Open AccessFactors affecting layperson confidence in performing resuscitation of out‐of‐hospital cardiac arrest patients in J apan
Author(s) -
Sasaki Mie,
Ishikawa Hirono,
Kiuchi Takahiro,
Sakamoto Tetsuya,
Marukawa Seishiro
Publication year - 2015
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.106
Subject(s) - layperson , cardiopulmonary resuscitation , medicine , resuscitation , automated external defibrillator , confidence interval , defibrillation , basic life support , medical emergency , emergency medicine , cardiology , political science , law
Aim Bystander cardiopulmonary resuscitation including automated external defibrillator use increases the chance of survival after out‐of‐hospital cardiac arrest. However, bystanders may be distressed by witnessing out‐of‐hospital cardiac arrest and may hesitate to initiate cardiopulmonary resuscitation. The present study examined factors associated with layperson confidence in carrying out resuscitation of out‐of‐hospital cardiac arrest patients. Methods We carried out a cross‐sectional survey in F ebruary 2012. Laypeople were asked about background characteristics, whether they had performed cardiopulmonary resuscitation, had received cardiopulmonary resuscitation training, were aware of the location of the neighborhood automated external defibrillator, and felt confident in performing resuscitation, and their potential emotional distress if a resuscitation attempt were to prove unsuccessful. Results Participants comprised 4,853 respondents. Of these, 2,372 (49%) had received cardiopulmonary resuscitation training, and 3,607 (74%) knew where the neighborhood automated external defibrillator was located. Confidence in performing chest compressions was reported by 2,667 (55%), confidence in performing rescue breathing by 2,498 (52%), and confidence in using an automated external defibrillator by 2,822 (58%). Potential emotional distress if a resuscitation attempt proved unsuccessful was reported by 4,247 (88%). Multivariate regression analysis showed that having carried out cardiopulmonary resuscitation, having received cardiopulmonary resuscitation training, and awareness of the neighborhood automated external defibrillator location were significantly associated with confidence in performing cardiopulmonary resuscitation. Conclusions Our results suggest that more extensive cardiopulmonary resuscitation training and information regarding neighborhood automated external defibrillator locations may increase layperson confidence in initiating resuscitation.