Surviving out of hospital cardiac arrest at home: a postcode lottery?

Objective: To find out if the response time, distance travelled to scene, and geographical location affect survival from out of hospital cardiac arrest (OHCA). Methods: Retrospective cohort study over 10 years, 1 December 1991 to 1 August 2001. Outcome and demographic data were obtained for 1956 OHC...

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Bibliographic Details
Published in:Emergency medicine journal : EMJ 2004-09, Vol.21 (5), p.619-624
Main Authors: Lyon, R M, Cobbe, S M, Bradley, J M, Grubb, N R
Format: Article
Language:English
Subjects:
AED
Aged
Ambulances - standards
automated external defibrillator
Cardiac arrest
Cardiopulmonary resuscitation
Cardiovascular disease
Catchment Area (Health) - statistics & numerical data
CPR
Defibrillators
emergency medical services
Female
geography
Heart Arrest - mortality
Heart attacks
Hospital Mortality
Hospitalization - statistics & numerical data
Humans
IHD
ischaemic heart disease
Male
Medically Underserved Area
Middle Aged
Mortality
OHCA
out of hospital cardiac arrest
Outcome Assessment (Health Care)
Prehospital Care
Prognosis
Retrospective Studies
Scotland - epidemiology
Survival Rate
Time and Motion Studies
Time Factors
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Summary:Objective: To find out if the response time, distance travelled to scene, and geographical location affect survival from out of hospital cardiac arrest (OHCA). Methods: Retrospective cohort study over 10 years, 1 December 1991 to 1 August 2001. Outcome and demographic data were obtained for 1956 OHCAs occurring at home, in the Lothians region, from the Heartstart Scotland database. Survival rates to hospital admission and discharge were examined by postcode district. Results: Certain postcode areas were served by quicker response times and shorter journeys. The survival to admission rate was greater in those areas where the median response time was
ISSN:1472-0205
1472-0213
DOI:10.1136/emj.2003.010363