medigraphic.com
SPANISH

Cardiovascular and Metabolic Science

ISSN 2954-3835 (Electronic)
ISSN 2683-2828 (Print)
Antes Revista Mexicana de Cardiología

Ver Revista Mexicana de Cardiología


  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2020, Number 4

<< Back Next >>

Cardiovasc Metab Sci 2020; 31 (4)

Current knowledge of cardiopulmonary resuscitation among the university population of central-western Mexico

Nieto-Saucedo JR, Urzúa-González AR, Vivanco-Lira A, Horta-Padilla I, Gutiérrez-Aguirre SF
Full text How to cite this article 10.35366/97543

DOI

DOI: 10.35366/97543
URL: https://dx.doi.org/10.35366/97543

Language: English
References: 40
Page: 117-125
PDF size: 251.81 Kb.


Key words:

Cardiopulmonary resuscitation, cardiac arrest, sudden death, university, Mexico.

ABSTRACT

Introduction: Out-of-hospital cardiac arrest is a leading cause of global mortality; it is estimated that each year 33,000 to 53,000 people die from sudden death in Mexico. Cardiopulmonary resuscitation (CPR) learning at younger ages has shown promising results, prompting the recommendation of CPR training in the high-school curricula. Currently, there is no information about CPR knowledge in the university population of our country. Objective: We aimed at estimating the level of knowledge and attitude towards CPR among the university students of central-western Mexico. Material and methods: A cross-sectional, descriptive study was conducted among the students of 30 Mexican university centers between February and March 2020; a self-administered questionnaire was distributed to the participants. All data were collected and statistically analyzed. Results: Two hundred ninety-four (n = 294) students were included (mean age 21.04 ± 1.95 years). Although 37% of students had been previously trained, only 12.9% could give an accurate description of the CPR technique. Notably, 98.9% of the participants desire to receive additional CPR training, and 57.1% would be willing to act if they had the appropriate prior knowledge. Health science students had the highest number of correct answers among other academic areas (p = 0.001). Conclusions: Despite the evidence supporting CPR training and familiarization with automated external defibrillators at younger ages, Mexico has no laws to promote them in the high-school curricula. The poor outcomes obtained reinforce the necessity for better health policies and practical CPR training, probably through innovative methods that allow retention of knowledge.


REFERENCES

  1. Myat A, Song KJ, Rea T. Out-of-hospital cardiac arrest: current concepts. Lancet. 2018; 391: 970-979.

  2. Fiscal-Malaga AG, Sosa-Cruz H, Calderon-Garciduenas AL, Ruiz-Ramos R, Lopez-Amador N, Becerra Romero WE. Sudden death report in Mexico (1998-2014). Arch Cardiol Mex. 2019; 89(2):154-158.

  3. Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R et al. Heart disease and stroke Statistics-2017 Update: a report from the American Heart Association. Circulation. 2017; 135: e146-603.

  4. Asensio E, Narváez R, Dorantes J, Oseguera J, Orea A, Hernández P et al. Conceptos actuales sobre la muerte súbita. Gac Med Mex. 2005; 141 (2): 89-98.

  5. Cave DM, Aufderheide TP, Beeson J. Importance and implementation of training in cardiopulmonary resuscitation and automated external defibrillation in schools: A Science Advisory from the American Heart Association. Circulation. 2011; 123 (6): 691-706.

  6. Urzúa-González AR, Rivera-Chávez MJ, Zapién- Villegas R, Huaracha-López PA. Cardio Protected Areas in Mexico. Arch Cardiol Mex. 2020; 90 (2): 207-215.

  7. Brown LE, Lynes C, Carroll T, Halperin H. CPR Instruction in U.S. High Schools: what is the state in the nation? J Am Coll Cardiol. 2017; 70: 2688-2695.

  8. Sasson C, Rogers MAM, Dahl J, Kellermann AL. Predictors of survival from out-of-hospital cardiac arrest a systematic review and meta-analysis. Circ Cardiovasc Qual Outcomes. 2010; 3 (1): 63-81.

  9. Fraga-Sastrías JM, Asensio-Lafuente E, Martínez R. Outof- hospital cardiac arrest: First documented experience in a Mexican urban setting. Prehosp Disaster Med. 2009; 24 (2): 121-125.

  10. Larsen MP, Eisenberg MS, Cummins RO, Hallstrom AP. Predicting survival from out-of-hospital cardiac arrest: A graphic model. Ann Emerg Med. 1993; 22 (11): 1652-1658.

  11. Hara M, Hayashi K, Hikoso S. Different impacts of time from collapse to first cardiopulmonary resuscitation on outcomes after witnessed out-of-hospital cardiac arrest in adults. Circ Cardiovasc Qual Outcomes. 2015; 8 (3): 277-284.

  12. Hasselqvist-Ax I, Riva G, Herlitz J. Early cardiopulmonary resuscitation in out-of-hospital cardiac arrest. N Engl J Med. 2015; 372 (24): 2307-2315.

  13. Krammel M, Schnaubelt S, Weidenauer D. Gender and age-specific aspects of awareness and knowledge in basic life support. PLoS ONE. 2018; 13 (6): e0198918.

  14. Rodríguez-Reyes H, Muñoz-Gutiérrez M, Asensio- Lafuente E. Hands-only cardiopulmonary resuscitation and public access defibrillation, the need for cardioprotected areas implementation in Mexico. Cardiovasc Metab Sci. 2019; 30 (4): 143-146.

