Skip to content

Advertisement

  • Poster presentation
  • Open Access

Aging augments unwllingness to the initial three links in chains of survival

  • 1,
  • 1,
  • 1,
  • 1,
  • 1 and
  • 1
Critical Care201014 (Suppl 1) :P314

https://doi.org/10.1186/cc8546

  • Published:

Keywords

  • Logistic Regression
  • Logistic Regression Analysis
  • Emergency Medicine
  • Aged Population
  • Residential Area

Introduction

The purpose of the study was to clarify the influence of aging on attitudes toward the initial three links in chains of survival.

Methods

We gave questionnaires to attendants of compulsory programs for basic life support (BLS) or driving technique at the beginning in authorized driving schools. The questionnaires included their backgrounds. We studied their willingness in four hypothetical scenarios related to the initial three links: early emergency call, cardiopulmonary resuscitation (CPR) under one's own initiative, telephone-assisted chest compression and use of AED. The respondents were divided into young (17 to 29 years, n = 6,122), middle-aged (29 to 59 years, n = 827), older person (>59 years, n = 15,743) groups.

Results

There were significant differences in gender, occupation, residential area and experience of BLS training, and knowledge of AED use between the three groups. The proportions of respondents who are willing to perform the desirable BLS actions were lowest in the older person group (Table 1). Multiple logistic regression analysis confirmed that aging is one of the independent factors relating to negative attitude in all the scenarios. Gender, occupation, resident area, experience of BLS training, and knowledge for AED use were other independent factors relating to negative attitude to some of the scenarios.
Table 1

Difference among the three age groups in the proportion of respondents who are willing to perform the desirable BLS actions

 

Age group

 

Scenario

17 to 29 years

29 to 59 years

>59 years

Chi-square test P value

CPR under their own initiative

78.9% (4,810/6,094)

71.9% (589/819)

57.1% (8,186/14,346)

<0.001

Telephone-assisted chest compression

94.6% (5,766/6,898)

92.5% (757/818)

84.6% (12,112/14,316)

<0.001

Early 119 call

91.2% (5,556/6,092)

91.2% (747/819)

79.4% (12,130/15,270)

<0.001

Use of AED

56.8% (3,386/5,963)

48.4% (388/801)

21.4% (2,832/13,285)

<0.001

Conclusions

The aged population is more negative to the chain of survival. More are willing to follow the telephone-assisted direction for chest compression. The BLS training should be modified for them to gain confidence and to be aware of the significance and benefit of early call.

Authors’ Affiliations

(1)
Kanazawa University Graduate School of Medicine, Kanazawa, Japan

Copyright

© BioMed Central Ltd. 2010

Advertisement