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Does the level of socioeconomic deprivation at the location of cardiac arrest in an English region influence the likelihood of receiving bystander-initiated cardiopulmonary resuscitation?

Lookup NU author(s): Dr John Wright

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Abstract

Background Out-of-hospital cardiac arrest (OHCA) is a leading cause of mortality. Administration of cardiopulmonary resuscitation (CPR) by a bystander witnessing a cardiac arrest has been shown to increase the likelihood of return of spontaneous circulation and survival. This study analyses the association between the socioeconomic status of the location where a person suffers a cardiac arrest and the proportion of victims with OHCA receiving bystander CPR.Methods Retrospective analysis of all OHCAs occurring in North East England from 1 January 2011 to 31 December 2011: data obtained from the North East Cardiac Arrest Network Registry.Results Of 3179 OHCAs with an attempt at resuscitation, 623 patients received bystander-initiated CPR (19.6%). From quintile (Q) 1 to Q5 (most deprived to least deprived), bystander-initiated CPR rates increased from 14.5% to 23.3% (p for trend < 0.001). Patients in the least deprived quintile were significantly more likely to receive bystander-initiated CPR when compared with those in the most deprived quintile (OR= 1.78, 95% CI 1.32 to 2.39, p= 0.001).Conclusions Increasing socioeconomic status at the location of cardiac arrest is positively associated with the likelihood of bystander CPR for OHCA in this region of England.

Publication metadata

Author(s): Moncur L, Ainsborough N, Ghose R, Kendal SP, Salvatori M, Wright J

Publication type: Article

Publication status: Published

Journal: Emergency Medicine Journal

Year: 2016

Volume: 33

Issue: 2

Pages: 105-108

Print publication date: 01/02/2016

Online publication date: 25/06/2015

Acceptance date: 09/06/2015

ISSN (print): 1472-0205

ISSN (electronic): 1472-0213

Publisher: BMJ Publishing Group

URL: http://dx.doi.org/10.1136/emermed-2015-204643

DOI: 10.1136/emermed-2015-204643

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