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Public knowledge of cardiopulmonary resuscitation in Republic of Slovenia

Allgemeinwissen über kardio-pulmonale-Reanimation (CPR) in der Republik Slowenien

Zusammenfassung

ZIEL DER STUDIE: In der Republik Slowenien wird von Laien bei einem Herz-Kreislauf-Stillstand selten mit der Reanimation begonnen. Ziel der Studie war es, das Wissen der Bevölkerung über notwendige Maßnahmen bei einer Kardio-Pulmonalen-Reanimation (CPR) zu erheben. METHODEN: Es wurde eine zufallsgesteuerte Telefonbefragung mit Hilfe von »CATI« (»computer assisted telephone interview«) durchgeführt (n = 500). Abgefragt wurden demografische Parameter, das Wissen über Erkennen und richtiges Verhalten bei einem Herz-Kreislauf-Stillstand, praktische Erfahrungen in der Reanimation (z.B. durch Training, Kurse), sowie Kenntnis der Notrufnummer. ERGEBNIS: 70% der 500 Befragten gaben an Schulungen über CPR absolviert zu haben, wobei bei 80% die letzte Schulung mehr als 10 Jahre zurücklag. Weniger als die Hälfte der Befragten wusste, dass die CPR aus Beatmung (47%) und Herzdruckmassage (45%) besteht. Personen die einmal eine Schulung absolviert hatten, gaben doppelt so häufig die richtige Antwort an. Das detaillierte Wissen über die CPR war sehr mangelhaft. Nur 1% der Befragten gaben den Rhythmus der Herzdruckmassage korrekt an, 2% kannten das Verhältnis zwischen Herzdruckmassage und Beatmung für Erwachsene und nur 3 von 500 Befragten beantworteten beide Fragen richtig (<1%). Position und Krafteinsatz bei der Herzdruckmassage wurde von 38% bzw. 13% der Befragten korrekt angegeben. Geschulte Personen konnten diese Fragen deutlich besser beantworten. SCHLUSSFOLGERUNG: In der slowenischen Bevölkerung sind die Sofortmaßnahmen bei einem Herz-Kreislauf-Stillstand nur wenig bekannt. Geschulte Laien haben ein signifikant höheres Wissen über lebensrettende Sofortmaßnahmen (CPR). Breit angelegte Schulungsmaßnahmen sind notwendig um die derzeitige Situation zu verbessern.

Summary

AIM: In a case of cardiac arrest lay people in Republic of Slovenia rarely start basic life support procedures. The aim of this study was to determine the extent of knowledge about and attitude towards cardiopulmonary resuscitation in lay population. METHOD: A cross-sectional telephone survey using computer-assisted telephone interview method was performed in August and September 2006. Questionnaire contained sections regarding participant demographics, knowledge of cardiac arrest signs and of cardiopulmonary resuscitation procedures (CPR), previous courses of CPR training, and the awareness of emergency phone contact number. RESULTS: We interviewed 500 subjects. Nearly 70% of subjects had attended courses on CPR, but nearly 80% of them did so more than 10 years ago. Less than half of the subjects knew that CPR include rescue breathing (47%) and chest compressions (44.6%). Subjects who passed training on CPR knew that twice more often (p < 0.001). Knowledge on resuscitation skills was generally poor. Only 1.2% knew the rate of chest compressions, 2.2% knew the correct compressions-to-ventilations ratio in adult CPR, and only 3 out of 500 subjects (0.6%) knew both. Correct site and correct strength for chest compressions were stated in 37.6 % and 13.0 %, respectively. Both the correct site and the correct strength were stated more often in CPR-trained group (p = 0.002 and p = 0.02, respectively). CONCLUSION: Lay public in Republic of Slovenia has poor knowledge on CPR. Knowledge is better in trained versus untrained individuals. Educational campaign in the community would improve response to cardiac emergencies.

