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Are trained individuals more likely to perform bystander CPR? An observational study
Abstract
Background This study aimed to evaluate the association of cardiopulmonary resuscitation (CPR) training with bystander resuscitation performance and patient outcomes after out-of-hospital cardiac arrest (OHCA). Methods This was a prospective, population-based cohort study of all persons aged 18 years or older with OHCA of presumed intrinsic origin and their rescuers from January through December 2008 in Takatsuki, Osaka prefecture, Japan. Data on resuscitation of OHCA patients were obtained by emergency medical service (EMS) personnel in charge based on the Utstein style. Rescuers' characteristics including experience of CPR training were obtained by EMS personnel interview on the scene. The primary outcome was the attempt of bystander CPR. Results Data were collected for 120 cases out of 170 OHCAs of intrinsic origin. Among the available cases, 60 (50.0%) had previous CPR training (trained rescuer group). The proportion of bystander CPR was significantly higher in the trained rescuer group than in the untrained rescuer group (75.0% and 43.3%; p = 0.001). Bystanders who had previous experience of CPR training were 3.40 times (95% confidence interval 1.31-8.85) more likely to perform CPR compared with those without previous CPR training. The number of patients with neurologically favorable one-month survival was too small to evaluate statistical difference between the groups (2 [3.3%] in the trained rescuer group versus 1 [1.7%] in the untrained rescuer group; p = 0.500). Conc…
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“However, early CPR by trained CPR providers is critical, as the 1-month survival for patients suffering out-of-hospital cardiac arrests is higher if the rescuers are trained in CPR, compared to untrained bystanders [14].”
From Recruiting Medical Students for a First Responder Project in the Social Age: Direct Contact Still Outperforms Social Media (2020) · cites this paper as [14]
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Metadata
- Authors
- Tanigawa, K., Iwami, T., Nishiyama, C., Nonogi, H., & Kawamura, T.
- Affiliations
- Kyoto University (JP)
- Kyoto Prefectural University of Medicine (JP)
- National Cerebral and Cardiovascular Center (JP)
- Corresponding author
- Iwami, Taku
- Venue
- Resuscitation
- Publisher
- Elsevier BV
- Published
- 2011-05
- Volume
- 82
- Issue
- 5
- Pages
- 523-528
- ISSN
- 0300-9572 (ISSN-L)
- OpenAlex
- W2078373667
- Cited by
- 141
- References
- 42
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 13 · 2023: 10 · 2022: 10 · 2021: 13 · 2020: 14 · 2019: 13 · 2018: 8 · 2017: 10 · 2016: 7 · 2015: 16 · 2014: 8 · 2013: 1 · 2012: 7
- FWCI
- 6.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Resuscitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Emergency Medicine › Emergency Medicine Education and Research
- Keywords
- bystander CPR, CPR training, out-of-hospital cardiac arrest, neurologically favorable survival, emergency medical services
- MeSH terms
- Education, Medical, Emergency Medical Services, Emergency Medical Technicians, Female, Humans, Male, Middle Aged, Practice Patterns, Physicians', Prospective Studies, Cardiopulmonary Resuscitation, Out-of-Hospital Cardiac Arrest
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