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Health inequities in out-of-hospital cardiac arrest
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Boulton, Adam J., Del Rios, Marina and Perkins, Gavin D. (2022) Health inequities in out-of-hospital cardiac arrest. Current Opinion in Critical Care, 28 (3). pp. 229-236. doi:10.1097/MCC.0000000000000947 ISSN 1070-5295.
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Official URL: https://doi.org/10.1097/MCC.0000000000000947
Abstract
Out-of-hospital cardiac arrest (OHCA) is a time-critical emergency in which a rapid response following the chain of survival is crucial to save life. Disparities in care can occur at each link in this pathway and hence produce health inequities. This review summarises the health inequities that exist for OHCA patients and suggests how they may be addressed. There is international evidence that the incidence of OHCA is increased with increasing deprivation and in ethnic minorities. These groups have lower rates of bystander CPR and bystander-initiated defibrillation, which may be due to barriers in accessing cardiopulmonary resuscitation training, provision of public access defibrillators, and language barriers with emergency call handlers. There are also disparities in the ambulance response and in-hospital care following resuscitation. These disadvantaged communities have poorer survival following OHCA. OHCA disproportionately affects deprived communities and ethnic minorities. These groups experience disparities in care throughout the chain of survival and this appears to translate into poorer outcomes. Addressing these inequities will require coordinated action that engages with disadvantaged communities. [Abstract copyright: Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.]
| Item Type: | Journal Article | ||||
|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
| SWORD Depositor: | Library Publications Router | ||||
| Journal or Publication Title: | Current Opinion in Critical Care | ||||
| Publisher: | Lippincott Williams & Wilkins | ||||
| ISSN: | 1070-5295 | ||||
| Official Date: | 1 June 2022 | ||||
| Dates: |
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| Volume: | 28 | ||||
| Number: | 3 | ||||
| Page Range: | pp. 229-236 | ||||
| DOI: | 10.1097/MCC.0000000000000947 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Reuse Statement (publisher, data, author rights): | ** From PubMed via Jisc Publications Router | ||||
| Access rights to Published version: | Restricted or Subscription Access |
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