Hawkes C A, Brown T, Noor U, Carlyon J, Davidson N, Soar J, Perkins G D, Smyth M A, Lockey A
University of Warwick, Warwick Clinical Trials Unit, Gibbet Hill, Coventry, CV4 7AL, UK.
Resuscitation Council UK 5th Floor Tavistock House North, Tavistock Square, London, WC1H 9H, UK.
Resusc Plus. 2021 May 10;6:100132. doi: 10.1016/j.resplu.2021.100132. eCollection 2021 Jun.
Restart a Heart (RSAH) is an annual CPR mass training initiative delivered predominantly by ambulance services in the UK. The aim of this study was to identify to what extent voluntary participation in the 2019 initiative delivered training to the population with the highest need.
A cross-sectional observational study of location characteristics for RSAH training events conducted by UK ambulance services. Descriptive statistics were used to analyse event and area characteristics. National cardiac arrest registry data were used to establish proportions of training coverage in "hot spot" areas with above national median incidence of cardiac arrest and below median bystander CPR rates. The significance of observed differences were tested using chi-square for proportions and t-test for means.
Twelve of 14 UK ambulance services participated, training 236,318 people. Most of the events (82%) were held in schools, and schoolchildren comprised most participants (81%). RSAH events were held in areas that were less densely populated (p < 0.001), were more common in affluent areas (p < 0.001), and had a significantly lower proportion of black residents (p < 0.05) and higher proportion of white residents (p < 0.05). Events were held in 28% of known "hot spot" areas in England.
With mandatory CPR training for school children in England, Scotland and Wales there is an opportunity to re-focus RSAH resources to deliver training for all age groups in OHCA "hot spots", communities with higher proportions of black residents, and areas of deprivation. In Northern Ireland, we recommend targeting schools in areas with similar characteristics.
“重启心脏”（RSAH）是一项年度心肺复苏大规模培训倡议，主要由英国的救护车服务部门开展。本研究的目的是确定2019年倡议中的自愿参与在多大程度上为最有需求的人群提供了培训。
对英国救护车服务部门开展的RSAH培训活动的地点特征进行横断面观察研究。使用描述性统计分析活动和区域特征。利用国家心脏骤停登记数据确定心脏骤停发病率高于全国中位数且旁观者心肺复苏率低于中位数的“热点”地区的培训覆盖比例。使用卡方检验比例差异的显著性，使用t检验均值差异的显著性。
英国14个救护车服务部门中有12个参与其中，培训了236,318人。大多数活动（82%）在学校举行，学生构成了大多数参与者（81%）。RSAH活动在人口密度较低的地区举行（p < 0.001），在富裕地区更为常见（p < 0.001），黑人居民比例显著较低（p < 0.05），白人居民比例较高（p < 0.05）。活动在英格兰28%的已知“热点”地区举行。
鉴于英格兰、苏格兰和威尔士对学童进行了强制性心肺复苏培训，有机会重新调整RSAH资源，为院外心脏骤停“热点”地区的所有年龄组、黑人居民比例较高的社区以及贫困地区提供培训。在北爱尔兰，我们建议针对具有类似特征地区的学校开展培训。
