Abstract 123: Survey Analysis of a Statewide CPR Initiative: Willingness in Comparison to Median Income and Training
Background: Bystander CPR is provided in ~25% of out of hospital cardiac arrests in the US. To improve this low rate, the Save Hearts in Arizona Registry & Education program has initiated a multifaceted, statewide public chest compression only (CCO) CPR education campaign. It is unclear whether a statewide CCO-CPR campaign changes the intention of bystanders to perform CPR. It’s further unknown if this initiative affects willingness in populations with lowest survival and CPR performance.
Objective: Evaluate the willingness to perform CPR, in various income demographics, following a statewide CPR intervention.
Methods: Adult Arizona residents were surveyed at an academic medical center regarding performing CPR. They were asked their attitudes and feelings concerning performing CPR on strangers and family. Demographics were collected including age, gender, education, race and zip code which was used to incorporate census data for median income (separated as quartiles). Inclusion criteria were Arizona residents, age >18, and missing < 10% of survey data. CPR training was defined as CCO or formal CPR training.
Results: Total of 1302 surveys were collected with a final population of 1163. Mean age was 40 yo (95% CI: 38.8, 40.5) with 44% males (95% CI: 41, 47). Willingness to perform CCO-CPR on strangers or family was high at 84% and 92%, respectively. However, when evaluated against median income, individuals in the lower income quartiles were less likely to perform CPR compared to higher quartiles for both strangers (77%; 95% CI 73, 82; P = 0.003) and family (90%; 95% CI 87, 94; P = 0.025). In these lower quartiles, a third as many individuals received training in CPR compared to the higher quartiles (p <0.001). Logistic regression analysis is being completed to evaluate this association in relation to race, education and other confounders.
Conclusion: Public CPR interventions are effective in improving the willingness of bystanders to perform CPR. It is possible that CCO initiatives are not reaching the lowest quartile income populations which often have the lowest bystander CPR rates and highest mortality. Future CPR initiatives should be tailored to populations with highest mortality and who may not currently be receiving standard teaching initiatives.
Author Disclosures: A.R. Panchal: None. B.D. Panchal: None. J. Stephens: None. L. Goldberg: None. A.B. Sanders: None.
- © 2014 by American Heart Association, Inc.