Cardiopulmonary resuscitation training disparities in the United States

Audrey L. Blewer, Said A. Ibrahim, Marion Leary, David Dutwin, Bryan McNally, Monique L. Anderson, Laurie J. Morrison, Tom P. Aufderheide, Mohamud Ramzan Daya, Ahamed H. Idris, Clifton W. Callaway, Peter J. Kudenchuk, Gary M. Vilke, Benjamin S. Abella

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background- Bystander cardiopulmonary resuscitation (CPR) is associated with increased survival from cardiac arrest, yet bystander CPR rates are low in many communities. The overall prevalence of CPR training in the United States and associated individual-level disparities are unknown. We sought to measure the national prevalence of CPR training and hypothesized that older age and lower socioeconomic status would be independently associated with a lower likelihood of CPR training. Methods and Results- We administered a cross-sectional telephone survey to a nationally representative adult sample. We assessed the demographics of individuals trained in CPR within 2 years (currently trained) and those who had been trained in CPR at some point in time (ever trained). The association of CPR training and demographic variables were tested using survey weighted logistic regression. Between September 2015 and November 2015, 9022 individuals completed the survey; 18% reported being currently trained in CPR, and 65% reported training at some point previously. For each year of increased age, the likelihood of being currently CPR trained or ever trained decreased (currently trained: odds ratio, 0.98; 95% CI, 0.97-0.99; P < 0.01; ever trained: OR, 0.99; 95% CI, 0.98-0.99; P=0.04). Furthermore, there was a greater then 4-fold difference in odds of being currently CPR trained from the 30-39 to 70-79 year old age groups (95% CI, 0.10-0.23). Factors associated with a lower likelihood of CPR training were lesser educational attainment and lower household income (P < 0.01 for each of these variables). Conclusions- A minority of respondents reported current training in CPR. Older age, lesser education, and lower income were associated with reduced likelihood of CPR training. These findings illustrate important gaps in US CPR education and suggest the need to develop tailored CPR training efforts to address this variability.

Original languageEnglish (US)
Article numbere006124
JournalJournal of the American Heart Association
Volume6
Issue number5
DOIs
StatePublished - May 1 2017

Fingerprint

Cardiopulmonary Resuscitation
Demography
Education
Heart Arrest
Telephone
Social Class

Keywords

  • Cardiopulmonary resuscitation
  • Education
  • Education surveillance
  • Educational campaigns
  • Sudden cardiac arrest

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Blewer, A. L., Ibrahim, S. A., Leary, M., Dutwin, D., McNally, B., Anderson, M. L., ... Abella, B. S. (2017). Cardiopulmonary resuscitation training disparities in the United States. Journal of the American Heart Association, 6(5), [e006124]. https://doi.org/10.1161/JAHA.117.006124

Cardiopulmonary resuscitation training disparities in the United States. / Blewer, Audrey L.; Ibrahim, Said A.; Leary, Marion; Dutwin, David; McNally, Bryan; Anderson, Monique L.; Morrison, Laurie J.; Aufderheide, Tom P.; Daya, Mohamud Ramzan; Idris, Ahamed H.; Callaway, Clifton W.; Kudenchuk, Peter J.; Vilke, Gary M.; Abella, Benjamin S.

In: Journal of the American Heart Association, Vol. 6, No. 5, e006124, 01.05.2017.

Research output: Contribution to journalArticle

Blewer, AL, Ibrahim, SA, Leary, M, Dutwin, D, McNally, B, Anderson, ML, Morrison, LJ, Aufderheide, TP, Daya, MR, Idris, AH, Callaway, CW, Kudenchuk, PJ, Vilke, GM & Abella, BS 2017, 'Cardiopulmonary resuscitation training disparities in the United States', Journal of the American Heart Association, vol. 6, no. 5, e006124. https://doi.org/10.1161/JAHA.117.006124
Blewer AL, Ibrahim SA, Leary M, Dutwin D, McNally B, Anderson ML et al. Cardiopulmonary resuscitation training disparities in the United States. Journal of the American Heart Association. 2017 May 1;6(5). e006124. https://doi.org/10.1161/JAHA.117.006124
Blewer, Audrey L. ; Ibrahim, Said A. ; Leary, Marion ; Dutwin, David ; McNally, Bryan ; Anderson, Monique L. ; Morrison, Laurie J. ; Aufderheide, Tom P. ; Daya, Mohamud Ramzan ; Idris, Ahamed H. ; Callaway, Clifton W. ; Kudenchuk, Peter J. ; Vilke, Gary M. ; Abella, Benjamin S. / Cardiopulmonary resuscitation training disparities in the United States. In: Journal of the American Heart Association. 2017 ; Vol. 6, No. 5.
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abstract = "Background- Bystander cardiopulmonary resuscitation (CPR) is associated with increased survival from cardiac arrest, yet bystander CPR rates are low in many communities. The overall prevalence of CPR training in the United States and associated individual-level disparities are unknown. We sought to measure the national prevalence of CPR training and hypothesized that older age and lower socioeconomic status would be independently associated with a lower likelihood of CPR training. Methods and Results- We administered a cross-sectional telephone survey to a nationally representative adult sample. We assessed the demographics of individuals trained in CPR within 2 years (currently trained) and those who had been trained in CPR at some point in time (ever trained). The association of CPR training and demographic variables were tested using survey weighted logistic regression. Between September 2015 and November 2015, 9022 individuals completed the survey; 18{\%} reported being currently trained in CPR, and 65{\%} reported training at some point previously. For each year of increased age, the likelihood of being currently CPR trained or ever trained decreased (currently trained: odds ratio, 0.98; 95{\%} CI, 0.97-0.99; P < 0.01; ever trained: OR, 0.99; 95{\%} CI, 0.98-0.99; P=0.04). Furthermore, there was a greater then 4-fold difference in odds of being currently CPR trained from the 30-39 to 70-79 year old age groups (95{\%} CI, 0.10-0.23). Factors associated with a lower likelihood of CPR training were lesser educational attainment and lower household income (P < 0.01 for each of these variables). Conclusions- A minority of respondents reported current training in CPR. Older age, lesser education, and lower income were associated with reduced likelihood of CPR training. These findings illustrate important gaps in US CPR education and suggest the need to develop tailored CPR training efforts to address this variability.",
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AU - Leary, Marion

AU - Dutwin, David

AU - McNally, Bryan

AU - Anderson, Monique L.

AU - Morrison, Laurie J.

AU - Aufderheide, Tom P.

AU - Daya, Mohamud Ramzan

AU - Idris, Ahamed H.

AU - Callaway, Clifton W.

AU - Kudenchuk, Peter J.

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KW - Education

KW - Education surveillance

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KW - Sudden cardiac arrest

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