Skip to main content
Journal cover image

Global prevalence of basic life support training: A systematic review and meta-analysis.

Publication ,  Journal Article
Ng, TP; Eng, SW-O; Ting, JXR; Bok, C; Tay, GYH; Kong, SYJ; Stassen, W; Zhang, L; de Kleijn, DPV; Ong, MEH; Blewer, AL; Yeo, JW; Ho, AFW ...
Published in: Resuscitation
May 2023

BACKGROUND AND AIMS: Out-of-hospital cardiac arrest exerts a large disease burden, which may be mitigated by bystander cardiopulmonary resuscitation and automated external defibrillation. We aimed to estimate the global prevalence and distribution of bystander training among laypersons, which are poorly understood, and to identify their determinants. METHODS: We searched electronic databases for cross-sectional studies reporting the prevalence of bystander training from representative population samples. Pooled prevalence was calculated using random-effects models. Key outcome was cardiopulmonary resuscitation training (training within two-years and those who were ever trained). We explored determinants of interest using subgroup analysis and meta-regression. RESULTS: 29 studies were included, representing 53,397 laypersons. Among national studies, the prevalence of cardiopulmonary resuscitation training within two-years and among those who were ever trained, and automated external defibrillator training was 10.02% (95% CI 6.60 -14.05), 42.04% (95% CI 30.98-53.28) and 21.08% (95% CI 10.16-34.66) respectively. Subgroup analyses by continent revealed pooled prevalence estimates of 31.58% (95%CI 18.70-46.09), 58.78% (95%CI 42.41-74.21), 18.93 (95%CI 0.00-62.94), 64.97% (95%CI 64.00-65.93), and 50.56% (95%CI 47.57-53.54) in Asia, Europe, Middle East, North America, and Oceania respectively, with significant subgroup differences (p < 0.01). A country's income and cardiopulmonary resuscitation training (ever trained) (p = 0.033) were positively correlated. Similarly, this prevalence was higher among the highly educated (p<0.00001). CONCLUSIONS: Large regional variation exists in data availability and bystander training prevalence. Socioeconomic status correlated with prevalence of bystander training, and regional disparities were apparent between continents. Bystander training should be promoted, particularly in Asia, Middle East, and low-income regions. Data availability should be encouraged from under-represented regions.

Duke Scholars

Published In

Resuscitation

DOI

EISSN

1873-1570

Publication Date

May 2023

Volume

186

Start / End Page

109771

Location

Ireland

Related Subject Headings

  • Prevalence
  • Out-of-Hospital Cardiac Arrest
  • Humans
  • Emergency & Critical Care Medicine
  • Defibrillators
  • Cross-Sectional Studies
  • Cardiopulmonary Resuscitation
  • 4206 Public health
  • 4205 Nursing
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ng, T. P., Eng, S.-O., Ting, J. X. R., Bok, C., Tay, G. Y. H., Kong, S. Y. J., … GOALS Workgroup, . (2023). Global prevalence of basic life support training: A systematic review and meta-analysis. Resuscitation, 186, 109771. https://doi.org/10.1016/j.resuscitation.2023.109771
Ng, Trina Priscilla, Sean Wai-Onn Eng, Joel Xin Rui Ting, Chermaine Bok, Girvan Yang Hong Tay, So Yeon Joyce Kong, Willem Stassen, et al. “Global prevalence of basic life support training: A systematic review and meta-analysis.Resuscitation 186 (May 2023): 109771. https://doi.org/10.1016/j.resuscitation.2023.109771.
Ng TP, Eng SW-O, Ting JXR, Bok C, Tay GYH, Kong SYJ, et al. Global prevalence of basic life support training: A systematic review and meta-analysis. Resuscitation. 2023 May;186:109771.
Ng, Trina Priscilla, et al. “Global prevalence of basic life support training: A systematic review and meta-analysis.Resuscitation, vol. 186, May 2023, p. 109771. Pubmed, doi:10.1016/j.resuscitation.2023.109771.
Ng TP, Eng SW-O, Ting JXR, Bok C, Tay GYH, Kong SYJ, Stassen W, Zhang L, de Kleijn DPV, Ong MEH, Blewer AL, Yeo JW, Ho AFW, GOALS Workgroup. Global prevalence of basic life support training: A systematic review and meta-analysis. Resuscitation. 2023 May;186:109771.
Journal cover image

Published In

Resuscitation

DOI

EISSN

1873-1570

Publication Date

May 2023

Volume

186

Start / End Page

109771

Location

Ireland

Related Subject Headings

  • Prevalence
  • Out-of-Hospital Cardiac Arrest
  • Humans
  • Emergency & Critical Care Medicine
  • Defibrillators
  • Cross-Sectional Studies
  • Cardiopulmonary Resuscitation
  • 4206 Public health
  • 4205 Nursing
  • 3202 Clinical sciences