Public participation willingness in out-of-hospital cardiopulmonary resuscitation: A systematic review and meta-analysis.
Yuqiu Cheng, Chunzhi Zhang, Li Chen and 3 others
PMID 40241866WHAT IT FOUND
Across 18 surveys of 63,199 people, men, those with first-aid knowledge, training, interest, and prior first-aid experience were more willing to perform out-of-hospital CPR; healthcare providers were less willing.
Key findings
01Individuals with previous first-aid training were more inclined to conduct on-site first aid (OR 2.14, 95% CI 1.49-3.08).
02Individuals with first-aid knowledge were more inclined to carry out on-site first aid (OR 1.63, 95% CI 1.25-2.11).
03Healthcare providers were less willing to conduct first aid (OR 0.17, 95% CI 0.06-0.47).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
All included studies were cross-sectional, so they show associations with willingness, not that training or knowledge caused greater willingness. The healthcare provider finding came from only two studies. Heterogeneity was high for knowledge and skill level and previous training, and subgroup analyses did not remove it. Only English-language articles were included, which may have caused language bias. The funnel plot was asymmetrical, suggesting possible publication bias. The analysis mostly examined single factors, so interactions between gender, profession, knowledge, training and experience were not assessed.
Declared interests
The study was funded by Hunan Province health and finance projects. The authors declare no conflicts of interest.
The easy way to misread this
Do not read the odds ratios as proof that CPR training causes greater willingness. These were cross-sectional studies, two factors had high heterogeneity, and the funnel plot suggested possible publication bias.