Evidence map›Paper›PMID 39034017›Full record

ArticleHeart rhythm2025

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.

Aashish Katapadi, Avani Lakkireddy, Sneha Korlakunta, Lasya Maganti, Rachad Ghazal, Aditya Mansabdar Mudr, Nicholas Pham, Danish Bawa, Adnan Ahmed, Anjali Baratham and 12 more

Abstract readMulticenter Study
In one paragraph

Article in Heart rhythm, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Improving bystander CPR and AED training among college students: strategies and barriers.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  2. Review
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

22 authors.

Aashish KatapadiKansas City Heart Rhythm Institute, Overland Park, Kansas.
Avani LakkireddyBarston School, Kansas City, Missouri.
Sneha KorlakuntaBoston University, Boston, Massachusetts.
Lasya MagantiBarston School, Kansas City, Missouri.
Rachad GhazalKansas City Heart Rhythm Institute, Overland Park, Kansas.
Aditya Mansabdar MudrKansas City Heart Rhythm Institute, Overland Park, Kansas.
Nicholas PhamKansas City Heart Rhythm Institute, Overland Park, Kansas.
Danish BawaDivision of Cardiology, HCA Midwest Health, Overland Park, Kansas.
Adnan AhmedDivision of Cardiology, HCA Midwest Health, Overland Park, Kansas.
Anjali BarathamBarston School, Kansas City, Missouri.
Nikhila ChelikamKansas City Heart Rhythm Institute, Overland Park, Kansas.
Douglas DardenKansas City Heart Rhythm Institute, Overland Park, Kansas.
Ehtesham ShanKansas City Heart Rhythm Institute, Overland Park, Kansas.
Jalaj GargLoma Linda University Health, Loma Linda, California.
Rajesh KabraKansas City Heart Rhythm Institute, Overland Park, Kansas.
Rakesh GopinathannairKansas City Heart Rhythm Institute, Overland Park, Kansas.
Donita AtkinsKansas City Heart Rhythm Institute, Overland Park, Kansas.
Cathie BigaCardiovascular Management of Illinois, Darien, Illinois.
Kenneth A EllenbogenVirginia Commonwealth University, Richmond, Virginia.
Mina K ChungCleveland Clinic Foundation, Cleveland, Ohio.
Richard KovacsIndiana University, Indianapolis, Indiana.
Dhanunjaya LakkireddyKansas City Heart Rhythm Institute, Overland Park, Kansas. Electronic address: dhanunjaya.lakkireddy@hcahealthcare.com.

Funding

Project 3 Genes to Omics-Informed Drugs: Drug Repositioning and Testing to Prevent AF ProgressionsP01HL158502 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI Mina Kay Chung · 2022 to 2026
$16.9M
RADIOMIC APPROACHES TO IMPROVE TARGETING FOR ATRIAL FIBRILLATION CATHETER ABLATIONR01HL158071 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI BARNARD, JOHN, CHUNG, MINA KAY · 2021 to 2024
$2.9M
BLRD VA IK6 BX006185NHLBI NIH HHS P01 HL158502NHLBI NIH HHS R01 HL158071
6 · The paper itself

Abstract

backgroundNumerous states have introduced cardiopulmonary resuscitation (CPR) training mandates for high school students and staff to prevent sudden cardiac death (SCD). However, the content and implementation of these mandates vary substantially. Furthermore, a comprehensive and objective assessment of these mandates and their impact is lacking.

objectiveWe aimed to conduct a thorough evaluation of CPR training mandates across the United States.

methodsWe developed a novel scoring system based on proposed CPR standards, training and certification requirements, and legislative action to assess current mandates. This was used to rate the CPR mandates across all 50 states and the District of Columbia. Mandate scores were then compared with available real-world registry data as a surrogate for efficacy from 2018 to 2021.

resultsState CPR mandate scores ranged from 0 to 47, with a higher score indicating more robust mandates. The median and mean scores were 24 (interquartile range, 19.5-27) and 21.52 ± 8.61, respectively, with 35 being the highest score. Intraobserver variability was 0.986 (95% CI, 0.944-1.028; P < .001). The year of implementation did not influence the strength of the score (R

conclusionModest scoring consistency highlights the need for robust, standardized CPR requirements to potentially mitigate SCD. This study lays the groundwork for evidence-informed policy development in this area.

Indexed as

Cardiopulmonary ResuscitationDeath, Sudden, CardiacSchoolsAdolescentFemaleHumansMaleRegistriesUnited StatesAutomated external defibrillatorCardiopulmonary resuscitationHigh schoolLegislationOut-of-hospital cardiac arrestScoringStudentsSudden cardiac death

Identifiers

PMID39034017
PMCPMC11743825

What OpenQuestion holds

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Registered trials

None linked

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.