Abstract 19954: Wider Dissemination of CPR Training with Chest Compression-only CPR and Changes in Bystander CPR in a Community
Backgrounds: There have been few suggestions for communities how to train people in cardiopulmonary resuscitation (CPR) and to increase bystander CPR in a community. We developed a simplified 45-min training program of chest compression-only CPR (CCCPR) and have been promoting this short CPR training program in addition to conventional CPR training program.
Objective: The objective of this study is to assess temporal trends in the proportion of bystander CPR and good quality CPR in the target area where we try to disseminate CPR more by use of simplified CPR training program with CCCPR.
Method Design: A community-based intervention trial based on a population-based registry. Main outcome measure: Bystander CPR (chest compression-only and conventional) and good quality CPR among the bystander CPR.
Participants: Citizens in Toyonaka City (population: approximately 380,000). Since Apr. 2010, we have trained for 14.9% of the population CPR (9.2% with CCCPR and 5.7% conventional CPR). Proportion of bystander CPR was calculated using the Utstein-style registry covering all out-of-hospital cardiac arrests (OHCAs) in this area and quality of CPR was reported by use of original report form by the specially trained emergency medical service (EMS) personnel.
Result: During 4 years, there were 877 EMS-treated OHCAs and 429 (48.9%) of them received bystander CPR. Data on quality of CPR was available in 312 (72.7%) among 429 bystander CPR. Proportion of good quality CPR significantly increased from 43% to 63% during the study period (p for trend < 0.001), while the proportion of bystander CPR remained around 50% (Figure).
Conclusion: By use of simplified short training program of chest compression only CPR, we successfully increased good quality CPR by bystanders. However, other approaches would be needed to attain unanimous bystander CPR.
Author Disclosures: T. Iwami: None. T. Kitamura: None. C. Nishiyama: None. T. Shimamoto: None. T. Kawamura: None. S. Marukawa: None. T. Sakamoto: None.
- © 2014 by American Heart Association, Inc.