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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?
  1. Lyle Moncur1,
  2. Neil Ainsborough2,
  3. Rajiv Ghose3,
  4. Simon Peter Kendal4,
  5. Marcus Salvatori5,
  6. John Wright5
  1. 1Emergency Department, Royal Infirmary of Edinburgh, Edinburgh, UK
  2. 2Anaesthetic's Department, Warrington Hospital, Warrington, UK
  3. 3Anaesthetic's Department, Wansbeck General Hospital, Ashington, UK
  4. 4North East Cardiac Arrest Network, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK
  5. 5Emergency Department, Royal Victoria Infirmary, Newcastle-upon-Tyne, UK
  1. Correspondence to Dr John Wright, Emergency Department, Royal Victoria Infirmary, Queen Victoria Road, Newcastle-upon-Tyne NE1 4LP, UK; john.wright{at}nuth.nhs.uk

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.

  • cardiac arrest
  • resuscitation, research
  • resuscitation
  • resuscitation, training
  • prehospital care, first responders

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