Acute cardiac care & resuscitationResearch article

Community basic life support training, automated external defibrillator coverage, and bystander intervention in witnessed out-of-hospital cardiac arrest

ResuscitationPublished

  • Mixed-effects logistic regression and Firth's penalized logistic regression analysis of witnessed OHCA cases

Authors' conclusion

Higher community BLS training rates were associated with a higher odds of bystander CPR, whereas neither BLS training rates nor AED coverage were associated with bystander AED use.

Study context

Population
Witnessed OHCA cases in Seoul, South Korea, between 2017 and 2021; communities defined as the 25 administrative districts of Seoulwitnessed OHCA cases included in the analysis
Participants
6,280 cases
Comparison
associations of community basic life support (BLS) training rates and automated external defibrillator (AED) coverage with bystander intervention in out-of-hospital cardiac arrest (OHCA)

Main finding

Bystander CPR

Adjusted odds ratio

1.56

95% CI 1.14–2.14

highest quartile of BLS training rates vs lowest quartile
aOR 1.56 (95% CI 1.14–2.14)

As reported in the abstract

Further findings

Bystander AED use

Neither community BLS training rates nor AED coverage were associated with bystander AED use, and no significant interaction was observed

Bystander intervention received

received bystander CPR without AED
67.0% (4207/6280)
received bystander CPR with AED
0.7% (47/6280)

Original publication

Community basic life support training, automated external defibrillator coverage, and bystander intervention in witnessed out-of-hospital cardiac arrest. Resuscitation. Published 17 April 2026. doi:10.1016/j.resuscitation.2026.111103

Summarised from the published abstract; every number is checked against it