  15. Bunch TJ, White RD, Gersh BJ. Long-term outcomes of out-of-hospital cardiac arrest after successful early defibrillation. N Engl J Med. 2003; 348 (26): 2626- 2633.

  16. Iwami T, Nichol G, Hiraide A. Continuous improvements in “chain of survival” increased survival after out-of-hospital cardiac arrests: a large-scale population- based study. Circulation. 2009; 119 (5): 728-734.

  17. Chen M, Wang Y, Li X. Public knowledge and attitudes towards bystander cardiopulmonary resuscitation in China. BioMed Research International. 2017; ID article 3250485: 1-7.

  18. Bogle B, Mehrotra S, Chiampas G, Aldeen AZ. Assessment of knowledge and attitudes regarding automated external defibrillators and cardiopulmonary resuscitation among American University students. Emerg Med J. 2013; 30 (10): 837-841.

  19. Kanstad BK, Nilsen SA, Fredriksen K. CPR knowledge and attitude to performing bystander CPR among secondary school students in Norway. Resuscitation. 2011; 82 (8): 1053-1059.

  20. Wissenberg M, Lippert FK, Folke F. Association of national initiatives to improve cardiac arrest management with rates of bystander intervention and patient survival after out-of-hospital cardiac arrest. JAMA. 2013; 310 (13): 1377-1384.

  21. Sá-Couto C, Nicolau A. General public’s knowledge regarding basic life support: A pilot study with a Portuguese sample. Acta Med Port. 2019; 32 (2): 111-118.

  22. Alsharari AO, Alduraywish A, Al-Zarea EA. Current Status of Knowledge about Cardiopulmonary Resuscitation among the University Students in the Northern Region of Saudi Arabia. Cardiol Res Pract. 2018; 32 (2): 111-118.

  23. Hori S, Suzuki M, Yamazaki M. Cardiopulmonary resuscitation training in schools: A comparison of trainee satisfaction among different age groups. Keio J Med. 2016; 65 (3): 49-56.

  24. Swor R, Khan I, Domeier R. CPR Training and CPR Performance: Do CPR-trained Bystanders Perform CPR? Acad Emerg Med. 2006; 13 (6): 596-601.

  25. De Buck E, Van Remoortel H, Dieltjens T. Evidence-based educational pathway for the integration of first aid training in school curricula. Resuscitation. 2015; 94: 8-22.

  26. Böttiger BW, Van Aken H. Kids save lives-Training school children in cardiopulmonary resuscitation worldwide is now endorsed by the World Health Organization (WHO). Resuscitation. 2015; 94: a5-7.

  27. Sorets TR, Mateen FJ. Mandatory CPR training in US high schools. Mayo Clinic Proceedings. 2015; 90: 710-712.

  28. Kvåle Bakke H, Steinvik T, Angell J, Wisborg T. A nationwide survey of first aid training and encounters in Norway. BMC Emerg Med. 2017; 17 (6): 1-7.

  29. Hansen CM, Kjaer Ersbøll A, Tjørnhøj-Thomsen T. Cardiopulmonary resuscitation training in schools following 8 years of mandating legislation in denmark: a nationwide survey. J Am Heart Assoc. 2017; 6 (3): e004128.

  30. Boudou A, Dominguez JA, Bozzano G, Estrada JH. Ley de promoción y capacitación en las técnicas de reanimación cardiopulmonar básicas. Ley 26.835. Buenos Aires, Argentina: Senado y Cámara de Diputados de la Nación Argentina; Jan 8, 2013.

  31. Alexander TD, McGovern SK, Leary M. Association of state-level CPR training initiatives with layperson CPR knowledge in the United States. Resuscitation. 2019; 140: 9-15.

  32. Stroobants J, Monsieurs KG, Devriendt B. Schoolchildren as BLS instructors for relatives and friends: Impact on attitude towards bystander CPR. Resuscitation. 2014; 85 (12): 1769-1774.

  33. Onan A, Simsek N, Elcin M. A review of simulationenhanced, team-based cardiopulmonary resuscitation training for undergraduate students. Nurse Education in Practice. 2017; 27: 134-143.

  34. Karuthan SR, Firdaus P, Angampun A. Knowledge of and willingness to perform Hands-Only cardiopulmonary resuscitation among college students in Malaysia. Medicine (Baltimore). 2019; 98 (51): e18466.

  35. Zinckernagel L, Hansen CM, Rod MH. What are the barriers to implementation of cardiopulmonary resuscitation training in secondary schools? A qualitative study. BMJ Open. 2016; 6 (4): e010481.

  36. Eisenberg M, White RD. The Unacceptable Disparity in Cardiac Arrest Survival Among American Communities. Ann Emerg Med. 2009; 54 (2): 258-260.

  37. Ewy GA, Sanders AB, Kern KB. Compression-only cardiopulmonary resuscitation improves survival. Am Journal of Medicine. 2011; 124 (5): 383-385.

  38. Fowler R, Chang MP, Idris AH. Evolution and revolution in cardiopulmonary resuscitation. Current Opinion in Critical Care. 2017; 23 (3): 183-187.

  39. Field JM, Hazinski MF, Sayre MR. Part 1: Executive summary: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122 (Suppl 3): S640-656.

  40. Taber, KS. The use of Cronbach’s Alpha when developing and reporting research instruments in science education. Res Sci Educ. 2018; 48: 1273-1296.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Cardiovasc Metab Sci . 2020;31