Education in cardiopulmonary resuscitation in Russia： A systematic review of the available evidence

摘要

BACKGROUND： To summarise and appraise cumulative published scientifi c evidence relevantto cardiopulmonary resuscitation （CPR） education in Russia.DATA RESOURCES： We searched Medline, Scopus, Science Direct and Russian ScienceCitation Index databases from December 1991 to December 2016 to identify studies pertaining tothe fi eld of CPR education that were carried out by Russian researchers and/or investigated the topicof interest for Russia/Russian population. Reference lists of eligible publications, contents pages ofrelevant Russian journals and Google Scholar were also searched. There was no limitation based onpublication language or study design.RESULTS： Of 7 964 unique citations identified, 22 studies were included. All studies werepublished from 2009 to 2016, mainly in Russian. Only three studies were reported to be randomizedcontrolled. Non-medical individuals constituted 17% of studied populations. Most of the studiesaimed to assess effects of CPR educational interventions, generally suggesting positive infl uence ofthe training conducted. The studies were highly heterogeneous as for methodological approaches,structure and duration of educational interventions, evaluation methods and criteria being used.Methodological quality was generally poor, with 〉40% publications not passing quality screening andonly 2 studies meeting the criteria of moderate high quality.CONCLUSION： The results suggest paucity, low population coverage, high thematic andmethodological heterogeneity and low quality of the studies addressing CPR education, whichwere carried out in the Russian Federation. There is a critical need in conducting methodologicallyconsistent, large-scale, randomized, controlled studies evaluating and comparing efficiency ofeducational interventions for teaching CPR in different population categories of Russia.