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Public knowledge and perceptions about cardiopulmonary resuscitation (CPR): Results of a multicenter survey

  • Author Footnotes
    1 15 Michigan St NE 736, Grand Rapids, MI 49503, United States.
    Lindsey Ouellette
    Footnotes
    1 15 Michigan St NE 736, Grand Rapids, MI 49503, United States.
    Affiliations
    Michigan State University College of Human Medicine, Department of Emergency Medicine, Grand Rapids, MI, United States
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  • Author Footnotes
    2 Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Ave, Chicago, IL 60611, United States.
    Amanda Puro
    Footnotes
    2 Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Ave, Chicago, IL 60611, United States.
    Affiliations
    Michigan State University College of Human Medicine, Department of Emergency Medicine, Grand Rapids, MI, United States

    Department of Emergency Medicine, Spectrum Health Hospitals, Grand Rapids, MI, United States
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  • Author Footnotes
    3 C.S. Mott Children's Hospital, 1540 E Hospital Dr., Ann Arbor, MI 48109, United States.
    Jeffrey Weatherhead
    Footnotes
    3 C.S. Mott Children's Hospital, 1540 E Hospital Dr., Ann Arbor, MI 48109, United States.
    Affiliations
    Michigan State University College of Human Medicine, Department of Emergency Medicine, Grand Rapids, MI, United States

    Department of Emergency Medicine, Spectrum Health Hospitals, Grand Rapids, MI, United States
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  • Author Footnotes
    4 Kaiser Permanente, San Diego Medical Center, 4647 Zion Ave., San Diego, CA 92120, United States.
    Michael Shaheen
    Footnotes
    4 Kaiser Permanente, San Diego Medical Center, 4647 Zion Ave., San Diego, CA 92120, United States.
    Affiliations
    Michigan State University College of Human Medicine, Department of Emergency Medicine, Grand Rapids, MI, United States

    Department of Emergency Medicine, Spectrum Health Hospitals, Grand Rapids, MI, United States
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  • Author Footnotes
    5 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
    Todd Chassee
    Footnotes
    5 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
    Affiliations
    Michigan State University College of Human Medicine, Department of Emergency Medicine, Grand Rapids, MI, United States

    Department of Emergency Medicine, Spectrum Health Hospitals, Grand Rapids, MI, United States
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  • Author Footnotes
    6 200 Jefferson Ave SE, Grand Rapids, MI 49503, United States.
    David Whalen
    Footnotes
    6 200 Jefferson Ave SE, Grand Rapids, MI 49503, United States.
    Affiliations
    Mercy Health St. Mary's, Grand Rapids, MI, United States
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  • Jeffrey Jones
    Correspondence
    Corresponding author at: 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
    Affiliations
    Michigan State University College of Human Medicine, Department of Emergency Medicine, Grand Rapids, MI, United States

    Department of Emergency Medicine, Spectrum Health Hospitals, Grand Rapids, MI, United States
    Search for articles by this author
  • Author Footnotes
    1 15 Michigan St NE 736, Grand Rapids, MI 49503, United States.
    2 Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E Chicago Ave, Chicago, IL 60611, United States.
    3 C.S. Mott Children's Hospital, 1540 E Hospital Dr., Ann Arbor, MI 48109, United States.
    4 Kaiser Permanente, San Diego Medical Center, 4647 Zion Ave., San Diego, CA 92120, United States.
    5 15 Michigan St NE Suite 701, Grand Rapids, MI 49503, United States.
    6 200 Jefferson Ave SE, Grand Rapids, MI 49503, United States.
Published:February 03, 2018DOI:https://doi.org/10.1016/j.ajem.2018.01.103
      Out-of-hospital cardiac arrest (OHCA) is a leading cause of death in the United States with an incidence of >350,000 cases reported in 2016 [
      • American Heart Association
      CPR & first aid: emergency cardiovascular care.
      ]. With >70% of arrests occurring at patients' homes, knowledge and performance of quality cardiopulmonary resuscitation (CPR) by bystanders, prior to the arrival of paramedics, can improve the odds of survival [
      • American Heart Association
      ]. Patients, caregivers, and family may often struggle with decisions about whether or not to undertake CPR and other potentially life-sustaining treatment. It has been reported that for cardiac arrest patients, there is an average survival rate to hospital discharge of approximately 10.6% [
      • Sudden Cardiac Arrest Foundation
      AHA releases 2015 heart and stroke statistics.
      ]. Favorable outcomes for patients suffering from arrest are influenced by many factors including time elapsed since arrest, initial rhythm, and long-term care [
      • Marco C.A.
      • Larkin G.L.
      Cardiopulmonary resuscitation: knowledge and opinions among the U.S. general public. State of the science-fiction.
      ]. Previous studies have found that lay persons often vastly overestimate the survival and recovery rates of patients to whom CPR is administered [
      • Marco C.A.
      • Larkin G.L.
      Cardiopulmonary resuscitation: knowledge and opinions among the U.S. general public. State of the science-fiction.
      ,
      • Jones G.K.
      • Brewer K.L.
      • Garrison H.G.
      Public expectations of survival following cardiopulmonary resuscitation.
      ]. The decision to initiate or continue CPR is often not a straight-forward one and may be influenced by information garnered from personal experience, public media, the internet, or friends and family. The purpose of this study was to survey 1000 adult volunteers to determine perceptions about CPR, including the likelihood of survival and the patient making a complete recovery.

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