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

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

Research output: Contribution to journalArticle (Academic Journal)peer-review

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.

Original languageEnglish
Pages (from-to)51-62
Number of pages12
JournalEuropean heart journal. Quality of care & clinical outcomes
Volume5
Issue number1
DOIs
Publication statusPublished - 1 Jan 2019

Keywords

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Cardiopulmonary Resuscitation/statistics & numerical data
  • England/epidemiology
  • Ethnic Groups
  • Female
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Occupations
  • Out-of-Hospital Cardiac Arrest/epidemiology
  • Population Density
  • Procedures and Techniques Utilization
  • Residence Characteristics
  • Rural Population
  • Socioeconomic Factors
  • Urban Population

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