A disparity in outcomes of out-of-hospital cardiac arrest by community socioeconomic status: A ten-year observational study

Lee, Sun Young; Song, Kyoung Jun; Shin, Sang Do; Ro, Young Sun; Hong, Ki Jeong; Kim, Young Taek; Hong, Sung Ok; Park, Jeong Ho; Lee, Seung−Chul

doi:10.1016/j.resuscitation.2018.02.025

Cited by 47 publications

(24 citation statements)

References 28 publications

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“…45 Socioeconomic status is not only important predicting OHCA incidence and likelihood a case receives BCPR, it is also important for survival, in cases that have received BCPR the likelihood of survival increases with an increase in socioeconomic status. 46,47 Limitations A limitation of the study was that we were not able to geocode approximately 12% of the OHCAs which may have biased the results. The majority of these were located in the South-West (81%).…”

Section: Discussionmentioning

confidence: 99%

Characteristics of neighbourhoods with high incidence of out-of-hospital cardiac arrest and low bystander cardiopulmonary resuscitation rates in England

Brown

Booth

Hawkes

et al. 2018

European Heart Journal - Quality of Care and Clinical Outcomes

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Section: Discussionmentioning

confidence: 99%

Characteristics of neighbourhoods with high incidence of out-of-hospital cardiac arrest and low bystander cardiopulmonary resuscitation rates in England

Brown

Booth

Hawkes

et al. 2018

European Heart Journal - Quality of Care and Clinical Outcomes

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“…However, like several other international studies have reported, e.g. in Korea [44] and Singapore [45], this relationship diminished with age, where older adults run the highest risk of suffering an out of hospital cardiac arrest [43]. Socioeconomic status has also been linked to survival rates in Sweden, where lower education and income levels were found to be predictive of low survival rates in 30 days following an out of hospital cardiac arrest [46].…”

Section: Previous Studies On Socio-spatial Disparities In Access To Ehcmentioning

confidence: 65%

Socio-spatial disparities in access to emergency health care—A Scandinavian case study

Hassler

Ceccato

2021

PLoS ONE

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Having timely access to emergency health care (EHC) depends largely on where you live. In this Scandinavian case study, we investigate how accessibility to EHC varies spatially in order to reveal potential socio-spatial disparities in access. Distinct measures of EHC accessibility were calculated for southern Sweden in a network analysis using a Geographical Information System (GIS) based on data from 2018. An ANOVA test was carried out to investigate how accessibility vary for different measures between urban and rural areas, and negative binominal regression modelling was then carried out to assess potential disparities in accessibility between socioeconomic and demographic groups. Areas with high shares of older adults show poor access to EHC, especially those in the most remote, rural areas. However, rurality alone does not preclude poor access to EHC. Education, income and proximity to ambulance stations were also associated with EHC accessibility, but not always in expected ways. Despite indications of a well-functioning EHC, with most areas served within one hour, socio-spatial disparities in access to EHC were detected both between places and population groups.

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“…In the Korea nationwide registry, the temporal trend in bystander CPR increased in a different way considering the area average socioeconomic status. In ten years, the rate of bystander CPR increased by 22% in the least deprived areas versus 11% in the most deprived areas [ 28 ]. Public access to a defibrillator also varied widely depending on social factors.…”

Section: Discussionmentioning

confidence: 99%

A national population-based study of patients, bystanders and contextual factors associated with resuscitation in witnessed cardiac arrest: insight from the french RéAC registry

Baert¹,

Colineaux

Escutnaire³

et al. 2021

BMC Public Health

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Background In out-of-hospital cardiac arrest (OHCA), bystander initiated cardiopulmonary resuscitation (CPR) increases the chance of return of spontaneous circulation and survival with a favourable neurological status. Socioeconomic disparities have been highlighted in OHCA field. In areas with the lowest average socioeconomic status, OHCA incidence increased, and bystander CPR decreased. Evaluations were performed on restricted geographical area, and European evaluation is lacking. We aimed to analyse, at a national level, the impact of area-level social deprivation on the initiation of CPR in case of a witnessed OHCA. Methods We included all witnessed OHCA cases with age over 18 years from July 2011 to July 2018 form the OHCA French national registry. We excluded OHCA occurred in front of rescue teams or in nursing home, and patients with incomplete address or partial geocoding. We collected data from context, bystander and patient. The area-level social deprivation was estimated by the French version of the European Deprivation Index (in quintile) associated with the place where OHCA occurred. We assessed the associations between Utstein variables and social deprivation level using a mixed-effect logit model with bystander-initiated CPR. Results We included 23,979 witnessed OHCA of which 12,299 (51%) had a bystander-initiated CPR. More than one third of the OHCA (8,326 (35%)) occurred in an area from the highest quintile of social deprivation. The higher the area-level deprivation, the less the proportion of bystander-initiated CPR (56% in Quintile 1 versus 48% in Quintile 5). The In the multivariable analysis, bystander less often began CPR in areas with the highest deprivation level, compared to those with the lowest deprivation level (OR=0.69, IC95%: 0.63-0.75). Conclusions The level of social deprivation of the area where OHCA occurred was associated with bystander-initiated CPR. It decreased in the more deprived areas although these areas also concentrate more younger patients.

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A disparity in outcomes of out-of-hospital cardiac arrest by community socioeconomic status: A ten-year observational study

Cited by 47 publications

References 28 publications

Characteristics of neighbourhoods with high incidence of out-of-hospital cardiac arrest and low bystander cardiopulmonary resuscitation rates in England

Characteristics of neighbourhoods with high incidence of out-of-hospital cardiac arrest and low bystander cardiopulmonary resuscitation rates in England

Socio-spatial disparities in access to emergency health care—A Scandinavian case study

A national population-based study of patients, bystanders and contextual factors associated with resuscitation in witnessed cardiac arrest: insight from the french RéAC registry

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