Effects of cardiopulmonary resuscitation with automated external defibrillator training among schoolchildren in Slovenia: A pre- and post-test cohort study

Abstract Introduction A low proportion of bystanders in Slovenia are willing to provide resuscitation to people experiencing cardiac arrest. We measured knowledge acquired after cardiopulmonary resuscitation training among Slovenian children in the final three grades of primary school. Methods This pre- and post-test cohort study included 566 schoolchildren aged 12–15 years. From April to May 2018, we administered a 15-item questionnaire to children in 15 primary schools, to assess the effects of theoretical and practical cardiopulmonary resuscitation training on their knowledge of cardiopulmonary resuscitation at 1–2 months after training. Data were processed using univariate, bivariate, and multivariate analyses. Results A significantly greater level of post-training knowledge was noted in all three equally sized school grade groups (p=0.001). The youngest group (mean age 12.5 years) exhibited the greatest increase in knowledge, with test scores increasing by an average 2.65 (range 0–15) points. Age (p=0.001), body mass index (p=0.037), female sex (p=0.006), and previous resuscitation training (p=0.024) were significant independent predictors of pre-training knowledge level. Sex was the only predictor significantly influencing knowledge levels after training (p=0.002); girls scored up to 0.7 points higher than boys, both before and after training. Conclusions Among Slovenian schoolchildren aged 12–15 years, a significantly improved level of theoretical knowledge was demonstrated after cardiopulmonary resuscitation training. The introduction of cardiopulmonary training may be most effective in children aged 12.5 years (seventh graders). Early, compulsory resuscitation training might reduce social barriers to performing resuscitation, which may eventually translate into better post-cardiac arrest outcomes.

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Effect of cardiopulmonary resuscitation training towards cardiac arrest emergency knowledge upon students at Student Health Association of Universitas Gadjah Mada, Indonesia

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20204217 ◽

2020 ◽

Vol 8 (10) ◽

pp. 3463

Author(s):

Bayu Fandhi Achmad

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Sudden Cardiac Arrest ◽

Emergency Situation ◽

Heart Association ◽

Student Health ◽

Resuscitation Training ◽

Health Association ◽

Post Test ◽

Cpr Training

Background: The cardiovascular disease, especially the sudden cardiac arrest, was the main cause of death and disability throughout the world. The cardiopulmonary resuscitation (CPR) that should be taken by the first responder or witness was an important part in the chain of survival out of the hospital that could improve the prognosis and avoid the rest of the symptoms. Hence, it is important for students to know and possess the skill, especially the cardiopulmonary resuscitation, to handle the emergency situation. University became the appropriate place to organize the CPR training because the students were more conditioned in emotional, social and cultural terms.Methods: This research utilized the quasi-experiment method. The total number of research subject was 56 Universitas Gadjah Mada students at Student Health Association. The implementation of intervention of this research was conducted on 07 July, 2018. The topic in this research intervention were formed based on American Heart Association (AHA) Guideline 2015. Pretest and posttest instrument were 10 multiple choices with five choices of answer.Results: This research proved that the CPR training gave effect on the improvement of the knowledge about emergency situation, particularly the cardiac arrest through cardiopulmonary resuscitation. The pre-test and post-test results showed that there was a knowledge improvement after the training (p=0,000).Conclusions: CPR training could be recommended to have an impact on increasing student knowledge in emergency management, especially cardiac arrest.

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Relationship Between the Duration of Cardiopulmonary Resuscitation and Favorable Neurological Outcomes After Out‐of‐Hospital Cardiac Arrest: A Prospective, Nationwide, Population‐Based Cohort Study

Journal of the American Heart Association ◽

10.1161/jaha.115.002819 ◽

2016 ◽

Vol 5 (3) ◽

Cited By ~ 40

Author(s):

Yoshikazu Goto ◽

Akira Funada ◽

Yumiko Goto

Keyword(s):

Cardiac Arrest ◽

Cohort Study ◽

Cardiopulmonary Resuscitation ◽

Population Based ◽

Neurological Outcomes ◽

Hospital Cardiac Arrest

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Abstract 138: A Before and After Study of Active Compression Decompression Cardiopulmonary Resuscitation With the Impedance Threshold Device in a Large Urban Pre-Hospital System

Circulation ◽

10.1161/circ.138.suppl_2.138 ◽

2018 ◽

Vol 138 (Suppl_2) ◽

Author(s):

Johanna C Moore ◽

Michael Grahl ◽

Tracy Marko ◽

Ariel Blythe-Reske ◽

Amber Lage ◽

...

