: A systematic review of the available evidence

Abstract

BACKGROUND:To summarise and appraise cumulative published scientifi c evidence relevant to cardiopulmonary resuscitation (CPR) education in Russia. DATA RESOURCES:We searched Medline, Scopus, Science Direct and Russian Science Citation Index databases from December 1991 to December 2016 to identify studies pertaining to the fi eld of CPR education that were carried out by Russian researchers and/or investigated the topic of interest for Russia/Russian population. Reference lists of eligible publications, contents pages of relevant Russian journals and Google Scholar were also searched. There was no limitation based on publication language or study design.RESULTS: Of 7 964 unique citations identified, 22 studies were included. All studies were published from 2009 to 2016, mainly in Russian. Only three studies were reported to be randomized controlled. Non-medical individuals constituted 17% of studied populations. Most of the studies aimed to assess effects of CPR educational interventions, generally suggesting positive infl uence of the training conducted. The studies were highly heterogeneous as for methodological approaches, structure and duration of educational interventions, evaluation methods and criteria being used. Methodological quality was generally poor, with >40% publications not passing quality screening and only 2 studies meeting the criteria of moderate high quality. CONCLUSION:The results suggest paucity, low population coverage, high thematic and methodological heterogeneity and low quality of the studies addressing CPR education, which were carried out in the Russian Federation. There is a critical need in conducting methodologically consistent, large-scale, randomized, controlled studies evaluating and comparing efficiency of educational interventions for teaching CPR in different population categories of Russia.

Social attitude and willingness to attend cardiopulmonary resuscitation training and perform resuscitation in the Crimea

“…The educational opportunities for the population are mostly limited to compulsory but low quality CPR training during driver's license acquisition, and occasional CPR courses, apparently not covering all population categories. [29][30][31] Further, there are no local institutions, organizations or authorities regulating or offering CPR training for the Crimean lay public. Recent epidemiologic study in a population of administrative centre of the Crimea revealed the incidence of EMSattended OHCA to be as high as 674 per 100,000 population-year, with less than 3% victims receiving bystander CPR (26.5% of all attempted resuscitations) and a null survival.…”