Australian’s awareness of cardiac arrest and rates of CPR training: results from the Heart Foundation’s Heart Watch Survey. A/Prof Janet Bray Catuscia Biuso, Susie Cartledge, Judith Finn Monash University, Curtin University, Heart Foundation, Deakin University, Australian Resuscitation Outcomes Consortium (Aus-ROC)

CPR is vital

41% in 2016 50%-68% So is CPR training! 000 Bystander cardiopulmonary resuscitation (CPR) in Australia and New Zealand Australian public CPR training rates by state 41% in 2016 Beck et al Resuscitation 2018 50%-68% Jelinek 2001 Resus (WA) Smith 2003 MJA (VIC) Johnson 2003 Resus (QLD) Bray 2017 EMA (VIC)

Background CPR training is associated with higher rates of bystander CPR (Bray et al. 2017 JAHA) . AIM: To provide the first Australian-wide data on CPR awareness and rates of training.

Methods The online survey was conducted on adults in July 2017 (Heart Watch survey conducted by Heart Foundation of Australia). A purposive, non-probability sampling method - quotas for age, gender and area of residence to reflect the wider Australian population. Respondents to the HeartWatch survey belong to an online survey panel. Approximately 12,000 Australians per annum. CPR questions added to July survey. Descriptive analysis

Sample n= 1,076 Australian adults Characteristic Overall N=1,076 Females 544 (50.7%) Age 18-44y 45-64y ≥65 y 557 (52%) 366 (34%) 153 (14%) Australian born 817 (75.9%) >12 years education (university/technical college) 775 (72%) Australian State Victoria New South Wales Queensland Western Australia South Australia Tasmania ACT Northern Territory 284 (26) 339 (31) 218 (20) 114 (11) 85 (8) 24 (2) 8 (4) 4 (1)

33.1% 29.4% 37.6% Do you know the difference between CA and AMI? Yes No Unsure 33.1% 29.4% 37.6%

How would you describe the difference ? In reality (of the yes’s): Correct Incorrect Became unsure 48.3% 22.2% 10.4% Partially correct 18.5% How would you describe the difference ?

Answers “With a cardiac arrest the heart stops pumping and the individual is dead unless revived. A heart attack occurs when the heart pumps inefficiently mainly because arteries are blocked. It can lead to cardiac arrest” “Cardiac arrest is like a stroke” “Cardiac arrest is when your heart stops heart attack is decreased blood/oxygen to parts of the heart” “The same” “One stops the heart the other hurts like hell”

Dr Google “A heart attack occurs when the blood supply to part of the heart stops and thus causes a section of the heart muscle to begin to die; whereas a cardiac arrest occurs when the heart stops beating as a whole.” n = 10

CPR CPR training 91%

CPR training CPR trained more likely: to be Australian born (79% vs. 73%, p=0.03) >12 years education (77% vs. 65%, p<0.0001)

CPR training and willingness by region Queensland 55% CPR stranger =55% CPR family =61% New South Wales 57% CPR stranger =56% CPR family =60% Western Australia CPR stranger =54% CPR family =55% Victoria 53% CPR stranger =52% CPR family =64% South Australia 57% CPR stranger =47% CPR family =53%

Reasons for not receiving training 76% willing to learn CPR 18% unsure 76% would prefer to learn in a group by a professional 8% prefer self-learning

Conclusions and limitations Survey design, responder bias Key findings CPR training rates remain unchanged in over a decade There is a need to improve Australian’s understanding of cardiac arrest and to increase awareness and confidence in performing CPR. Cardiac rehabilitation is the ideal setting to educate Australians with heart disease.

CPR can be taught in cardiac rehab In 2014, only 24% of CR programs in Australia provided CPR training CR patients see CPR training as valuable & see CR as the ideal place to learn CPR CR patients and sig others can be taught

Increasing uptake of CPR in Cardiac Rehabilitation Aim To increase prevalence of CPR training in Australian CR programs (currently 24%) Intervention CPR training information pack (includes two CPR training kits valued $75) Information pack + 45 mins education session (videoconference) Data collection 10 mins survey before and at 6 month susie.cartledge@monash.edu

Heart Foundation Heart Safe Communities A Heart Safe Community is one where community members work together to get the skills and knowledge to feel confident to act when they witness a cardiac arrest.

Presentation title 28th February 2011

Restart a Heart day October 16th Restart a Heart Day October 16 2018 is a global initiative to raise awareness and education of CPR and AEDs in our community.

Questions?? Funding Heart Foundation Fellowship Janet.bray@monash.edu www.ausroc.org.au