Impact of neighbourhood socio-economic status on bystander cardiopulmonary resuscitation in Paris

Dahan, Benjamin; Jabre, P.; Karam, Nicole; Misslin, Renaud; Tafflet, Muriel; Bougouin, Wulfran; Jost, Daniel; Beganton, Frankie; Marijon, Éloi; Jouven, Xavier

doi:10.1016/j.resuscitation.2016.10.028

Cited by 33 publications

(22 citation statements)

References 38 publications

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“…e rate of bystander CPR (58.7%) in this study was very high compared to those in other studies in Asia (17.3%), France (19.4%), and Denmark (34.9%) [17][18][19]. All emergency calls in Korea are integrated into a public EMS call center that provides CPR instructions in all CA situations.…”

Section: Realities Of Bystander Cprmentioning

confidence: 53%

Factors Associated with High-Quality Cardiopulmonary Resuscitation Performed by Bystander

Park

Jeong

Moon

et al. 2020

Emergency Medicine International

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Bystander cardiopulmonary dresuscitation (CPR) improves the survival and neurological outcomes of sudden cardiac arrest patients. The rate of bystander CPR is increasing; however, its performance quality has not been evaluated in detail. In this study, emergency medical technicians (EMTs) in the field evaluated bystander CPR quality, and we aimed to investigate the association between bystander information and CPR quality. This retrospective cohort study was based on data included in the Smart Advanced Life Support (SALS) registry between January 2016 and December 2017. We included patients older than 18 years who experienced an out-of-hospital cardiac arrest (OHCA) due to medical causes. Bystander CPR quality was judged to be “high” when the hand positions were appropriate and when compression rates of at least 100/min and compression depths of at least 5 cm were achieved. Among 6,769 eligible patients, 3,799 (58.7%) received bystander CPR, and 6% of bystanders performed high-quality CPR. After adjustment, the occurrence of cardiac arrest at home (adjusted odds ratio (aOR), 95% confidence interval (CI); 0.42, 0.27–0.64), witnessed cardiac arrest (1.45, 1.03–2.06), and younger bystander age all showed associations with one another. High-quality CPR led to a 4.29-fold increase in the chance of neurological recovery. In particular, high-quality CPR in patients aged 60 years showed a significant association compared with other age groups (7.61, 1.41–41.04). The main factor affecting CPR quality in this study was the age of the bystander, and older bystanders found it more difficult to maintain CPR quality. To improve the quality of bystander CPR, training among older bystanders should be the focus.

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Section: Realities Of Bystander Cprmentioning

confidence: 53%

Factors Associated with High-Quality Cardiopulmonary Resuscitation Performed by Bystander

Park

Jeong

Moon

et al. 2020

Emergency Medicine International

View full text Add to dashboard Cite

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“…34,35 incidence and low BCPR rate. [5][6][7][8][36][37][38][39][40][41][42] We observed that high-risk areas were more likely to have fewer people in managerial and intermediate occupations and more in routine occupation, and were more deprived. There is consensus that OHCA incidence is significantly higher in deprived neighbourhoods compared to least deprived.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of neighbourhoods with high incidence of out-of-hospital cardiac arrest and low bystander cardiopulmonary resuscitation rates in England

Brown

Booth

Hawkes

et al. 2018

European Heart Journal - Quality of Care and Clinical Outcomes

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“…In contrast to adult studies, our study suggests that there are no differences in rates of AED application on the basis of the neighborhoodlevel characteristics of the arrest location. Multiple adult studies from different countries have revealed the association of neighborhood socioeconomic status 9,15,16 and neighborhood racial compositions 9,17 with public interventions in OHCA.…”

Section: Discussionmentioning

confidence: 99%

Automated External Defibrillator Application Before EMS Arrival in Pediatric Cardiac Arrests

et al. 2018

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BACKGROUND: Little is known about the predictors of pre-emergency medical service (EMS) automated external defibrillator (AED) application in pediatric out-of-hospital cardiac arrests. We sought to determine patient-and neighborhood-level characteristics associated with pre-EMS AED application in the pediatric population. METHODS: We reviewed prospectively collected data from the Cardiac Arrest Registry to Enhance Survival on pediatric patients (age >1 to ≤18 years old) who had out-of-hospital nontraumatic arrest (2013-2015). RESULTS: A total of 1398 patients were included in this analysis (64% boys, 45% white, and median age of 11 years old). An AED was applied in 28% of the cases. Factors associated with pre-EMS AED application in univariable analyses were older age (odds ratio [OR]: 1.9; 12-18 years old vs 2-11 years old; P < .001), white versus African American race (OR: 1.4; P = .04), public location (OR: 1.9; P < .001), witnessed status (OR: 1.6; P < .001), arrests presumed to be cardiac versus respiratory etiology (OR: 1.5; P = .02) or drowning etiology (OR: 2.0; P < .001), white-populated neighborhoods (OR: 1.2 per 20% increase in white race; P = .01), neighborhood median household income (OR: 1.1 per $20 000 increase; P = .02), and neighborhood level of education (OR: 1.3 per 20% increase in high school graduates; P = .006). However, only age, witnessed status, arrest location, and arrests of presumed cardiac etiology versus drowning remained significant in the multivariable model. The overall cohort survival to hospital discharge was 19%. CONCLUSIONS: The overall pre-EMS AED application rate in pediatric patients remains low.

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Impact of neighbourhood socio-economic status on bystander cardiopulmonary resuscitation in Paris

Cited by 33 publications

References 38 publications

Factors Associated with High-Quality Cardiopulmonary Resuscitation Performed by Bystander

Factors Associated with High-Quality Cardiopulmonary Resuscitation Performed by Bystander

Characteristics of neighbourhoods with high incidence of out-of-hospital cardiac arrest and low bystander cardiopulmonary resuscitation rates in England

Automated External Defibrillator Application Before EMS Arrival in Pediatric Cardiac Arrests

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