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Response Time ◽

First Responders ◽

The United States ◽

Threshold Device ◽

Before And After ◽

Mechanical Cpr ◽

Impedance Threshold Device ◽

Before And After Study

Introduction: Active Compression Decompression cardiopulmonary resuscitation with an impedance threshold device (ACD+ITD CPR) is available for use in the United States. However, little is known regarding integration of this CPR system into a large urban prehospital system with short response times, routine use of mechanical CPR and ITD, and transport of patients to cardiac arrest centers. This is an ongoing before and after study of the implementation of ACD+ITD CPR in non-traumatic cardiac arrest cases 6 months pre and post protocol change. Hypothesis: Neurologically intact rates of survival, defined by Cerebral Performance Category (CPC) score of 1 or 2, would be higher post protocol. Methods: Basic life support first responders (n = 420) and paramedics (n = 207) underwent training including didactic and hands-on sessions to learn ACD+ITD CPR. The protocol included ACD+ITD CPR initially, with the option to transition to mechanical CPR at 15 minutes. Demographics, response time, CPR duration, initial rhythm, signs of perfusion during CPR, and return of spontaneous circulation (ROSC) were recorded prospectively by first responders. Chart review was performed to determine survival to hospital admission and CPC score at discharge. Results: Training occurred October 2016 to March 2017, with protocol change on May 1, 2017. Cases from November 2016-April 2017 (n = 136) and May 2017-November 2017 (n= 103) were reviewed. Complete data were available for 128 subjects pre-protocol change (94%) and 96 subjects (94%) post. Age, gender, response time, rhythm, total CPR time, and rates of bystander CPR and witnessed arrest were similar between groups. Post protocol change, 87% (89/102) received ACD+ITD CPR with median ACD+ITD CPR time of 15 minutes (range 2-300). Pre-protocol, 6/128 (4.7%) subjects survived with CPC score 1 or 2, versus 8/96 (13.5%) subjects post (difference 8.8%, 95% CI 1%-17%). ROSC rates were similar (pre: 54/127, 42.5% post: 44/93, 47%, difference 4.8%, 95% CI -8% - 18%) Conclusions: The change in protocol was straightforward with a high rate of adherence of the system for the recommended duration of therapy. Results are suggestive of a higher rate of neurological survival with the routine use of ACD+ITD CPR in a small cardiac arrest patient population.

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Public Opinion on Community Basic Cardiopulmonary Resuscitation Training: a Survey of Inhabitants of the Crimean Peninsula

Russian Sklifosovsky Journal Emergency Medical Care ◽

10.23934/2223-9022-2018-7-4-311-318 ◽

2019 ◽

Vol 7 (4) ◽

pp. 311-318 ◽

Cited By ~ 1

Author(s):

A. A. Birkun ◽

Y. A. Kosova

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Fatal Outcome ◽

Motivation To Learn ◽

Potential Health ◽

Crimean Peninsula ◽

Resuscitation Training ◽

Cpr Training ◽

Hospital Cardiac Arrest ◽

The Crimean Peninsula

Background.The chances of fatal outcome in out-of-hospital cardiac arrest are exceeding 90%. However, the early initiation of bystander cardiopulmonary resuscitation (CPR) substantially improves the probability of survival. The study was aimed to determine the extent of community CPR training, level of CPR knowledge, willingness and motivation to learn CPR among the population of the Crimea.Materials and methods.The representative sample of adult residents of the Crimean Peninsula (n=384) has been surveyed by means of individual structured interview from November 2017 to January 2018. The results were analyzed with social statistics.Results.According to the survey, 53% of respondents were previously trained in CPR. The training was performed mainly (82%) at work, school, college/technical school or university, or when acquiring a driver's license. The majority of females, people over 60, unemployed and retired, widowed and those with monthly income lower than 20,000 roubles are not trained. Of previously trained, 44% respondents attended a single CPR course, 72% were trained more than one year ago, 47% of participants had no previous training in CPR, mostly never thinking about the need to go for training. Being dependent from previous CPR training, the knowledge of CPR is generally poor: the proportions of correct answering as of the proper location and rate of chest compressions were 46% and 4%, respectively. Among the respondents, 56% expressed their willingness to attend CPR training. The main motivating factors to attend CPR training were awareness of importance of CPR training, potential health problems in relatives/friends and free-of-charge training.Conclusion.The Crimean population is insufficiently and non-uniformly trained in CPR, has limited knowledge of CPR and low motivation to learn. In order to increase the commitment of the community to provide first aid in out-of-hospital cardiac arrest, mass CPR training programs should be implemented with active involvement of the least trained and motivated social strata.

