+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Community-Wide Dissemination of Bystander Cardiopulmonary Resuscitation and Automated External Defibrillator Use Using a 45-Minute Chest Compression-Only Cardiopulmonary Resuscitation Training



Community-Wide Dissemination of Bystander Cardiopulmonary Resuscitation and Automated External Defibrillator Use Using a 45-Minute Chest Compression-Only Cardiopulmonary Resuscitation Training



Journal of the American Heart Association 8(1): E009436



Background Little is known about whether cardiopulmonary resuscitation ( CPR ) training can increase bystander CPR in the community or the appropriate target number of CPR trainings. Herein, we aimed to demonstrate community-wide aggressive dissemination of CPR training and evaluate temporal trends in bystander CPR . Methods and Results We provided CPR training (45-minute chest compression-only CPR plus automated external defibrillator use training or the conventional CPR training), targeting 16% of residents. All emergency medical service-treated out-of-hospital cardiac arrests of medical origin were included. Data on patients experiencing out-of-hospital cardiac arrest and bystander CPR quality were prospectively collected from September 2010 to December 2015. The primary outcome was the proportion of high-quality bystander CPR . During the study period, 57 173 residents (14.7%) completed the chest compression-only CPR training and 32 423 (8.3%) completed conventional CPR training. The proportion of bystander CPR performed did not change (from 43.3% in 2010 to 42.0% in 2015; P for trend=0.915), but the proportion of high-quality bystander CPR delivery increased from 11.7% in 2010 to 20.7% in 2015 ( P for trend=0.015). The 1-year increment was associated with high-quality bystander CPR (adjusted odds ratio, 1.461; 95% CI, 1.055-2.024). Bystanders who previously experienced CPR training were 3.432 times (95% CI, 1.170-10.071) more likely to perform high-quality CPR than those who did not. Conclusions We trained 23.0% of the residents in the medium-sized city of Osaka, Japan, and demonstrated that the proportion of high-quality CPR performed on the scene increased gradually, whereas that of bystander CPR delivered overall remained stable.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 066062460

Download citation: RISBibTeXText

PMID: 30612478

DOI: 10.1161/jaha.118.009436


Related references

Cardiopulmonary resuscitation alone vs. cardiopulmonary resuscitation plus automated external defibrillator use by non-healthcare professionals: a meta-analysis on 1583 cases of out-of-hospital cardiac arrest. Resuscitation 76(2): 226-232, 2008

A patient with commotio cordis successfully resuscitated by bystander cardiopulmonary resuscitation and automated external defibrillator. Hong Kong Medical Journal 16(5): 403-405, 2010

Innovative cardiopulmonary resuscitation and automated external defibrillator programs in schools: Results from the Student Program for Olympic Resuscitation Training in Schools (SPORTS) study. Resuscitation 104: 46-52, 2016

Training program on cardiopulmonary resuscitation with the use of automated external defibrillator in a university. Revista Gaucha de Enfermagem 33(1): 191-194, 2016

What Do Adolescents Learn from a 50 Minute Cardiopulmonary Resuscitation/Automated External Defibrillator Education in a Rural Area: A Pre-Post Design. International Journal of Environmental Research and Public Health 16(6):, 2019

Out-of-hospital cardiac arrests occurring in southern Ontario health care clinics: bystander cardiopulmonary resuscitation and automated external defibrillator use. Canadian Family Physician Medecin de Famille Canadien 56(6): E213, 2010

Effects between chest-compression-only cardiopulmonary resuscitation and standard cardiopulmonary resuscitation for patients with out-of-hospital cardiac arrest: a Meta-analysis. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 30(11): 1017-1023, 2018

Nationwide study confirms that chest compression-only cardiopulmonary resuscitation is as effective as conventional cardiopulmonary resuscitation for witnessed out-of-hospital cardiac arrest. Resuscitation 82(1): 1-2, 2011

Chest compression alone cardiopulmonary resuscitation is associated with better long-term survival compared with standard cardiopulmonary resuscitation. Circulation 127(4): 435-441, 2013

Does active chest compression-decompression cardiopulmonary resuscitation decrease mortality, neurologic impairment, or cardiopulmonary resuscitation-related complications after cardiac arrest?. Annals of Emergency Medicine 64(2): 190-191, 2014

Learning cardiopulmonary resuscitation using conventional external cardiac massage or active compression-decompression in simulated cardiopulmonary resuscitation. Revista Espanola de Anestesiologia y Reanimacion 46(5): 186-190, 1999

Reducing barriers for implementation of bystander-initiated cardiopulmonary resuscitation: a scientific statement from the American Heart Association for healthcare providers, policymakers, and community leaders regarding the effectiveness of cardiopulmonary resuscitation. Circulation 117(5): 704-709, 2008

Innovation Research: A Novel, Simplified, Multifunction and Low-Cost Basic Life Support Training Device for Cardiopulmonary Resuscitation and Automated External Defibrillator Training in a Developing Country. Annals of Emergency Medicine 72(4): S19-S20, 2018

"Booster" training: evaluation of instructor-led bedside cardiopulmonary resuscitation skill training and automated corrective feedback to improve cardiopulmonary resuscitation compliance of Pediatric Basic Life Support providers during simulated cardiac arrest. Pediatric Critical Care Medicine 12(3): E116, 2011

Chest-compression-only bystander cardiopulmonary resuscitation in the 30:2 compression-to-ventilation ratio era. Nationwide observational study. Circulation Journal 77(11): 2742-2750, 2014