Acute cardiac care & resuscitation

A novel scoring system and correlative analysis of the strength and effectiveness of nationwide high school cardiopulmonary resuscitation mandates: Insights from a high school cardiopulmonary resuscitation (CPR) study

Heart RhythmPublished Cross-sectional study

Authors' conclusion

Modest scoring consistency highlights the need for robust, standardized CPR requirements to potentially mitigate SCD.

Study context

Population
High school CPR training mandates across all 50 US states and the District of Columbia50 states and DC
Exposure
State high school CPR mandate scores vs registry outcomes
Outcome
State CPR mandate score (higher = more robust)
Methodological detailsnovel scoring system, all 50 states and the District of Columbia
  • Novel scoring system
  • All 50 states and the District of Columbia

Main finding

As reported in the abstract

Range of scores
0 to 47
Median score (IQR 19.5-27)
24
Mean score (± 8.61)
21.52
Highest score
35
Intraobserver variability
0.986 (95% CI 0.944-1.028; P < .001)

Observational data: associations, not effects.

Further findings

OutcomeR2 (95% CI)P value
Correlation of year of implementation with scoreYear of implementation vs Mandate score−0.173 (−0.447 to 0.131)P = 0.262
Correlation of mandate score with registry outcomes, 2018–2021Mandate score vs SCD rate−0.76 (−0.492 to 0.367)P = 0.742
Correlation of mandate score with registry outcomes, 2018–2021Mandate score vs Bystander-initiated CPR−0.006 (−0.437 to 0.427)P = 0.978
Correlation of mandate score with registry outcomes, 2018–2021Mandate score vs Automated external defibrillator use−0.125 (−0.528 to 0.324)P = 0.590
Correlation of mandate score with registry outcomes, 2018–2021Mandate score vs CV death rate−0.13 (−0.379 to 0.21)P = 0.355

Correlation of mandate score with registry outcomes, 2018–2021

Correlations failed to reach statistical significance

Original publication

A novel scoring system and correlative analysis of the strength and effectiveness of nationwide high school cardiopulmonary resuscitation mandates: Insights from a high school CPR study. Heart Rhythm. Published 20 July 2024. doi:10.1016/j.hrthm.2024.07.033

Composed by AI from the published abstract and checked against it. How Briefs are made →

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