Community Socioeconomic Status and Dispatcher-Assisted Cardiopulmonary Resuscitation for Patients with Out-of-Hospital Cardiac Arrest

Bibliographic Data

ID15489223
AuthorsChing-Fang Tiffany Tzeng (0000-0003-1317-0108, Harvard University), Chien-Hsin Lu (0000-0002-4603-0171, National Cheng Kung University Hospital), Chih‐Hao Lin (0000-0002-0042-0131, National Cheng Kung University Hospital, corresponding author)
Year2021
Volume18
Issue3
Pages1207-1207
Publication date2021-01-29
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18031207
PMID33572872
OpenAlexW3128611388
LanguageEN
Citations received1
References cited4

Few studies have investigated the association between dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) performance and the outcomes of out-of-hospital cardiac arrest (OHCA) among communities with different socioeconomic statuses (SES). A retrospective cohort study was conducted using an Utstein-style population OHCA database in Tainan, Taiwan, between January 2014 and December 2015. SES was defined based on real estate prices. The outcome measures included the achievement of return of spontaneous circulation (ROSC) and the performance of DA-CPR. Statistical significance was set at a two-tailed p -value of less than 0.05. A total of 2928 OHCA cases were enrolled in the high SES ( n = 1656, 56.6%), middle SES ( n = 1025, 35.0%), and low SES ( n = 247, 8.4%) groups. The high SES group had a significantly higher prehospital ROSC rate, ever ROSC rate, and sustained ROSC rate and good neurologic outcomes at discharge (all p p = 0.004) and lower early (≤60 s) recognition rate ( p = 0.029). The high SES group, but none of the DA-CPR measures, had significant associations with sustained ROSC in the multivariate regression model. The low SES group was associated with a longer time to dispatcher recognition of cardiac arrest and worse outcomes of OHCA. Strategies to promote public awareness of cardiac arrest could be tailored to neighborhood SES

Cardiopulmonary resuscitation · Cohort · Environmental health · Population · Resuscitation · Retrospective cohort study · Return of spontaneous circulation · Socioeconomic status · Cardiac Arrest and Resuscitation · Emergency and Acute Care Studies · Family and Patient Care in Intensive Care Units · Medicine · Emergency Medicine · Internal Medicine