Preview

Russian Sklifosovsky Journal "Emergency Medical Care"

Advanced search

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

https://doi.org/10.23934/2223-9022-2018-7-4-311-318

Abstract

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.

About the Authors

A. A. Birkun
Medical Academy named after S.I. Georgievsky of V.I. Vernadsky Crimean Federal University
Russian Federation

Birkun Aleksei Alekseevich - Cand. Med. Sci., Assistant Professor of the Department of Anaesthesiology

5/7 Lenin blvd, Simferopol 295051


Y. A. Kosova
Taurida Academy of V.I. Vernadsky Crimean Federal University
Russian Federation

Kosova Yekaterina Alekseevna - Cand. Ped. Sci., Associate Professor of the Department of Applied Mathematics.

4 Prospect Vernadskogo, Simferopol 295007



References

1. Go A.S., Mozaffarian D., Roger V.L., et al. Heart disease and stroke statistics-2014 update: a report from the American Heart Association. Circulation. 2014; 129(3): e28-e292. PMID: 24352519. DOI: 10.1161/01.cir.0000441139.02102.80.

2. Ong M.E., Shin S.D., De Souza N.N., et al. Outcomes for out-of-hospital cardiac arrests across 7 countries in Asia: The Pan Asian Resuscitation Outcomes Study (PAROS). Resuscitation. 2015; 96: 100-108. PMID: 26234891. DOI: 10.1016/j.resuscitation.2015.07.026

3. Grasner J.T., Lefering R., Koster R.W., et al. EuReCa ONE-27 Nations, ONE Europe, ONE Registry: A prospective one month analysis of out-ofhospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation. 2016; 105: 188-195. PMID: 27321577. DOI: 10.1016/j.resuscitation.2016.06.004.

4. Sasson C., Rogers M.A.M., Dahl J., Kellermann A.L. Predictors of survival from out-of-hospital cardiac arrest: a systematic review and metaanalysis. Circulation: Cardiovascular Quality and Outcomes. 2010; 3(1): 63-81. PMID: 20123673. DOI: 10.1161/CIRCOUTCOMES.109.889576.

5. Larsen M.P., Eisenberg M.S., Cummins R.O., Hallstrom A.P. Predicting survival from out-of-hospital cardiac arrest: a graphic model. Ann Emerg Med. 1993; 22(11): 1652-1658. PMID: 8214853.

6. Holmberg M., Holmberg S., Herlitz J. Effect of bystander cardiopulmonary resuscitation in out-of-hospital cardiac arrest patients in Sweden. Resuscitation. 2000; 47(1): 59-70. PMID: 11004382.

7. Chen M., Wang Y., Li X., et al. Public Knowledge and Attitudes towards Bystander Cardiopulmonary Resuscitation in China. Biomed Res Int. 2017; 2017: 3250485. DOI: 10.1155/2017/3250485.

8. Shumatov V.B., Kuznetsov V.V., Lebedev S.V. Effective cardio-pulmonary resuscitation on pre-hospital stage: basic elements, experience of introduction. Tikhookeanskiy meditsinskiy zhurnal. 2006; (1): 81-84. (In Russian)

9. Milin V.A., Ivanova A.A. Experience of the heart resuscitation at the pre-hospital stage. Tikhookeanskiy meditsinskiy zhurnal. 2007; (1): 90-91. (In Russian).

10. Gnezdilov V.V. The comparative analysis of the resuscitation efficiency (ACLS-2000 and ACLS-2005) on pre-hospital stage. Tikhookeanskiy meditsinskiy zhurnal. 2008; (1): 85-86. (In Russain).

11. Birkun A.A., Glotov M.A. Epidemiological features of out-of-hospital cardiac arrest: evidence from particular administrative centre in Russian Federation. Anesteziologiya i reanimatologiya. 2017; (2): 113-117. (In Russian).

12. Lysenko K.I., Dezhurnyy L.I., Baturin D.I., Tishkov E.A. Issues of first aid and resuscitation training in non-physicians. Anesteziologiya i reanimatologiya. 2011; (5): 76-78. (In Russian).

