Abstract 11: The Impact of State and National Efforts to Improve Bystander CPR Rates in Arizona
Background: Bystander cardiopulmonary resuscitation (BCPR) has a profound impact on out-of-hospital cardiac arrest (OHCA) survival. In March 2008, the American Heart Association (AHA) released a science advisory statement (SAS) allowing for “Hands-Only” for the public. The trends in the incidence and type of BCPR since the advisory statement remain largely unknown.
Objective: To report the rates and type of BCPR for OHCA before and after the release of the AHA-SAS in a state with a statewide, multi-pronged public education campaign emphasizing compression-only CPR for over 4 years.
Methods: An observational study of 5,405 OHCAs where BCPR was performed between 1/1/05 and 4/6/09. Paramedics recorded compression-only (CC) or conventional CPR (CPR) being performed upon their arrival. Emergency Medical Services (EMS) first care reports (FCRs) were examined as part of a statewide Utstein Style-compliant database.
Intervention: In addition to the AHA-SAS, the Arizona Department of Health initiated a statewide public CPR campaign “Your Hands - Their Heart” designed to increase BCPR. The intervention included the creation of a 9 min. DVD sent to middle and high schools (1800 total) and aired on public access television. The intervention included newspaper articles, radio and television spots, and flyers sent to households in water bills in the largest metropolitan areas.
Statistical analysis: BCPR rates along with 95% Cαonfidence Interval (CI) were calculated by year and compared using Chi-square, α=0.05.
Conclusion: It is feasible for a state health department to track BCPR rates and monitor trends as an important evolution of an OHCA system of care. Early evaluation suggests that the release of the AHA-SAS along with other public interventions has resulted in an overall increase in BCPR rates and a dramatic increase in compression-only CPR.