J Korean Soc Emerg Med.  2017 Aug;28(4):294-301. 10.0000/jksem.2017.28.4.294.

Association of Public CPR Education with Willingness to Perform Bystander CPR: A Metropolitan City Wide Survey

Affiliations
  • 1Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea. realfreeman@hanmail.net
  • 2Department of Preventive Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.
  • 3Department of Emergency Medicine, Daegu Fatima Hospital, Daegu, Korea.

Abstract

PURPOSE
Bystander cardiopulmonary resuscitation (CPR) is an important factor in improving the survival rate and neurologic prognosis for out-of-hospital cardiac arrest patients. Here, we aimed to establish factors related to CPR education, such as timing of education, interval from the most recent education session, and contents, that may influence CPR willingness.
METHODS
In February 2012, an interview survey of 1,000 Daegu citizens was conducted via organized questionnaire, administered by trained interviewers. Subjects were aged 19 years or older and selected by a quota sampling technique. Social and population characteristics, factors related to CPR, and factors related to CPR education, were investigated. The chi-square test and multivariate logistic regression analysis were used to evaluate education-related factors that may affect the willingness to perform CPR.
RESULTS
The adjusted odds ratio (OR) for CPR willingness was 3.38 (95% confidence interval [CI], 2.3-5.0) among the respondents in the didactic plus practice group. The adjusted OR for CPR willingness was 7.68 (95% CI, 3.21-18.35) among the respondents receiving over 4 CPR education sessions. The adjusted OR for CPR willingness, in accordance with the time interval from the last CPR education session, was 4.47 (95% CI, 1.29-15.52) for intervals under 6 months and 3.80 (95% CI, 1.91-7.56) for intervals between 6 months and 1 year. If automated external defibrillator (AED) training was included in CPR education, the adjusted OR for CPR willingness was 5.98 (95% CI, 2.30-15.53).
CONCLUSION
Including practice sessions and AED training in public CPR education, more frequent CPR revision and short time intervals in between CPR education sessions are associated with greater willingness to perform CPR.

Keyword

Cardiac arrest; Cardiopulmonary resuscitation; Education

MeSH Terms

Cardiopulmonary Resuscitation*
Daegu
Defibrillators
Education*
Heart Arrest
Humans
Logistic Models
Odds Ratio
Out-of-Hospital Cardiac Arrest
Population Characteristics
Prognosis
Surveys and Questionnaires
Survival Rate
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