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References

  • Cummins RO, Chamberlain DA, Abramson NS, et al. Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest: the Utstein Style. A statement for health professionals from a task force of the American Heart Association, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, and the Australian Resuscitation Council. Circulation. 1991;84:960–75

    CAS  PubMed  Google Scholar 

  • Herlitz J, Eek M, Holmberg M, Engdahl J, Holmberg S. Characteristics and outcome among patients having out of hospital cardiac arrest at home compared with elsewhere. Heart 2002;88:579–82

    CAS  Article  PubMed  Google Scholar 

  • Rajapakse R, Oblak Piltaver N, Zelinka M, Kastelec D. Analiza kardiopulmonalnih reanimacij PHE Ljubljana 1999–2000 (Out-of-hospital cardiac arrest in Ljubljana region in 1999–2000 : factors associated with survival). In: Bručan A, Gričar M, editors. Urgentna medicina, izbrana poglavja 7. Portorož 2001;7:187–91

  • Grmec Š, Križmanič M, Mally Š, Koželj A, Špindler M, Lešnik B. Utstein style analysis of out-of-hospital cardiac arrest – Bystander CPR and end expired carbon dioxide. Resuscitation 2007;72:404–14

    Article  PubMed  Google Scholar 

  • Noč M, Tadel Š, Aplenc P, Bručan A, Horvat M. Preživetje bolnikov z zastojem srca izven bolnišnice v Ljubljani. In Bručan A, Gričar M, editors. Urgentna medicina, izbrana poglavja 3. Portorož 1997;3:123–9

  • Tadel Š, Horvat M, Noč M. Treatment of out-of-hospital cardiac arrest in Ljubljana: outcome report according to the Utstein style. Resuscitation 1998;38:169–76

    CAS  Article  PubMed  Google Scholar 

  • Kuisma M, Maatta T. Out-of-hospital cardiac arrests in Helsinki: Utstein style reporting. Heart 1996;76:18–23

    CAS  Article  PubMed  Google Scholar 

  • Kentsch M, Schlichting H, Mathes N, Rodemerk U, Ittel TH. Out-of-hospital cardiac arrest in north-east Germany: increased resuscitation efforts and improved survival. Resuscitation 2000;43:177–83

    CAS  Article  PubMed  Google Scholar 

  • Skogvoll E, Sangolt GK, Isern E, Gisvold SE. Out-of-hospital cardiopulmonary resuscitation: a population-based Norwegian study of incidence and survival. Eur J Emerg Med 1999;6:323–30

    CAS  PubMed  Google Scholar 

  • Marenco JP, Wang PJ, Link MS, Homoud MK, Estes NA. Improving survival from sudden cardiac arrest: the role of the automated external defibrillator. JAMA 2001;285:1193–200

    CAS  Article  PubMed  Google Scholar 

  • Brinsfield KH, Serino RA, Sullivan L, Murphy GW, Moyer PH. Increasing AED providers: increasing Utstein cardiac arrest survival. Acad Emerg Med 2001;8:431–42

    Google Scholar 

  • American Heart Association in collaboration with International Liaison Committee on Resuscitation. Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2000;102[suppl]:I1–384

    Google Scholar 

  • European Resuscitation Council Guidelines 2000 for Adult Basic Life Support. Resuscitation 2001;48:199–205

    Google Scholar 

  • American Heart Association 2005 international consensus on cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC) science with treatment recommendations. Circulation 2005;112[Suppl I]:III-1–136

    Google Scholar 

  • European Resuscitation Council: Guidelines for resuscitation. Resuscitation 2005;67:S1–189

    Article  Google Scholar 

  • Jelinek, GA, Gennat H, Celenza T, O'Brien D, Jacobs I, Lynch D. Community attitudes towards performing cardiopulmonary resuscitation in Western Australia. Resuscitation 2001;51:239–46

    CAS  Article  PubMed  Google Scholar 

  • Larsen P, Pearson J, Galletly D. Knowledge and attitudes towards cardiopulmonary resuscitation in the community. N Z Med J 2004;117:U870

