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

Resuscitation
Sun Young LeeSeung Chul Lee

Abstract

The objective of this study was to compare the temporal trends in good neurologic outcome after out-of-hospital cardiac arrest (OHCA) between communities with different socioeconomic status (SES). A nationwide, population-based observational study was conducted in adult patients with OHCA of cardiac etiology from 2006 to 2015. Community SES was defined using the Carstairs index categorized into 5 groups, from Q1 (the least deprived) to Q5 (the most deprived). Outcomes included good neurologic outcome, survival to hospital discharge and rate of bystander cardiopulmonary resuscitation (CPR). Using multivariable logistic regression, we examined temporal trends in risk-adjusted outcome rates according to community SES and estimated a difference-in-differences model between 2006 and 2015 to compare the changes over time in communities with different SES. A total of 120,365 OHCAs met inclusion criteria. Risk-adjusted rates increased from 2006 to 2015 for bystander CPR (1.2%-23.2%), survival to discharge (3.0%-8.0%), and good neurological outcome (0.9%-5.8%). However, the degree of improvement in each risk-adjusted rate among SES groups were different. The communities with highest SES showed much greater improvement (bystander CPR 1.6...Continue Reading

Citations

Jul 3, 2018·European Heart Journal. Quality of Care & Clinical Outcomes·Terry P BrownGavin D Perkins
Mar 13, 2019·Nature Reviews. Cardiology·David D BergRobert A Berg
Jan 30, 2020·Circulation·Salim S ViraniUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
Feb 19, 2020·Journal of the American Heart Association·Paul S ChanJohn A Spertus
Jan 28, 2021·Circulation·Salim S ViraniUNKNOWN American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee
Feb 13, 2021·International Journal of Environmental Research and Public Health·Ching-Fang TzengChih-Hao Lin
Apr 23, 2021·Resuscitation·Ziad Nehme, Karen Smith
Aug 15, 2021·Resuscitation·Adam J Boulton, Joyce Yeung
Sep 16, 2021·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Jens AgerströmJohan Israelsson

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