Clin Exp Emerg Med.  2021 Dec;8(4):255-267. 10.15441/ceem.21.066.

Global prevalence of cardiopulmonary resuscitation training among the general public: a scoping review

Affiliations
  • 1Department of General Surgery, Anesthesiology, Resuscitation and Emergency Medicine, Medical Academy named after S. I. Georgievsky of V. I. Vernadsky Crimean Federal University, Simferopol, Russia
  • 2Department of Emergency, Government Multispeciality Hospital Sector-16, Chandigarh, India
  • 3Department of Cardiology, George Eliot Hospital NHS Trust, Nuneaton, United Kingdom

Abstract

A scoping review was conducted to identify, map, and analyze international evidence from studies investigating the prevalence of community cardiopulmonary resuscitation (CPR) training. We searched major bibliographic databases and grey literature for original studies evaluating the prevalence of CPR training in the general population. Studies published from January 2000 to October 2020 were included without language or publication type restrictions. Seventy-three eligible papers reported a total of 61 population-based surveys conducted in 29 countries. More than three-fourths of the surveys were conducted in countries with high-income economies, and none in low-income countries. Over half of the surveys were at a subnational level. Globally, the proportion of laypeople trained in CPR varied greatly (median, 40%). For high-income countries, the median percentage was twice as high as that of upper middle-income countries (50% vs. 23%). The studies used heterogeneous survey methods and reporting patterns. Key methodological aspects were frequently not described. In summary, few studies have assessed CPR training prevalence among the general public. The rates of resuscitation training for the vast majority of countries remain unknown. High heterogeneity of studies precludes a reliable interpretation of the research. International Utstein-style consensus guidelines are needed to inform future research and reporting of public resuscitation training worldwide.

Keyword

Cardiopulmonary resuscitation; Surveys and questionnaires; Education; Population surveillance; Heart arrest
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