STUDY OBJECTIVES: We sought to examine the association between area deprivation and outcomes of out-of-hospital cardiac arrest in Korea. METHODS: Data were obtained from the emergency medical service (EMS) system. A nationwide OHCA cohort database from January 2006 to December 2007 was constructed via hospital chart review and ambulance run sheet data. We enrolled all EMS-assessed OHCA victims and excluded cases without available hospital outcome data or residential address. The Carstairs index was used to categorize districts according to level of deprivation into five quintiles, from (Q1, the least deprived) to (Q5, the most deprived). Main outcomes were survival to hospital discharge, survival to admission, and return of spontaneous circulation (ROSC). RESULTS: 34,227 patients were included. Initial rhythm, witnessed status, attempted bystander cardiopulmonary resuscitation (CPR), CPR by EMS, CPR in the emergency department (ED), and elapsed time interval significantly varied according to area deprivation level (p < 0.001). OHCA outcomes were consistently worse in the most deprived areas. The adjusted OR (95% CI) for survival to hospital discharge was 0.58 (0.45-0.77) in the most deprived areas compared to the least deprived areas. CONCLUSION: Community deprivation was strongly associated with survival among out-of-hospital cardiac arrest patients in Korea.
STUDY OBJECTIVES: We sought to examine the association between area deprivation and outcomes of out-of-hospital cardiac arrest in Korea. METHODS: Data were obtained from the emergency medical service (EMS) system. A nationwide OHCA cohort database from January 2006 to December 2007 was constructed via hospital chart review and ambulance run sheet data. We enrolled all EMS-assessed OHCA victims and excluded cases without available hospital outcome data or residential address. The Carstairs index was used to categorize districts according to level of deprivation into five quintiles, from (Q1, the least deprived) to (Q5, the most deprived). Main outcomes were survival to hospital discharge, survival to admission, and return of spontaneous circulation (ROSC). RESULTS: 34,227 patients were included. Initial rhythm, witnessed status, attempted bystander cardiopulmonary resuscitation (CPR), CPR by EMS, CPR in the emergency department (ED), and elapsed time interval significantly varied according to area deprivation level (p < 0.001). OHCA outcomes were consistently worse in the most deprived areas. The adjusted OR (95% CI) for survival to hospital discharge was 0.58 (0.45-0.77) in the most deprived areas compared to the least deprived areas. CONCLUSION: Community deprivation was strongly associated with survival among out-of-hospital cardiac arrestpatients in Korea.
Authors: Sun Young Lee; Seung Chul Lee; Sang Do Shin; Kyoung Jun Song; Young Sun Ro; Jeong Ho Park; So Yeon Kong Journal: PLoS One Date: 2018-03-26 Impact factor: 3.240
Authors: Martin Jonsson; Petter Ljungman; Juho Härkönen; Ben Van Nieuwenhuizen; Sidsel Møller; Mattias Ringh; Per Nordberg Journal: J Epidemiol Community Health Date: 2020-05-08 Impact factor: 3.710
Authors: Sang Hoon Na; Sang Do Shin; Young Sun Ro; Eui Jung Lee; Kyoung Jun Song; Chang Bae Park; Joo Yeong Kim Journal: J Korean Med Sci Date: 2013-01-29 Impact factor: 2.153