Abstract 90: Proportion of Citizens Who Are Unwilling to Perform Mouth-to-Mouth Rescue Breathing After Attending Basic Cpr Training Course and Its Characteristics
Background: SOS-KANTO showed that bystander chest compression-only resuscitation (CCR) was the preferable approach to resuscitation for patients with out-of-hospital cardiac arrest, but few clinical studies have focused on citizens who are unwilling to perform mouth-to-mouth rescue breathing.
Methods: We have conducted a basic cardiopulmonary resuscitation (CPR) training course inclusive of AED for citizens according to the CPR guidelines of 2005. After the course, we investigated the proportion of citizens who were unwilling to perform mouth-to-mouth breathing and its characteristics from questionnaires.
Results: Of the 1,863 citizens who received the course, 959 (57.7%) were unwilling to perform mouth-to-mouth breathing (the CCR group) and 695 (41.8%) were able to perform mouth-to-mouth breathing (the conventional CPR group). Significantly lower proportions in the CCR group than the conventional CPR group were the result of knowledge of gasping breathing before the course (39.0% vs. 57.8%, P<0.0001), and the skills to perform head tilt-chin lift maneuvers (69.9% vs. 97.9%, P<0.0001) and AED (87.9% vs. 96.1%, P<0.0001) after the course. Furthermore, in the subgroup of citizens who received the course for the first time, the CCR group was significantly younger than the conventional CPR group (generation 40–49 vs. 80–89 , P=0.0293).
Conclusions: The majority of citizens who received basic CPR training course had the ability to perform AED. However, more than half of the citizens were unwilling to perform mouth-to-mouth breathing. These citizens were younger, and had insufficient knowledge and skills of basic CPR.
- © 2010 by American Heart Association, Inc.