Global prevalence of basic life support training: A systematic review and meta-analysis.

Autor: Ng TP; Yong Loo Lin School of Medicine, National University of Singapore, Singapore., Eng SW; Yong Loo Lin School of Medicine, National University of Singapore, Singapore., Ting JXR; Yong Loo Lin School of Medicine, National University of Singapore, Singapore., Bok C; Yong Loo Lin School of Medicine, National University of Singapore, Singapore., Tay GYH; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore., Kong SYJ; Strategic Research, Laerdal Medical, Norway., Stassen W; Division of Emergency Medicine, University of Cape Town, South Africa., Zhang L; Department of Epidemiology and Biostatistics, Shanghai Jiao Tong University School of Public Health, China., de Kleijn DPV; Department of Vascular Surgery (G04129), UMC Utrecht, The Netherlands., Ong MEH; Department of Emergency Medicine, Singapore General Hospital, Singapore; Pre-hospital and Emergency Research Center, Duke-NUS Medical School, Singapore., Blewer AL; Pre-hospital and Emergency Research Center, Duke-NUS Medical School, Singapore; Department of Family Medicine and Community Health, Duke University School of Medicine, USA; Department of Population Health Sciences, Duke University School of Medicine, USA., Yeo JW; Yong Loo Lin School of Medicine, National University of Singapore, Singapore., Ho AFW; Department of Emergency Medicine, Singapore General Hospital, Singapore; Pre-hospital and Emergency Research Center, Duke-NUS Medical School, Singapore. Electronic address: andrew.ho@duke-nus.edu.sg.
Jazyk: angličtina
Zdroj: Resuscitation [Resuscitation] 2023 May; Vol. 186, pp. 109771. Date of Electronic Publication: 2023 Mar 18.
DOI: 10.1016/j.resuscitation.2023.109771
Abstrakt: Background and Aims: Out-of-hospital cardiac arrest exerts a large disease burden, which may be mitigated by bystander cardiopulmonary resuscitation and automated external defibrillation. We aimed to estimate the global prevalence and distribution of bystander training among laypersons, which are poorly understood, and to identify their determinants.
Methods: We searched electronic databases for cross-sectional studies reporting the prevalence of bystander training from representative population samples. Pooled prevalence was calculated using random-effects models. Key outcome was cardiopulmonary resuscitation training (training within two-years and those who were ever trained). We explored determinants of interest using subgroup analysis and meta-regression.
Results: 29 studies were included, representing 53,397 laypersons. Among national studies, the prevalence of cardiopulmonary resuscitation training within two-years and among those who were ever trained, and automated external defibrillator training was 10.02% (95% CI 6.60 -14.05), 42.04% (95% CI 30.98-53.28) and 21.08% (95% CI 10.16-34.66) respectively. Subgroup analyses by continent revealed pooled prevalence estimates of 31.58% (95%CI 18.70-46.09), 58.78% (95%CI 42.41-74.21), 18.93 (95%CI 0.00-62.94), 64.97% (95%CI 64.00-65.93), and 50.56% (95%CI 47.57-53.54) in Asia, Europe, Middle East, North America, and Oceania respectively, with significant subgroup differences (p < 0.01). A country's income and cardiopulmonary resuscitation training (ever trained) (p = 0.033) were positively correlated. Similarly, this prevalence was higher among the highly educated (p<0.00001).
Conclusions: Large regional variation exists in data availability and bystander training prevalence. Socioeconomic status correlated with prevalence of bystander training, and regional disparities were apparent between continents. Bystander training should be promoted, particularly in Asia, Middle East, and low-income regions. Data availability should be encouraged from under-represented regions.
Competing Interests: Conflicts of Interest So Yeon Joyce Kong is an employee of Laerdal Medical, but has no conflict of interest. Dr. Audrey L. Blewer declares research funding through grants from the National Institutes of Health and the Laerdal Medical Foundation. Lin Zhang declares research project support through the Laerdal Medical Foundation.
(Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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