Abstract 16174: Regions With Low Rates of Bystander CPR Also Have Lower Rates of Residents With CPR Training: A Telephone Survey of Residents in Victoria, Australia
Introduction: Despite the availability of dispatcher cardiopulmonary resuscitation (CPR) instructions, recent data showed variation in bystander CPR rates across the Australian state of Victoria (population 5.79 million). This study aims to determine if there is an associated regional variation in Victorian’s CPR training rates, knowledge and attitudes.
Methods: In April 2015, we conducted a telephone survey of 404 adult Victorians. Using adult bystander witnessed data from the Victorian Cardiac Arrest Registry (VACAR) for the period 2008 to 2015, we calculated smoothed bystander CPR rates for each Victorian postcode (adjusting for temporal trends). The residential postcodes of those surveyed were then categorised as either high or low bystander CPR regions using the smoothed median bystander CPR rate (75.8%). Respondents residing in postcodes with no OHCAs in the study period (n=18), were categorised using the average rates of surrounding postcodes. The telephone survey data was then compared between regions of high and low bystander CPR.
Results: Of the 404 adults surveyed, 223 (55%) resided in regions with low bystander CPR and 260 (68%) were trained in CPR (28% trained in last 12-months). The majority of those without CPR training stated they had never thought about being trained (59%) or cited time as a factor (25%). Respondents residing in regions with high bystander CPR were more likely to have received CPR training (75% vs. 62%, p=0.009) and had higher self-ratings in their overall knowledge of CPR (84% vs. 76%, p=0.04). There was no difference between high and low regions in their reasons for not receiving CPR training or in their willingness to perform either standard or hands-only CPR on family members, children, friends or strangers.
Conclusions: We found lower rates of CPR training in regions with lower rates of bystander CPR. Targeting these regions with awareness of new CPR training methods (e.g. self-instruction) and educational programs may have potential to improve bystander CPR rates.
Author Disclosures: J.E. Bray: Consultant/Advisory Board; Modest; Australian Resuscitation Council (Victorian Branch). L. Straney: None. K. Smith: Employment; Modest; Ambulance Victoria. S. Cartledge: Employment; Modest; Healthcorp, City to Surf First Aid. R. Case: None. S. Bernard: Employment; Modest; Ambulance Victoria. J. Finn: Employment; Modest; St John Ambulance Western Australia. Consultant/Advisory Board; Modest; Australian Resuscitation Council.
- © 2016 by American Heart Association, Inc.