Shadarevian John, Li Jim, Allan Katherine S, Grunau Brian, Sapp John, Dhillon Santokh, Saini Sumeet S, Chakrabarti Adrija, Chakrabarti Santabhanu
Department of Medicine, Dalhousie University, Halifax, CAN.
Department of Surgery, Division of Radiation Oncology, University of British Columbia, Vancouver, CAN.
Cureus. 2024 Jun 13;16(6):e62299. doi: 10.7759/cureus.62299. eCollection 2024 Jun.
Objectives The coronavirus disease 2019 (COVID-19) pandemic has impacted public health systems and individuals' behaviour, with decreasing survival rates among out-of-hospital cardiac arrest (OHCA) patients. Bystander cardiopulmonary resuscitation (CPR) improves OHCA outcomes, which may have been affected by COVID-19. We sought to understand the impacts of COVID-19 on bystanders' willingness to administer CPR in three Canadian provinces. Methods Participants ≥ 18 years of age were surveyed online about their current and recalled pre-pandemic attitudes toward CPR and perceived transmission risk. We compared mean willingness to perform various CPR actions before and during the pandemic using paired t-tests. Differences in willingness across three provinces were assessed using analysis of variance (ANOVA) and Tukey's Honestly Significant Difference (HSD) test. We also conducted Chi-square tests to assess changes in willingness to perform CPR on children and older adults. Results Five hundred thirty-five participants were surveyed from October 1 to November 15, 2021. The mean age was 42.7 years (SD 14.5), and 60.2% were female. Participants reported less willingness to perform chest compressions on strangers during the pandemic compared to their recollections before the pandemic (mean willingness 86.2% vs. 94.3% prior, p<0.001). With personal protective equipment (PPE) available, particularly masks, willingness recovered to 91.3% (p<0.001). Willingness was higher in Nova Scotia (NS) than in British Columbia (BC) or Ontario (ON). Reluctance to assist older adults increased from 6.6% to 12.0% (p=0.020). Conclusions This study highlights changes in CPR willingness during the COVID-19 pandemic, underscoring the importance of PPE and offering insights into public health strategies pertaining to CPR during a pandemic.
目标 2019 冠状病毒病（COVID-19）大流行对公共卫生系统和个人行为产生了影响，院外心脏骤停（OHCA）患者的生存率有所下降。旁观者心肺复苏（CPR）可改善 OHCA 的预后，而这可能受到了 COVID-19 的影响。我们试图了解 COVID-19 对加拿大三个省份旁观者实施 CPR 意愿的影响。方法 对年龄≥18 岁的参与者进行在线调查，了解他们当前以及回忆起的疫情前对 CPR 的态度和感知的传播风险。我们使用配对 t 检验比较了疫情前和疫情期间进行各种 CPR 操作的平均意愿。使用方差分析（ANOVA）和 Tukey 真实显著差异（HSD）检验评估三个省份之间意愿的差异。我们还进行了卡方检验，以评估对儿童和老年人实施 CPR 意愿的变化。结果 2021 年 10 月 1 日至 11 月 15 日对 535 名参与者进行了调查。平均年龄为 42.7 岁（标准差 14.5），60.2%为女性。与疫情前的回忆相比，参与者报告在疫情期间对陌生人进行胸外按压的意愿较低（平均意愿分别为 86.2%和之前的 94.3%，p<0.001）。有个人防护装备（PPE），特别是口罩时，意愿恢复到 91.3%（p<0.001）。新斯科舍省（NS）的意愿高于不列颠哥伦比亚省（BC）或安大略省（ON）。对老年人实施救助时的不情愿从 6.6%增加到 12.0%（p=0.020）。结论 本研究突出了 COVID-19 大流行期间 CPR 意愿的变化，强调了 PPE 的重要性，并为大流行期间与 CPR 相关的公共卫生策略提供了见解。
