Public awareness and self-efficacy of cardiopulmonary resuscitation in communities and outcomes of out-of-hospital cardiac arrest: A multi-level analysis

Ro, Young Sun; Shin, Sang Do; Song, Kyoung Jun; Hong, Sung Ok; Kim, Young Taek; Lee, Dong Woo; Cho, Sung-Il

doi:10.1016/j.resuscitation.2016.02.004

Cited by 73 publications

(61 citation statements)

References 30 publications

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“…Our results confirm and add to those recently reported from Korea, in which regional variation in CPR rates was also associated with differences in CPR training rates 10. Given that people without CPR training are less likely to provide bystander CPR,17 this finding is important—particularly in our region, as we had not previously identified any unique characteristics of the population in these regions 18.…”

Section: Discussionsupporting

confidence: 90%

“…Recent evidence from 2 studies9, 10 suggests residents in regions of low CPR may have lower rates of CPR training. A study of major CPR providers in the United States found regional variation in attendance at CPR classes over the course of a year, with lower rates seen in regions with lower rates of bystander CPR 9.…”

Section: Introductionmentioning

confidence: 99%

“…A study of major CPR providers in the United States found regional variation in attendance at CPR classes over the course of a year, with lower rates seen in regions with lower rates of bystander CPR 9. Another report from Korea found regional variation in self‐reported CPR training, and again, an association was found between low training rates in regions with lower bystander CPR 10. Given that CPR training is associated with higher willingness11 and likelihood to perform CPR,12 it is possible that a regional variation in CPR training rates exists in our region and may be contributing to the variation seen in bystander CPR rates.…”

Section: Introductionmentioning

confidence: 99%

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Regions With Low Rates of Bystander Cardiopulmonary Resuscitation (CPR) Have Lower Rates of CPR Training in Victoria, Australia

Bray

Straney

Smith

et al. 2017

JAHA

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BackgroundBystander cardiopulmonary resuscitation (CPR) more than doubles the chance of surviving an out‐of‐hospital cardiac arrest. Recent data have shown considerable regional variation in bystander CPR rates across the Australian state of Victoria. This study aims to determine whether there is associated regional variation in rates of CPR training and willingness to perform CPR in these communities.Methods and ResultsWe categorized each Victorian postcode as either a low or high bystander CPR region using data on adult, bystander‐witnessed, out‐of‐hospital cardiac arrests of presumed cardiac etiology (n=7175) from the Victorian Ambulance Cardiac Arrest Registry. We then surveyed adult Victorians (n=404) and compared CPR training data of the respondents from low and high bystander CPR regions. Of the 404 adults surveyed, 223 (55%) resided in regions with low bystander CPR. Compared with respondents from high bystander CPR regions, respondents residing in regions with low bystander CPR had lower rates of CPR training (62% versus 75%, P=0.009) and lower self‐ratings for their overall knowledge of CPR (76% versus 84%, P=0.04). There were no differences between the regions in their reasons for not having undergone CPR training or in their willingness to perform CPR. Rates of survival for bystander‐witnessed, out‐of‐hospital cardiac arrests were significantly lower in low bystander CPR regions (15.7% versus 17.0%, P<0.001).ConclusionsThis study found lower rates of CPR training and lower survival in regions with lower rates of bystander CPR in Victoria, Australia. Targeting these regions with CPR training programs may improve bystander CPR rates and out‐of‐hospital cardiac arrest outcomes.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Regions With Low Rates of Bystander Cardiopulmonary Resuscitation (CPR) Have Lower Rates of CPR Training in Victoria, Australia

Bray

Straney

Smith

et al. 2017

JAHA

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“…those with highest OHCA incidence and lowest bystander CPR) to maximise the effectiveness . Particularly, as these high‐risk regions may also have lower rates of CPR awareness and training as identified by a recent Korean study . Such training is likely to need a multi‐faceted approach.…”

Section: Discussionsupporting

confidence: 80%

“…20 Particularly, as these high-risk regions may also have lower rates of CPR awareness and training as identified by a recent Korean study. 21 Such training is likely to need a multi-faceted approach. Similar to previous reports, 22 reasons for not receiving CPR training in our region include a lack of consideration and time.…”

Section: Discussionmentioning

confidence: 99%

Public cardiopulmonary resuscitation training rates and awareness of hands‐only cardiopulmonary resuscitation: a cross‐sectional survey of Victorians

Bray

Smith

Case

et al. 2017

Emerg Medicine Australasia

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Objectives To provide contemporary Australian data on the public's training in cardiopulmonary resuscitation (CPR) and awareness of hands‐only CPR. Methods A cross‐sectional telephone survey in April 2016 of adult residents of the Australian state of Victoria was conducted. Primary outcomes were rates of CPR training and awareness of hands‐only CPR. Results Of the 404 adults surveyed (mean age 55 ± 17 years, 59% female, 73% metropolitan residents), 274 (68%) had undergone CPR training. Only 50% (n = 201) had heard of hands‐only CPR, with most citing first‐aid courses (41%) and media (36%) as sources of information. Of those who had undergone training, the majority had received training more than 5 years previously (52%) and only 28% had received training or refreshed training in the past 12 months. Most received training in a formal first‐aid class (43%), and received training as a requirement for work (67%). The most common reasons for not having training were: they had never thought about it (59%), did not have time (25%) and did not know where to learn (15%). Compared to standard CPR, a greater proportion of respondents were willing to provide hands‐only CPR for strangers (67% vs 86%, P < 0.001). Conclusion From an Australian perspective, there is still room for improvement in CPR training rates and awareness of hands‐only CPR. Further promotion of hands‐only CPR and self‐instruction (e.g. DVD kits or online) may see further improvements in CPR training and bystander CPR rates.

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Fecal incontinence knowledge, attitudes, and help‐seeking behaviors among community‐dwelling adults in Korea

Joh

Seong

Ahn

2018

Neurourology and Urodynamics

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Public awareness and self-efficacy of cardiopulmonary resuscitation in communities and outcomes of out-of-hospital cardiac arrest: A multi-level analysis

Cited by 73 publications

References 30 publications

Regions With Low Rates of Bystander Cardiopulmonary Resuscitation (CPR) Have Lower Rates of CPR Training in Victoria, Australia

Regions With Low Rates of Bystander Cardiopulmonary Resuscitation (CPR) Have Lower Rates of CPR Training in Victoria, Australia

Public cardiopulmonary resuscitation training rates and awareness of hands‐only cardiopulmonary resuscitation: a cross‐sectional survey of Victorians

Fecal incontinence knowledge, attitudes, and help‐seeking behaviors among community‐dwelling adults in Korea

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