Terry P Brown1, Scott Booth1, Claire A Hawkes1, Jasmeet Soar2, Julian Mark3, James Mapstone4, Rachael T Fothergill5, Sarah Black6, Helen Pocock7, Anna Bichmann8, Imogen Gunson9, Gavin D Perkins1,10. 1. Warwick Clinical Trials Unit, University of Warwick, Coventry, UK. 2. Southmead Hospital, North Bristol NHS Trust, Southmead Road, Westbury-on-Trym, Bristol, UK. 3. Yorkshire Ambulance Service NHS Trust, Springhill 2, Brindley Way, Wakefield 41 Business Park, Wakefield, UK. 4. Public Health England, South Regional Office, 2 Rivergate, Temple Quay, Bristol, UK. 5. London Ambulance Service NHS Trust, Manna Ash House, 8-20 Pocock Street, London, UK. 6. South Western Ambulance Service NHS Foundation Trust, Abbey Court, Eagle Way, Exeter, UK. 7. South Central Ambulance Service NHS Trust, Bracknell Ambulance Station, Old Bracknell Lane West, Bracknell, Berkshire, UK. 8. East Midlands Ambulance Service NHS Trust, Cross O'Cliff Court, Bracebridge Heath, Lincoln, UK. 9. West Midlands Ambulance Service NHS Foundation Trust, Millenium Point, Waterfront Business Park, Waterfront Way, Brierley Hill, West Midlands, UK. 10. Heartlands Hospital, Heart of England NHS Foundation Trust, Bordesley Green East, Birmingham, UK.
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.
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.
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Authors: Terry P Brown; Gavin D Perkins; Christopher M Smith; Charles D Deakin; Rachael Fothergill Journal: Resuscitation Date: 2021-10-29 Impact factor: 5.262
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Authors: Spyros D Mentzelopoulos; Keith Couper; Patrick Van de Voorde; Patrick Druwé; Marieke Blom; Gavin D Perkins; Ileana Lulic; Jana Djakow; Violetta Raffay; Gisela Lilja; Leo Bossaert Journal: Notf Rett Med Date: 2021-06-02 Impact factor: 0.826