Evidence map›Paper›PMID 35100885›Full record

SynthesisPerspectives in public health2023

Barriers and facilitators to delivering bystander cardiopulmonary resuscitation in deprived communities: a systematic review.

I Uny, K Angus, E Duncan, F Dobbie

Registry-linked trialOpen access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Perspectives in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07649616 (Increasing Law Enforcement Application of Automated External Defibrillators for Cardiac Arrest), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
11.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07649616 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Increasing Law Enforcement Application of Automated External Defibrillators for Cardiac Arrest

TypeinterventionalSponsorWayne State UniversityRan2026 to 2027Enrolled30ConditionsHeart Arrest, Out-Of-Hospital, DefibrillatorsArmsAED training adjunct
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 49 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

I UnyInstitute for Social Marketing and Health, Faculty of Health Sciences and Sport, University of Stirling, Stirling FK9 4LA, UK. Email: isabelle.uny@stir.ac.uk.ORCID 0000-0002-9548-5332
K AngusInstitute for Social Marketing and Health, Faculty of Health Sciences and Sport, University of Stirling, Stirling, UK.ORCID 0000-0002-5351-4422
E DuncanNursing, Midwifery and Allied Health Professions Research Unit, Faculty of Health Sciences and Sport, University of Stirling, Stirling, UK.
F DobbieUsher Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.
University of Stirling · GBUniversity of Edinburgh · GB

Funding

Chief Scientist Office HIPS/17/10
6 · The paper itself

Abstract

backgroundThere is a higher incidence of cardiac arrest in economically deprived areas; however, data show that bystander cardiopulmonary resuscitation (CPR) in those areas is lower. This results in lower survival rates, placing those communities at a double disadvantage. This systematic review explored the barriers and facilitators to engaging with bystander CPR in deprived communities.

methodsStudies were eligible for inclusion if they addressed any barrier or facilitator to performing bystander CPR or being trained in CPR or training others. Studies had to either be set in a deprived area or examine a deprived population. Selected studies were published between January 2000 and December 2017 and reported on primary research. No language limitations were applied. Searches were conducted in the following databases: Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, PsycINFO, PubMed, and Web of Science Core Collection. Unpublished 'grey' literature was also searched as well as the reference lists of any relevant studies.

resultsThe systematic review highlighted several main factors acting as barriers or facilitators to engaging with bystander CPR in deprived communities: (1) the willingness to learn or perform CPR, (2) the confidence to perform CPR, and (3) self-reported likelihood of performing CPR. The review also revealed additional barriers to engaging with CPR which are specific to - or more acute for - individuals from socioeconomically deprived backgrounds or areas. DISCUSSION: We found little evidence suggesting that the willingness to perform or learn bystander CPR is lower in deprived communities compared to the general population. However, the confidence to perform CPR in deprived communities was affected by some measures of socioeconomic status. The results also crucially highlighted other barriers more acute in deprived communities: the risk to personal safety in administering CPR; the fear of legal consequences; and the lack of community cohesion and other cultural barriers.

Indexed as

Cardiopulmonary ResuscitationHealth Services AccessibilityOut-of-Hospital Cardiac ArrestPoverty AreasHealth Knowledge, Attitudes, PracticeHumansIncidencebystander CPRcardiopulmonary resuscitationCPRemergencyhealth improvementhealth inequalities

Identifiers

PMID35100885
PMCPMC9912310
OpenAlexW4210255391

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.