Disparities in Survival with Bystander CPR following Cardiopulmonary Arrest Based on Neighborhood Characteristics
| Autor: | Nina Thakkar Rivera, Shari L. Kumar, Rohit K. Bhandari, Sunil D. Kumar |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Emergency Medicine International, Vol 2016 (2016) |
| Druh dokumentu: | article |
| ISSN: | 2090-2840 2090-2859 |
| DOI: | 10.1155/2016/6983750 |
| Popis: | The American Heart Association reports the annual incidence of out-of-hospital cardiopulmonary arrests (OHCA) is greater than 300,000 with a survival rate of 9.5%. Bystander cardiopulmonary resuscitation (CPR) saves one life for every 30, with a 10% decrease in survival associated with every minute of delay in CPR initiation. Bystander CPR and training vary widely by region. We conducted a retrospective study of 320 persons who suffered OHCA in South Florida over 25 months. Increased survival, overall and with bystander CPR, was seen with increasing income (p=0.05), with a stronger disparity between low- and high-income neighborhoods (p=0.01 and p=0.03, resp.). Survival with bystander CPR was statistically greater in white- versus black-predominant neighborhoods (p=0.04). Increased survival, overall and with bystander CPR, was seen with high- versus low-education neighborhoods (p=0.03). Neighborhoods with more high school age persons displayed the lowest survival. We discovered a significant disparity in OHCA survival within neighborhoods of low-income, black-predominance, and low-education. Reduced survival was seen in neighborhoods with larger populations of high school students. This group is a potential target for training, and instruction can conceivably change survival outcomes in these neighborhoods, closing the gap, thus improving survival for all. |
| Databáze: | Directory of Open Access Journals |
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