    PubMed  Google Scholar 

  • Smith KL, Cameron PA, McR Meyer AD, McNeil JJ. Is the public equipped to act in out of hospital cardiac emergencies? Emerg Med J 2003;20:85–7

    CAS  Article  PubMed  Google Scholar 

  • Bury G, Murphy AW, Power R, Daly S, Sissons L, Rothwell J. Resuscitation skills among the general public in Dublin. Ir Med J 1990;83:119–20

    CAS  PubMed  Google Scholar 

  • Celenza T, Gennat HC, O'Brien D, Jacobs IG, Lynch DM, Jelinek GA. Community competence in cardiopulmonary resuscitation. Resuscitation 2002;55:157–65

    Article  PubMed  Google Scholar 

  • Cheung BMY, Ho C, Kou KO, et al. Knowledge of cardiopulmonary resuscitation among the public in Hong Kong: telephone questionnaire survey. Hong Kong Med J 2003;9:323–28

    CAS  PubMed  Google Scholar 

  • Rowe BH, Shuster M, Zambon S, et al. Preparation, attitudes and behaviour in nonhospital cardiac emergencies: evaluating a community's readiness to act. Can J Cardiol 1998;14:371–7

    CAS  PubMed  Google Scholar 

  • Klemenc-Ketis Z, Kersnik J, Grmec S. The effect of carbon dioxide on near-death experiences in out-of-hospital cardiac arrest survivors: a prospective observational study. Crit care 2010;14:R56

    Article  PubMed  Google Scholar 

  • Clark MJ, Enraght-Moony E, Balanda KP, Lynch M, Tighe T, FitzGerald G. Knowledge of the national emergency telephone number and prevalence and characteristics of those trained in CPR in Queensland: baseline information for targeted training interventions. Resuscitation 2002;53:63–9

    Article  PubMed  Google Scholar 

  • Chamberlain D, Smith A, Colquhoun M, et al. Randomised controlled trials of staged teaching for basic life support. 2: Comparison of CPR performance and skill retention using either staged instruction or conventional training. Resuscitation 2001;50:27–37

    CAS  Article  PubMed  Google Scholar 

  • Isbye DL, Rasmussen LS, Lippert FK, Rudolph SF, Ringsted CV. Laypersons may learn basic life support in 24 min using a personal resuscitation manikin. Resuscitation 2006;69:435–42

    Article  PubMed  Google Scholar 

  • Einspruch EL, Lynch B, Aufderheide TP, Nichol G, Becker LB. Retention of CPR skills learned in a traditional AHA Heartsaver course versus 30-min video self-training: a controlled randomized study. Resuscitation 2007;74:476–86

    Article  PubMed  Google Scholar 

  • Eisenburger P, Safar P. Life supporting first aid training of the public – review and recommendations. Resuscitation 1999:41:3–18

    CAS  Article  PubMed  Google Scholar 

  • Ewy GA. Cardiocerebral resuscitation: the new cardiopulmonary resuscitation. Circulation 2005;111;2134–42

    Article  PubMed  Google Scholar 

  • Kellum MJ, Kennedy KW, Barney R, et al. Cardiocerebral resuscitation improves neurologically intact survival of patients with out-of-hospital cardiac arrest. Ann Emerg Med 2008;52:244–52

    Article  PubMed  Google Scholar 

  • Ewy GA. New concepts of cardiopulmonary resuscitation for the lay public: continous-chest compression CPR. Circulation 2007;116:e566–8

    Article  PubMed  Google Scholar 

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Correspondence to Renata Rajapakse.

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Rajapakse, R., Noč, M. & Kersnik, J. Public knowledge of cardiopulmonary resuscitation in Republic of Slovenia. Wien Klin Wochenschr 122, 667–672 (2010). https://doi.org/10.1007/s00508-010-1489-8

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Keywords

  • Heart arrest
  • Cardiopulmonary resuscitation
  • Health knowledge
  • Eastern Europe
  • Emergency medicine
  • Emergency medical services