Characteristics of neighbourhoods with high incidence of out-of-hospital cardiac arrest and low bystander cardiopulmonary resuscitation rates in England
Open accessAbstract
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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COSCA identified three outcomes: survival at discharge/30-days; modified Rankin score at discharge/30-days; and health-related quality of life at 180-days/1year.
“COSCA identified three outcomes: survival at discharge/30-days; modified Rankin score at discharge/30-days; and health-related quality of life at 180-days/1year.”
From European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions (2021) · cites this paper as [305]
ILCOR developed a cardiac arrest core outcome set (COSCA) in a process that involved patients, their partners, clinicians and researchers.
“To address this issue, ILCOR developed a cardiac arrest core outcome set (COSCA) in a process that involved patients, their partners, clinicians and researchers. 305”
From European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions (2021) · cites this paper as [305]
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Bystander intervention in emergencies: Diffusion of responsibility.
Darley, J. M., & Latane, B. (1968) · Journal of Personality and Social Psychology · doi:10.1037/h0025589 · Cited by 3,083 · see citing works
Perkins, G. D., Jacobs, I. G., Nadkarni, V. M., Berg, R. A., Bhanji, F., Biarent, D., Bossaert, L. L., Brett, S. J., Chamberlain, D., de Caen, A. R., et al. (2015) · Resuscitation · doi:10.1016/j.resuscitation.2014.11.002 · Cited by 726 · see citing works
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European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions
Mentzelopoulos, S. D., Couper, K., Voorde, P. V. D., Druwé, P., Blom, M., Perkins, G. D., Lulic, I., Djakow, J., Raffay, V., Lilja, G., et al. (2021) · Resuscitation · doi:10.1016/j.resuscitation.2021.02.017 · Cited by 246 · see citing works
“Observational data suggest that females and individuals from socially deprived and ethnic minority groups are less likely to receive bystander CPR and key post-arrest interventions.(295,296) Survey data”
BackgroundSelf-citation
- Authors
- Brown, T. P., Booth, S., Hawkes, C. A., Soar, J., Mark, J., Mapstone, J., Fothergill, R. T., Black, S., Pocock, H., Bichmann, A., Gunson, I., & Perkins, G. D.
- Affiliations
- University of Warwick (GB)
- North Bristol NHS Trust (GB)
- Yorkshire Ambulance Service NHS Trust (GB)
- Public Health England (GB)
- London Ambulance Service NHS Trust (GB)
- South Western Ambulance Service NHS Foundation Trust (GB)
- South Central Ambulance Service NHS Foundation Trust (GB)
- East Midlands Ambulance Service NHS Trust (GB)
- West Midlands Ambulance Service University NHS Foundation Trust (GB)
- Heart of England NHS Foundation Trust (GB)
- Corresponding author
- Brown, Terry P
- ORCID
- Venue
- European Heart Journal - Quality of Care and Clinical Outcomes
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-06-28
- Volume
- 5
- Issue
- 1
- Pages
- 51-62
- ISSN
- 2058-1742 (ISSN-L)
- 2058-5225
- PMC
- PMC6307333
- OpenAlex
- W2810145444
- Cited by
- 68
- References
- 2
- Citations by year
- 2026: 4 · 2025: 15 · 2024: 9 · 2023: 10 · 2022: 7 · 2021: 17 · 2020: 3 · 2019: 3
- FWCI
- 7.03
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- European Heart Journal - Quality of Care and Clinical Outcomes (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Bristol Research (University of Bristol) (publishedVersion)
- Warwick Research Archive Portal (University of Warwick) (acceptedVersion)
- amber - ambulance research repository (submittedVersion)
- Funders
- British Heart Foundation
- Resuscitation Council
- NIHR
- Intensive Care Foundation
- Topics
- Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- out-of-hospital cardiac arrest, bystander CPR, neighborhood characteristics, population density, occupational status, ethnic minorities, deprivation, high-risk areas, automated external defibrillators, CPR training, England
- MeSH terms
- Procedures and Techniques Utilization, Age Factors, Aged, Aged, 80 and over, England, Ethnicity, Female, Humans, Male, Middle Aged, Occupations, Population Density, Residence Characteristics, Rural Population, Socioeconomic Factors, Urban Population, Incidence, Cardiopulmonary Resuscitation, Out-of-Hospital Cardiac Arrest
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