Socioeconomic status influences bystander CPR and survival rates for out-of-hospital cardiac arrest victims

Vaillancourt, Christian; Lui, Anne; Maio, Valerie J. De; Wells, George A.; Stiell, Ian G.

doi:10.1016/j.resuscitation.2008.07.012

Cited by 105 publications

(84 citation statements)

References 27 publications

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“…6 Prior studies have shown racial or ethnic-group and socioeconomic disparities in the provision of bystander-initiated CPR. [7][8][9][10][11] However, it is unclear to what extent such disparities are due to neighborhood effects, which have been shown to exert a substantial influence in explaining variations and disparities in care for other conditions. [12][13][14][15] Although a few studies have examined the effect of neighborhood on the receipt of bystander-initiated CPR during out-of-hospital cardiac arrest, 6,16,17 these studies were conducted within small geographic areas and therefore may not be generalizable to other settings.…”

mentioning

confidence: 99%

Association of Neighborhood Characteristics With Bystander-Initiated CPR

Sasson¹,

Magid²,

Chan³

et al. 2013

Survey of Anesthesiology

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mentioning

confidence: 99%

Association of Neighborhood Characteristics With Bystander-Initiated CPR

Sasson¹,

Magid²,

Chan³

et al. 2013

Survey of Anesthesiology

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“…45 Nigeria is a developing economy with poverty still very much prevalent. It is very imperative to intensify advocacy on bystander CPR.…”

Section: Discussionmentioning

confidence: 99%

Impact of Age and Sex on Bystander Cardiopulmonary Resuscitation Knowledge

Onyeaso

2017

int.jour.sci.res.mana

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Objective: To assess the impact of age and sex on the bystander CPR Knowledge in a group of Nigerian student teachers. Materials and Methods: A quasi-experimental study design was used with the cohort made up of forty one (41) male and forty one (41) female undergraduate students of Physical and Health Education with 40 participants in the 17-20 years age group and 42 participants belonging to the 21-28 years of age bracket were randomly selected from the larger main cohort for analysis of possible impact of age and sex on their pre-training and post-training cardiopulmonary resuscitation knowledge. In addition to the descriptive statistics, one-way analysis of variance (ANOVA) was used to test the null hypotheses generated with significance level set at P < 0.05. Results: No significant age impact was found on the pre-training and post-training CPR knowledge of the student teachers (P > 0.05). However, there was a positive impact of male gender on post-training CPR knowledge of the participants (P <0.001). Conclusion: Although age could not impact significantly on the cardiopulmonary resuscitation knowledge of the participants, male gender significantly impacted on the post-training cardiopulmonary resuscitation knowledge of the cohort.

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“…An estimated 5% of cases will be excluded due to incomplete geographic information, which is consistent with previous literature that has excluded between 3% and 15% of eligible cases. [10][11][12]26 There are limitations associated with using census data. Neighbourhood characteristics may not be generalizable to individuals within a given census tract.…”

Section: Discussionmentioning

confidence: 99%

“…[33][34][35][36][37][38][39][40][41][42][43][44][45] The neighbourhood factors of the arrest location (i.e., the pickup address) will be used to study the effects on bystander CPR, because the emergency response (i.e., bystanders and EMS/paramedics) is contingent on the arrest location. [10][11][12][13][46][47][48] A patient's home address is recorded as mailing address with street name, street number, and postal code, whereas the pickup address is recorded as a mailing address, with latitude and longitude coordinates and a Universal Transverse Mercator (UTM) value. 28 Postal codes will be the preferred source for identifying addresses.…”

Section: Geocodingmentioning

confidence: 99%

“…7 But despite the vast amount of evidence implicating the Utstein variables as the main predictors of survival, few studies to date have investigated non-Utstein variables as predictors of survival and their influence on outcome variability. 3,7 In OHCA, socioeconomic status (SES) [8][9][10][11][12][13][14] and race/ ethnicity [14][15][16][17][18][19][20][21][22][23][24] have been studied in relation to survivalto-hospital discharge and bystander CPR. These results are often contradictory and inconclusive, and these studies were limited in scope, only including one or two non-Utstein variables.…”

Section: Introductionmentioning

confidence: 99%

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Does location matter? A proposed methodology to evaluate neighbourhood effects on cardiac arrest survival and bystander CPR

Buick

Allan

Ray

et al. 2015

CJEM

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Background: Traditional variables used to explain survival following out-of-hospital cardiac arrest (OHCA) account for only 72% of survival, suggesting that other unknown factors may influence outcomes. Research on other diseases suggests that neighbourhood factors may partly determine health outcomes. Yet, this approach has rarely been used for OHCA. This work outlines a methodology to investigate multiple neighbourhood factors as determinants of OHCA outcomes. Methods: A retrospective, observational cohort study design will be used. All adult non-emergency medical service witnessed OHCAs of cardiac etiology within the city of Toronto between 2006 and 2010 will be included. Event details will be extracted from the Toronto site of the Resuscitation Outcomes Consortium Epistry-Cardiac Arrest, an existing population-based dataset of consecutive OHCA patients. Geographic information systems technology will be used to assign patients to census tracts. Neighbourhood variables to be explored include the Ontario Marginalization Index (deprivation, dependency, ethnicity, and instability), crime rate, and density of family physicians. Hierarchical logistic regression analysis will be used to explore the association between neighbourhood characteristics and 1) survival-to-hospital discharge, 2) return-of-spontaneous circulation at hospital arrival, and 3) provision of bystander cardiopulmonary resuscitation (CPR). Receiver operating characteristics curves will evaluate each model's ability to discriminate between those with and without each outcome. Discussion: This study will determine the role of neighbourhood characteristics in OHCA and their association with clinical outcomes. The results can be used as the basis to focus on specific neighbourhoods for facilitating educational interventions, CPR awareness programs, and higher utilization of automatic defibrillation devices.

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Socioeconomic status influences bystander CPR and survival rates for out-of-hospital cardiac arrest victims

Cited by 105 publications

References 27 publications

Association of Neighborhood Characteristics With Bystander-Initiated CPR

Association of Neighborhood Characteristics With Bystander-Initiated CPR

Impact of Age and Sex on Bystander Cardiopulmonary Resuscitation Knowledge

Does location matter? A proposed methodology to evaluate neighbourhood effects on cardiac arrest survival and bystander CPR

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