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Association of neighborhood characteristics with incidence of out-of-hospital cardiac arrest and rates of bystander-initiated CPR: implications for community-based education intervention.

Publication ,  Journal Article
Fosbøl, EL; Dupre, ME; Strauss, B; Swanson, DR; Myers, B; McNally, BF; Anderson, ML; Bagai, A; Monk, L; Garvey, JL; Bitner, M; Jollis, JG; Granger, CB
Published in: Resuscitation
November 2014

OBJECTIVE: A 10-fold regional variation in survival after out-of-hospital cardiac arrest (OHCA) has been reported in the United States, which partly relates to variability in bystander cardiopulmonary resuscitation (CPR) rates. In order for resources to be focused on areas of greatest need, we conducted a geospatial analysis of variation of CPR rates. METHODS: Using 2010-2011 data from Durham, Mecklenburg, and Wake counties in North Carolina participating in the Cardiac Arrest Registry to Enhance Survival (CARES) program, we included all patients with OHCA for whom resuscitation was attempted. Geocoded data and logistic regression modeling were used to assess incidence of OHCA and patterns of bystander CPR according to census tracts and factors associated herewith. RESULTS: In total, 1466 patients were included (median age, 65 years [interquartile range 25]; 63.4% men). Bystander CPR by a layperson was initiated in 37.9% of these patients. High-incidence OHCA areas were characterized partly by higher population densities and higher percentages of black race as well as lower levels of education and income. Low rates of bystander CPR were associated with population composition (percent black: OR, 3.73; 95% CI, 2.00-6.97 per 1% increment in black patients; percent elderly: 3.25; 1.41-7.48 per 1% increment in elderly patients; percent living in poverty: 1.77, 1.16-2.71 per 1% increase in patients living in poverty). CONCLUSIONS: In 3 counties in North Carolina, areas with low rates of bystander CPR can be identified using geospatial data, and education efforts can be targeted to improve recognition of cardiac arrest and to augment bystander CPR rates.

Duke Scholars

Published In

Resuscitation

DOI

EISSN

1873-1570

Publication Date

November 2014

Volume

85

Issue

11

Start / End Page

1512 / 1517

Location

Ireland

Related Subject Headings

  • Survival Analysis
  • Risk Assessment
  • Residence Characteristics
  • Registries
  • Quality Improvement
  • Out-of-Hospital Cardiac Arrest
  • North Carolina
  • Middle Aged
  • Male
  • Logistic Models
 

Citation

APA
Chicago
ICMJE
MLA
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Fosbøl, E. L., Dupre, M. E., Strauss, B., Swanson, D. R., Myers, B., McNally, B. F., … Granger, C. B. (2014). Association of neighborhood characteristics with incidence of out-of-hospital cardiac arrest and rates of bystander-initiated CPR: implications for community-based education intervention. Resuscitation, 85(11), 1512–1517. https://doi.org/10.1016/j.resuscitation.2014.08.013
Fosbøl, Emil L., Matthew E. Dupre, Benjamin Strauss, Douglas R. Swanson, Brent Myers, Bryan F. McNally, Monique L. Anderson, et al. “Association of neighborhood characteristics with incidence of out-of-hospital cardiac arrest and rates of bystander-initiated CPR: implications for community-based education intervention.Resuscitation 85, no. 11 (November 2014): 1512–17. https://doi.org/10.1016/j.resuscitation.2014.08.013.
Fosbøl, Emil L., et al. “Association of neighborhood characteristics with incidence of out-of-hospital cardiac arrest and rates of bystander-initiated CPR: implications for community-based education intervention.Resuscitation, vol. 85, no. 11, Nov. 2014, pp. 1512–17. Pubmed, doi:10.1016/j.resuscitation.2014.08.013.
Fosbøl EL, Dupre ME, Strauss B, Swanson DR, Myers B, McNally BF, Anderson ML, Bagai A, Monk L, Garvey JL, Bitner M, Jollis JG, Granger CB. Association of neighborhood characteristics with incidence of out-of-hospital cardiac arrest and rates of bystander-initiated CPR: implications for community-based education intervention. Resuscitation. 2014 Nov;85(11):1512–1517.
Journal cover image

Published In

Resuscitation

DOI

EISSN

1873-1570

Publication Date

November 2014

Volume

85

Issue

11

Start / End Page

1512 / 1517

Location

Ireland

Related Subject Headings

  • Survival Analysis
  • Risk Assessment
  • Residence Characteristics
  • Registries
  • Quality Improvement
  • Out-of-Hospital Cardiac Arrest
  • North Carolina
  • Middle Aged
  • Male
  • Logistic Models