Basic life support competency among healthcare professionals in Ethiopia: a systematic review and meta-analysis, 2025

IF 2.4 Q3 CRITICAL CARE MEDICINE

Resuscitation plus Pub Date : 2025-09-11 DOI:10.1016/j.resplu.2025.101098

Gebremeskel Kibret Abebe , Addis Wondmagegn Alamaw , Biruk Beletew Abate , Befkad Derese Tilahun , Alemu Birara Zemariam , Tesfaye Engdaw Habtie , Fekadu Takele Wolie

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Abstract

Background

Sudden cardiac arrest is a major global health problem, accounting for nearly half of all cardiovascular deaths. Its burden is particularly high in low-income regions, partly due to limited healthcare facilities. Early Cardiopulmonary resuscitation (CPR) can increase survival rates to 50–70%. However, only a small proportion of cardiac arrest victims receive timely, adequate life-saving cardiopulmonary resuscitation, highlighting an urgent need for improvement.

Objectives

To conduct a systematic review and meta-analysis of knowledge, attitude, and associated factors on basic life support among healthcare professionals in Ethiopia.

Methods

A systematic review and meta-analysis were conducted by searching several databases, including PubMed, Medline, the Cochrane Database of Systematic Reviews, UpToDate, EMBASE, and the National Institute for Health and Care Excellence (NICE). Data on knowledge, attitudes, and associated factors related to basic life support among healthcare professionals were extracted. The pooled estimate of knowledge and attitude levels was calculated using a random-effects model. The Joanna Briggs Institute’s (JBI) critical appraisal checklist was used to assess the quality of the included studies.

Results

The final analysis included 12 studies with a total of 3045 participants. The pooled prevalence of good knowledge of basic life support among healthcare professionals in Ethiopia was 42.87 % (95 % CI: 29.15–56.59 %; I² = 98.86 %; p < 0.001). The pooled prevalence of favorable attitudes towards basic life support was 71.46 % (95 % CI: 69.89–73.04 %; I² = 98.80 %; p < 0.0001). Gender (being male; AOR = 0.31; 95 % CI: 0.07–0.56) was negativity associated with knowledge, while previous exposure to basic life support (AOR = 1.74; 95 % CI: 1.38–2.11) was positively associated. Assessment of publication bias revealed no evidences bias.

Conclusion

The overall prevalence good knowledge among healthcare professionals in Ethiopia remains below the Minimum standards, while their attitude towards basic life support was suboptimal. Male healthcare professionals less likely to have adequate knowledge on basic life support, where as those with pervious exposure to basic life support demonstrate good knowledge.

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埃塞俄比亚医疗保健专业人员的基本生命支持能力：系统回顾和荟萃分析，2025

心脏骤停是一个主要的全球健康问题，占所有心血管死亡的近一半。在低收入地区，其负担尤其沉重，部分原因是医疗设施有限。早期心肺复苏（CPR）可以将存活率提高到50-70%。然而，只有一小部分心脏骤停患者得到及时、充分的挽救生命的心肺复苏，这突出了迫切需要改善。目的对埃塞俄比亚卫生保健专业人员的基本生命支持知识、态度及相关因素进行系统回顾和荟萃分析。方法通过检索PubMed、Medline、Cochrane系统评价数据库、UpToDate、EMBASE、National Institute for Health and Care Excellence （NICE）等数据库进行系统评价和meta分析。提取了卫生保健专业人员关于基本生命支持的知识、态度和相关因素的数据。知识和态度水平的综合估计使用随机效应模型计算。乔安娜布里格斯研究所（JBI）的关键评估清单用于评估纳入研究的质量。结果最终分析包括12项研究，共3045名参与者。埃塞俄比亚卫生保健专业人员中基本生命支持知识的总流行率为42.87% （95% CI: 29.15 - 56.59%; I2 = 98.86%; p < 0.001）。对基本生命支持持赞成态度的总患病率为71.46% （95% CI: 69.89 ~ 73.04%; I2 = 98.80%; p < 0.0001）。性别（男性；AOR = 0.31; 95% CI: 0.07-0.56）与知识负相关，而先前接触基本生命支持（AOR = 1.74; 95% CI: 1.38-2.11）与知识正相关。发表偏倚评估未发现证据偏倚。结论埃塞俄比亚卫生保健专业人员良好知识的总体流行率仍低于最低标准，对基本生命支持的态度也不理想。男性保健专业人员不太可能掌握基本生命支持的充分知识，而以前接触过基本生命支持的人则表现出良好的知识。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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