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
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
| Outcome | R2 (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 →