Public-access cardiopulmonary resuscitation(CPR)ranks first in the“Prevention and Control of Major Diseases”section of the Healthy China 2030 Initiative.However,Chinese patients who have experienced outof-hospital c...Public-access cardiopulmonary resuscitation(CPR)ranks first in the“Prevention and Control of Major Diseases”section of the Healthy China 2030 Initiative.However,Chinese patients who have experienced outof-hospital cardiac arrest(OHCA)are reported to have a survival rate at discharge of only 0.35%.This study explored the necessity of CPR legislation in China by comparing CPR-related legislation among four major global economies:the USA,China,Germany,and Japan.We searched for national,provincial,and major urban regulations in China and analyzed indicators related to public-access CPR.All four countries have laws supporting life-saving out-of-hospital interventions.However,unlike the other three countries,no national laws in China mention CPR,defibrillators,or cardiac arrest.China has only 23 local regulations across 67 provincial regions or major cities and no national regulations on pre-hospital emergency care.Among these 23 existing regulations,only 4.3%mention cardiac arrest,39.1%mention CPR,73.9%mention defibrillators,and none mention telecommunicator CPR.Moreover,17.4%of these regulations do not include any of the legislative points appearing in the national laws of the three comparator countries.The current legislative status concerning public-access CPR is inconsistent with the position on CPR outlined in the Healthy China 2030 Initiative.We recommend initiating and accelerating a specialized National Public-Access Cardiopulmonary Resuscitation Law for China.展开更多
Introduction:This study aimed to investigate the associations between training curriculum factors and the intention of laypersons to perform cardiopulmonary resuscitation(CPR).Methods:We recruited laypersons participa...Introduction:This study aimed to investigate the associations between training curriculum factors and the intention of laypersons to perform cardiopulmonary resuscitation(CPR).Methods:We recruited laypersons participating in CPR training programs from nine public training institutes in Beijing,China,between February 15 and July 15,2025.The exposure variable in this cohort study was trainee feedback on course content,and the primary outcome was a high intention to perform CPR following training.Robust Poisson regression models were used to calculate the incidence rate ratios(RRs)with 95%confidence intervals(CIs).Results:Among 2,035 laypersons enrolled,74.7%reported high CPR intention following training.This proportion was 42.4%and 96.4%for those with low and high CPR intentions,respectively,before training.Nine curriculum factors with RRs greater than 1.000 were identified.In 817 low-intention laypersons,the coexistence of five to seven factors and eight or nine factors increased the likelihood of high intention by 174.7%(RR=2.747;95%CI:0.964–7.826)and 283.6%(RR=3.836;95%CI:1.493–9.857),respectively,compared with exposure to zero to four factors.In 1,218 high-intention laypersons,a doseresponse relationship emerged indirectly,as curriculum factors enhanced CPR intention by improving selfefficacy in cardiac arrest recognition and CPR performance.Conclusions:Our study highlighted that key CPR curriculum content is associated with the post-training intention to perform CPR in the real world.展开更多
基金Supported by Capital’s Funds for Health Improvement and Research(grant number CFH 2024-2G-4242)by Beijing Natural Science Foundation(grant number 7252180).
文摘Public-access cardiopulmonary resuscitation(CPR)ranks first in the“Prevention and Control of Major Diseases”section of the Healthy China 2030 Initiative.However,Chinese patients who have experienced outof-hospital cardiac arrest(OHCA)are reported to have a survival rate at discharge of only 0.35%.This study explored the necessity of CPR legislation in China by comparing CPR-related legislation among four major global economies:the USA,China,Germany,and Japan.We searched for national,provincial,and major urban regulations in China and analyzed indicators related to public-access CPR.All four countries have laws supporting life-saving out-of-hospital interventions.However,unlike the other three countries,no national laws in China mention CPR,defibrillators,or cardiac arrest.China has only 23 local regulations across 67 provincial regions or major cities and no national regulations on pre-hospital emergency care.Among these 23 existing regulations,only 4.3%mention cardiac arrest,39.1%mention CPR,73.9%mention defibrillators,and none mention telecommunicator CPR.Moreover,17.4%of these regulations do not include any of the legislative points appearing in the national laws of the three comparator countries.The current legislative status concerning public-access CPR is inconsistent with the position on CPR outlined in the Healthy China 2030 Initiative.We recommend initiating and accelerating a specialized National Public-Access Cardiopulmonary Resuscitation Law for China.
基金Supported by Capital’s Funds for Health Improvement and Research(Grant No.CFH 2024-2G-4242).
文摘Introduction:This study aimed to investigate the associations between training curriculum factors and the intention of laypersons to perform cardiopulmonary resuscitation(CPR).Methods:We recruited laypersons participating in CPR training programs from nine public training institutes in Beijing,China,between February 15 and July 15,2025.The exposure variable in this cohort study was trainee feedback on course content,and the primary outcome was a high intention to perform CPR following training.Robust Poisson regression models were used to calculate the incidence rate ratios(RRs)with 95%confidence intervals(CIs).Results:Among 2,035 laypersons enrolled,74.7%reported high CPR intention following training.This proportion was 42.4%and 96.4%for those with low and high CPR intentions,respectively,before training.Nine curriculum factors with RRs greater than 1.000 were identified.In 817 low-intention laypersons,the coexistence of five to seven factors and eight or nine factors increased the likelihood of high intention by 174.7%(RR=2.747;95%CI:0.964–7.826)and 283.6%(RR=3.836;95%CI:1.493–9.857),respectively,compared with exposure to zero to four factors.In 1,218 high-intention laypersons,a doseresponse relationship emerged indirectly,as curriculum factors enhanced CPR intention by improving selfefficacy in cardiac arrest recognition and CPR performance.Conclusions:Our study highlighted that key CPR curriculum content is associated with the post-training intention to perform CPR in the real world.