13. Lysenko K.I., Dezhurnyy L.I., Neudakhin G.V. Scientific approach to establishing system of providing first aid care in the Russian Federation. VestnikRAMN. 2012; (3): 10-14. (In Russian).

14. Dezhurnyy L.I., Boyarintsev V.V., Neudakhin G.V. The system of first aid in the russian federation and its interaction with the emergency services. Skoraya meditsinskaya pomoshch’. 2013; (2): 44-50. (In Russian).

15. Office of the Federal State Statistics Service of the Republic of Crimea and the city of Sevastopol. Official statistics. Republic of Crimea. Population. Available at: http://crimea.gks.ru/wps/wcm/connect/rosstat_ts/crimea/ru/statistics/stat_Crimea/populatio/ (Accessed 30 Mar 2018).

16. Office of the Federal State Statistics Service of the Republic of Crimea and the city of Sevastopol. Official statistics. Republic of Crimea. Population. Available at: http://crimea.gks.ru/wps/wcm/connect/rosstat_ts/crimea/ru/statistics/stat_Seva/population/ (Accessed 30 Mar 2018).

17. Mogil’chak E.L. Selective method in empirical sociological research. Yekaterinburg: Izd-vo Ural’skogo universiteta Publ., 2015. 120 p. (In Russian).

18. Kuramoto N., Morimoto T., Kubota Y., et al. Public perception of and willingness to perform bystander CPR in Japan. Resuscitation. 2008; 79(3): 475-481. PMID: 18805615. DOI: 10.1016/j.resuscitation.2008.07.005.

19. Urban J., Thode H., Stapleton E., Singer A.J. Current knowledge of and willingness to perform Hands-Only CPR in laypersons. Resuscitation. 2013; 84(11): 1574-1578. PMID: 23619739. DOI: 10.1016/j.resuscitation.2013.04.014.

20. Perkins G.D., Handley A.J., Koster R.W., et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015; 95: 81-99. PMID: 26477420. DOI: 10.1016/j.resuscitation.2015.07.015.

21. Greif R., Lockey A.S., Conaghan P., et al. European Resuscitation Council Guidelines for Resuscitation 2015: Section 10. Education and implementation of resuscitation. Resuscitation. 2015; 95: 288-301. PMID: 26477418. DOI: 10.1016/j.resuscitation.2015.07.032.

22. Axelsson A.B., Herlitz J., Holmberg S., Thoren A.B. A nationwide survey of CPR training in Sweden: Foreign born and unemployed are not reached by training programmes. Resuscitation. 2006; 70(1): 90-97. PMID: 16757090. DOI: 10.1016/j.resuscitation.2005.11.009.

23. Jennings S., Hara T.O., Cavanagh B., Bennett K. A national survey of prevalence of cardiopulmonary resuscitation training and knowledge of the emergency number in Ireland. Resuscitation. 2009; 80(9): 1039-1042. PMID: 19586705. DOI: 10.1016/j.resuscitation.2009.05.023.

24. Rajapakse R., Noc M., Kersnik J. Public knowledge of cardiopulmonary resuscitation in Republic of Slovenia. Wiener Klinische Wochenschrif. 2010; 122(23-24): 667-672. PMID: 21132393. DOI: 10.1007/s00508-010-1489-8.

25. Dezhurnyy L.I. Scientific substantiation and development of the system of medical and organizational measures of first aid for injuries and emergency conditions at the prehospital stage: Dr. med. sci. diss. Voronezh, 2006.


Review

For citations:


Birkun A.A., Kosova Y.A. Public Opinion on Community Basic Cardiopulmonary Resuscitation Training: a Survey of Inhabitants of the Crimean Peninsula. Russian Sklifosovsky Journal "Emergency Medical Care". 2018;7(4):311-318. https://doi.org/10.23934/2223-9022-2018-7-4-311-318

Views: 1044


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2223-9022 (Print)
ISSN 2541-8017 (Online)