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Effects of dispatcher-initiated telephone cardiopulmonary resuscitation after out-of-hospital cardiac arrest: A nationwide, population-based, cohort study

Resuscitation ◽

10.1016/j.resuscitation.2019.08.031 ◽

2019 ◽

Vol 144 ◽

pp. 6-14 ◽

Cited By ~ 3

Author(s):

Keita Shibahashi ◽

Takuto Ishida ◽

Yusuke Kuwahara ◽

Kazuhiro Sugiyama ◽

Yuichi Hamabe

Keyword(s):

Cardiac Arrest ◽

Cohort Study ◽

Cardiopulmonary Resuscitation ◽

Population Based ◽

Telephone Cardiopulmonary Resuscitation ◽

Hospital Cardiac Arrest

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Association between county-level cardiopulmonary resuscitation training and changes in Survival Outcomes after out-of-hospital cardiac arrest over 5 years: A multilevel analysis

Resuscitation ◽

10.1016/j.resuscitation.2019.01.012 ◽

2019 ◽

Vol 139 ◽

pp. 291-298 ◽

Cited By ~ 6

Author(s):

Young Sun Ro ◽

Kyoung Jun Song ◽

Sang Do Shin ◽

Ki Jeong Hong ◽

Jeong Ho Park ◽

...

Keyword(s):

Cardiac Arrest ◽

Cardiopulmonary Resuscitation ◽

Multilevel Analysis ◽

Survival Outcomes ◽

County Level ◽

Resuscitation Training ◽

Hospital Cardiac Arrest

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Cost-effectiveness of extracorporeal cardiopulmonary resuscitation for out-of-hospital cardiac arrest: A multi-centre prospective cohort study

Resuscitation ◽

10.1016/j.resuscitation.2020.10.009 ◽

2020 ◽

Vol 157 ◽

pp. 32-38

Author(s):

Yoshinori Matsuoka ◽

Rei Goto ◽

Takahiro Atsumi ◽

Naoto Morimura ◽

Ken Nagao ◽

...

Keyword(s):

Cardiac Arrest ◽

Cohort Study ◽

Cost Effectiveness ◽

Cardiopulmonary Resuscitation ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Extracorporeal Cardiopulmonary Resuscitation ◽

Hospital Cardiac Arrest

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Pre-hospital advanced airway management for adults with out-of-hospital cardiac arrest: nationwide cohort study

BMJ ◽

10.1136/bmj.l430 ◽

2019 ◽

pp. l430 ◽

Cited By ~ 13

Author(s):

Junichi Izawa ◽

Sho Komukai ◽

Koichiro Gibo ◽

Masashi Okubo ◽

Kosuke Kiyohara ◽

...

Keyword(s):

Cardiac Arrest ◽

Cohort Study ◽

Cardiopulmonary Resuscitation ◽

Time Dependent ◽

Adjusted Risk ◽

Shockable Rhythm ◽

Adjusted Risk Ratio ◽

Advanced Airway ◽

Sequential Matching ◽

Hospital Cardiac Arrest

Abstract Objective To determine survival associated with advanced airway management (AAM) compared with no AAM for adults with out-of-hospital cardiac arrest. Design Cohort study between January 2014 and December 2016. Setting Nationwide, population based registry in Japan (All-Japan Utstein Registry). Participants Consecutive adult patients with out-of-hospital cardiac arrest, separated into two sub-cohorts by their first documented electrocardiographic rhythm: shockable (ventricular fibrillation or pulseless ventricular tachycardia) and non-shockable (pulseless electrical activity or asystole). Patients who received AAM during cardiopulmonary resuscitation were sequentially matched with patients at risk of AAM within the same minute on the basis of time dependent propensity scores. Main outcome measures Survival at one month or at hospital discharge within one month. Results Of the 310 620 patients eligible, 8459 (41.2%) of 20 516 in the shockable cohort and 121 890 (42.0%) of 290 104 in the non-shockable cohort received AAM during cardiopulmonary resuscitation. After time dependent propensity score sequential matching, 16 114 patients in the shockable cohort and 236 042 in the non-shockable cohort were matched at the same minute. In the shockable cohort, survival did not differ between patients with AAM and those with no AAM: 1546/8057 (19.2%) versus 1500/8057 (18.6%) (adjusted risk ratio 1.00, 95% confidence interval 0.93 to 1.07). In the non-shockable cohort, patients with AAM had better survival than those with no AAM: 2696/118 021 (2.3%) versus 2127/118 021 (1.8%) (adjusted risk ratio 1.27, 1.20 to 1.35). Conclusions In the time dependent propensity score sequential matching for out-of-hospital cardiac arrest in adults, AAM was not associated with survival among patients with shockable rhythm, whereas AAM was associated with better survival among patients with non-shockable rhythm.

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