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Hawkes CA, Brown T, Noor U, Carlyon J, Davidson N, Soar J, Perkins GD, Smyth MA, Lockey A. Characteristics of Restart a Heart 2019 event locations in the UK. Resusc Plus 2021; 6:100132. [PMID: 34223389 PMCID: PMC8244288 DOI: 10.1016/j.resplu.2021.100132] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Revised: 04/23/2021] [Accepted: 04/24/2021] [Indexed: 12/03/2022] Open
Abstract
Introduction 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. Methods 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. Results 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. Conclusion 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.
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Affiliation(s)
- C A Hawkes
- University of Warwick, Warwick Clinical Trials Unit, Gibbet Hill, Coventry, CV4 7AL, UK
| | - T Brown
- University of Warwick, Warwick Clinical Trials Unit, Gibbet Hill, Coventry, CV4 7AL, UK
| | - U Noor
- University of Warwick, Warwick Clinical Trials Unit, Gibbet Hill, Coventry, CV4 7AL, UK
| | - J Carlyon
- Resuscitation Council UK 5th Floor Tavistock House North, Tavistock Square, London, WC1H 9H, UK.,Yorkshire Ambulance Service, Trust Headquarters, Brindley Way, Wakefield 41 Business Park, Wakefield, WF2 0XQ, UK
| | | | - J Soar
- Resuscitation Council UK 5th Floor Tavistock House North, Tavistock Square, London, WC1H 9H, UK.,North Bristol NHS Trust Southmead Hospital, Southmead Road, Westbury-on-Trym, Bristol, BS10 5NB, UK
| | - G D Perkins
- University of Warwick, Warwick Clinical Trials Unit, Gibbet Hill, Coventry, CV4 7AL, UK.,University Hospitals Birmingham, Birmingham Heartlands Hospital, Bordesley Green East, Birmingham B9 5SS, UK
| | - M A Smyth
- University of Warwick, Warwick Clinical Trials Unit, Gibbet Hill, Coventry, CV4 7AL, UK.,West Midlands Ambulance Service University NHS Foundation Trust, Trust Headquarters, Millennium Point, Waterfront Business Park, Waterfront Way, Brierley Hill, West Midlands, DY5 1LX, UK
| | - A Lockey
- Resuscitation Council UK 5th Floor Tavistock House North, Tavistock Square, London, WC1H 9H, UK.,Calderdale and Huddersfield NHS Foundation Trust, Salterhebble, Halifax, West Yorkshire HX3 0PW, UK
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