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Characteristics of neighbourhoods with high incidence of out-of-hospital cardiac arrest and low bystander cardiopulmonary resuscitation rates in England
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Brown, Terry, Booth, Scott J., Hawkes, Claire, Soar, Jasmeet, Julian, Mark, Mapstone, James, Fothergill, Rachel T., Black, Sarah, Pocock, Helen, Bichmann, Anna, Gunson, Imogen and Perkins, Gavin D. (2019) Characteristics of neighbourhoods with high incidence of out-of-hospital cardiac arrest and low bystander cardiopulmonary resuscitation rates in England. European Heart Journal - Quality of Care and Clinical Outcomes, 5 (1). pp. 51-62. doi:10.1093/ehjqcco/qcy026 ISSN 2058-5225.
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Official URL: https://doi.org/10.1093/ehjqcco/qcy026
Abstract
Aims
The aim of the project was to identify the neighbourhood characteristics of areas in England where out-of-hospital cardiac arrest (OHCA) incidence was high and bystander cardiopulmonary resuscitation (BCPR) was low using registry data.
Methods and results
Analysis was based on 67 219 cardiac arrest events between 1 April 2013 and 31 December 2015. Arrest locations were geocoded to give latitude/longitude. Postcode district was chosen as the proxy for neighbourhood. High-risk neighbourhoods, where OHCA incidence based on residential population was >127.6/100 000, or based on workday population was >130/100 000, and BCPR in bystander witnessed arrest was <60% were observed to have: a greater mean residential population density, a lower workday population density, a lower rural–urban index, a higher proportion of people in routine occupations and lower proportion in managerial occupations, a greater proportion of population from ethnic minorities, a greater proportion of people not born in UK, and greater level of deprivation. High-risk areas were observed in the North-East, Yorkshire, South-East, and Birmingham.
Conclusion
The study identified neighbourhood characteristics of high-risk areas that experience a high incidence of OHCA and low bystander resuscitation rate that could be targeted for programmes of training in cardiopulmonary resuscitation and automated external defibrillator use.
Item Type: | Journal Article | ||||||||||||
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Subjects: | R Medicine > RC Internal medicine | ||||||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Cardiac resuscitation -- England, Cardiac arrest -- Treatment -- England | ||||||||||||
Journal or Publication Title: | European Heart Journal - Quality of Care and Clinical Outcomes | ||||||||||||
Publisher: | Oxford University Press | ||||||||||||
ISSN: | 2058-5225 | ||||||||||||
Official Date: | January 2019 | ||||||||||||
Dates: |
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Volume: | 5 | ||||||||||||
Number: | 1 | ||||||||||||
Page Range: | pp. 51-62 | ||||||||||||
DOI: | 10.1093/ehjqcco/qcy026 | ||||||||||||
Status: | Peer Reviewed | ||||||||||||
Publication Status: | Published | ||||||||||||
Reuse Statement (publisher, data, author rights): | This is a pre-copyedited, author-produced version of an article accepted for publication in European Heart Journal following peer review. The version of record Terry P Brown, Scott Booth, Claire A Hawkes, Jasmeet Soar, Julian Mark, James Mapstone, Rachael T Fothergill, Sarah Black, Helen Pocock, Anna Bichmann, Imogen Gunson, Gavin D Perkins, University of Warwick on behalf of OHCAO collaborators; Characteristics of neighbourhoods with high incidence of out-of-hospital cardiac arrest and low bystander cardiopulmonary resuscitation rates in England, European Heart Journal - Quality of Care and Clinical Outcomes, , qcy026, is available online at: https://doi.org/10.1093/ehjqcco/qcy026 | ||||||||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||||||||
Date of first compliant deposit: | 27 June 2018 | ||||||||||||
Date of first compliant Open Access: | 28 June 2019 | ||||||||||||
RIOXX Funder/Project Grant: |
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