Hawkes, Claire, Kander, Inès, Contreras, Abraham, Ji, Chen, Brown, Terry, Booth, Scott J., Siriwardena, A. Niroshan, Fothergill, Rachael T., Williams, Julia, Rees, Nigel, Stephenson, Estelle and Perkins, Gavin D. (2022) Impact of the COVID-19 pandemic on public attitudes to cardiopulmonary resuscitation and publicly accessible defibrillator use in the UK. Resuscitation Plus, 10 . 100256. doi:10.1016/j.resplu.2022.100256 ISSN 2666-5204.

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Abstract

Introduction
Members of the public can initiate resuscitation, contributing to improved survival for out-of-hospital cardiac arrest (OHCA) patients. Many countries have seen increasing proportions of their populations trained in resuscitation skills and reporting that they would be likely to use them if needed. This study investigated changes in the UK public’s attitudes to cardiopulmonary resuscitation (CPR) and publicly accessible defibrillator (PAD) use during the early phase of the COVID-19 pandemic.

Methods
An observational study comparing pre-pandemic (2019) and survey data collected at 5 time points during the pandemic between April and November 2020. YouGov administered the surveys achieving samples of over 4000 each time. Descriptive statistics were used to analyse responses. Logistic regression and post-hoc contrasts of marginal linear predictions were used to explore trend changes.

Results
Compared with pre-pandemic responses, during the pandemic participants reported being more likely to perform CPR (any type) in spite of increased concerns about catching a disease. Proportions reporting that they were likely to perform compression-only CPR rose (58.0% to 67.8%) while CPR with rescue breaths declined (58.1% to 39.4%)(both linear trends p<0.001). Awareness of safe CPR pandemic guidance was low (31.7%). Lack of knowledge remained one of the main reasons that made people reluctant to perform CPR (42.9%).

Conclusions
Encouragingly, people’s willingness to help someone sustaining an OHCA has not declined during the pandemic in the UK. Continued efforts to inform the public of safe practice when performing CPR are needed.

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RC Internal medicine
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	CPR (First aid) -- Great Britain, Cardiac resuscitation, Automated external defibrillation, COVID-19 Pandemic, 2020-
Journal or Publication Title:	Resuscitation Plus
Publisher:	Elsevier
ISSN:	2666-5204
Official Date:	June 2022
Dates:	Date Event June 2022 Published 30 May 2022 Available 22 May 2022 Accepted
Volume:	10
Article Number:	100256
DOI:	10.1016/j.resplu.2022.100256
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Date of first compliant deposit:	25 May 2022
RIOXX Funder/Project Grant:	Project/Grant ID RIOXX Funder Name Funder ID UNSPECIFIED British Heart Foundation http://dx.doi.org/10.13039/501100000274 UNSPECIFIED Resuscitation Council (UK) http://dx.doi.org/10.13039/100012358 Applied Research Collaboration West Midlands [NIHR] National Institute for Health Research http://dx.doi.org/10.13039/501100000272
Related URLs:	Publisher

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