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 [
[1]
]. 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
CPR & first aid: emergency cardiovascular care.
http://cpr.heart.org/AHAECC/CPRAndECC/General/UCM_477263_Cardiac-Arrest-Statistics.jsp
Date: 2017
Date accessed: April 1, 2018
[2]
]. 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% [
- American Heart Association
CPR facts and stats.
http://cpr.heart.org/AHAECC/CPRAndECC/AboutCPRFirstAid/CPRFactsAndStats/UCM_475748_CPR-Facts-and-Stats.jsp
Date: 2017
Date accessed: April 1, 2018
[3]
]. Favorable outcomes for patients suffering from arrest are influenced by many factors
including time elapsed since arrest, initial rhythm, and long-term care [
- Sudden Cardiac Arrest Foundation
AHA releases 2015 heart and stroke statistics.
http://www.sca-aware.org/sca-news/aha-releases-2015-heart-and-stroke-statistics
Date: 2014
Date accessed: November 1, 2018
[4]
]. Previous studies have found that lay persons often vastly overestimate the survival
and recovery rates of patients to whom CPR is administered [
[4]
,
[5]
]. 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.Keywords
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References
- CPR & first aid: emergency cardiovascular care.http://cpr.heart.org/AHAECC/CPRAndECC/General/UCM_477263_Cardiac-Arrest-Statistics.jspDate: 2017Date accessed: April 1, 2018
- CPR facts and stats.http://cpr.heart.org/AHAECC/CPRAndECC/AboutCPRFirstAid/CPRFactsAndStats/UCM_475748_CPR-Facts-and-Stats.jspDate: 2017Date accessed: April 1, 2018
- AHA releases 2015 heart and stroke statistics.http://www.sca-aware.org/sca-news/aha-releases-2015-heart-and-stroke-statisticsDate: 2014Date accessed: November 1, 2018
- Cardiopulmonary resuscitation: knowledge and opinions among the U.S. general public. State of the science-fiction.Resuscitation. 2008; 79: 490-498
- Public expectations of survival following cardiopulmonary resuscitation.Acad Emerg Med. 2000; 7: 48-53
- What CPR means to surrogate decision makers of ICU patients.Resuscitation. 2015; 90: 73-78
- The influence of the probability of survival on patients' preferences regarding cardiopulmonary resuscitation.N Engl J Med. 1994; 330: 545-549
Article Info
Publication History
Published online: February 03, 2018
Accepted:
January 30,
2018
Received:
January 30,
2018
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
