Abstract 13591: Cardiopulmonary Resuscitation (CPR) Training Rates in the United States
Introduction: Bystander CPR is a critical step in the out-of-hospital cardiac arrest (OHCA) chain of survival. However, there are currently no published data on CPR training rates across communities in the US.
Methods: County-level CPR training rates were analyzed with annual 2010-2011 CPR training data from the American Heart Association and American Red Cross. Multivariable regression examined geographic and population characteristics (obtained from the Area Resource File and 2010 Decennial Census data) associated with annual CPR training rates at the county level, categorized as tertiles.
Results: CPR training on 12.8 million persons across 3103 US (99% of total) counties were included in the analysis. Training rates varied significantly between counties, with median training rates of 0.38%, 1.84%, and 6.32% among populations in low, middle, and high tertile counties, respectively (Figure). Factors associated with low CPR training rates included counties with higher prevalence of older persons (per 10 yr increase: OR 1.32 [95% CI: 1.07, 1.63]), non-college educated persons (per 5 percentage point (PP) increase: OR 1.29 [1.16, 1.44]), males (per 5 PP increase: OR 1.29 [1.06, 1.58]), rural populations (per 5 PP increase: OR 1.14 [1.11, 1.16]), lower median household income (per $10,000 decrease: OR 1.13 [1.00, 1.28]), blacks (per 5 PP increase: OR 1.09 [1.05, 1.13]), and Hispanics (per 5 PP increase: OR 1.06 [1.02,1.10]).
Conclusions: Wide variation in CPR training exists within the US. The lowest rates of community CPR training were found among counties with high proportions of vulnerable populations (minorities, lower socioeconomic status, non-college educated), rural populations, and men. These data may, in part, explain known geographic disparities in OHCA survival and suggest opportunities for future community intervention.
- © 2012 by American Heart Association, Inc.