Public Out-of-Hospital Cardiac Arrest in Residential Neighborhoods
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Public Out-of-Hospital Cardiac Arrest in Residential Neighborhoods. / Juul Grabmayr, Anne; Folke, Fredrik; Tofte Gregers, Mads Christian; Kollander, Louise; Bo, Nanna; Andelius, Linn; Jensen, Theo Walter; Ettl, Florian; Krammel, Mario; Sulzgruber, Patrick; Krychtiuk, Konstantin A.; Torp-Pedersen, Christian; Kjær Ersbøll, Annette; Malta Hansen, Carolina.
In: Journal of the American College of Cardiology, Vol. 82, No. 18, 2023, p. 1777-1788.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Public Out-of-Hospital Cardiac Arrest in Residential Neighborhoods
AU - Juul Grabmayr, Anne
AU - Folke, Fredrik
AU - Tofte Gregers, Mads Christian
AU - Kollander, Louise
AU - Bo, Nanna
AU - Andelius, Linn
AU - Jensen, Theo Walter
AU - Ettl, Florian
AU - Krammel, Mario
AU - Sulzgruber, Patrick
AU - Krychtiuk, Konstantin A.
AU - Torp-Pedersen, Christian
AU - Kjær Ersbøll, Annette
AU - Malta Hansen, Carolina
N1 - Publisher Copyright: © 2023 The Authors
PY - 2023
Y1 - 2023
N2 - Background: Although one-half of all public out-of-hospital cardiac arrests (OHCAs) occur outside private homes in residential neighborhoods, their characteristics and outcomes remain unexplored. Objectives: The authors assessed interventions before ambulance arrival and survival for public OHCA patients in residential neighborhoods. Methods: Public OHCAs from Vienna (2018-2021) and Copenhagen (2016-2020) were designated residential neighborhoods or nonresidential areas. Interventions (cardiopulmonary resuscitation [CPR], automated external defibrillator [AED] attached, and defibrillation) and 30-day survival were compared using a generalized estimation equation model adjusted for age and time of day and presented as ORs. Results: We included 1,052 and 654 public OHCAs from Vienna and Copenhagen, respectively, and 68% and 55% occurred in residential neighborhoods, respectively. The likelihood of CPR, defibrillation, and survival in residential neighborhoods vs nonresidential areas (reference) were as follows: CPR Vienna, 73% vs 78%, OR: 0.78 (95% CI: 0.57-1.06), CPR Copenhagen, 83% vs 90%, OR: 0.54 (95% CI: 0.34-0.88), and CPR combined, 76% vs 84%, OR: 0.70 (95% CI: 0.53-0.90); AED attached Vienna, 36% vs 44%, OR: 0.69 (95% CI: 0.53-0.90), AED attached Copenhagen, 21% vs 43%, OR: 0.33 (95% CI: 0.24-0.48), and AED attached combined, 31% vs 44%, OR: 0.53 (95% CI: 0.42-0.65); defibrillation Vienna, 14% vs 20%, OR: 0.61 (95% CI: 0.43-0.87), defibrillation Copenhagen, 16% vs 36%, OR: 0.35 (95% CI: 0.24-0.51), and defibrillation combined, 15% vs 27%, OR: 0.46 (95% CI: 0.36-0.61); and 30-day survival rate Vienna, 21% vs 26%, OR: 0.84 (95% CI: 0.58-1.20), 30-day survival rate Copenhagen, 33% vs 44%, OR: 0.65 (95% CI: 0.47-0.90), and 30-day survival rate combined, 25% vs 36%, OR: 0.73 (95% CI: 0.58-0.93). Conclusions: Two-thirds of public OHCAs occurred in residential neighborhoods with fewer resuscitative efforts before ambulance arrival and lower survival than in nonresidential areas. Targeted efforts to improve early CPR and defibrillation for public OHCA patients in residential neighborhoods are needed.
AB - Background: Although one-half of all public out-of-hospital cardiac arrests (OHCAs) occur outside private homes in residential neighborhoods, their characteristics and outcomes remain unexplored. Objectives: The authors assessed interventions before ambulance arrival and survival for public OHCA patients in residential neighborhoods. Methods: Public OHCAs from Vienna (2018-2021) and Copenhagen (2016-2020) were designated residential neighborhoods or nonresidential areas. Interventions (cardiopulmonary resuscitation [CPR], automated external defibrillator [AED] attached, and defibrillation) and 30-day survival were compared using a generalized estimation equation model adjusted for age and time of day and presented as ORs. Results: We included 1,052 and 654 public OHCAs from Vienna and Copenhagen, respectively, and 68% and 55% occurred in residential neighborhoods, respectively. The likelihood of CPR, defibrillation, and survival in residential neighborhoods vs nonresidential areas (reference) were as follows: CPR Vienna, 73% vs 78%, OR: 0.78 (95% CI: 0.57-1.06), CPR Copenhagen, 83% vs 90%, OR: 0.54 (95% CI: 0.34-0.88), and CPR combined, 76% vs 84%, OR: 0.70 (95% CI: 0.53-0.90); AED attached Vienna, 36% vs 44%, OR: 0.69 (95% CI: 0.53-0.90), AED attached Copenhagen, 21% vs 43%, OR: 0.33 (95% CI: 0.24-0.48), and AED attached combined, 31% vs 44%, OR: 0.53 (95% CI: 0.42-0.65); defibrillation Vienna, 14% vs 20%, OR: 0.61 (95% CI: 0.43-0.87), defibrillation Copenhagen, 16% vs 36%, OR: 0.35 (95% CI: 0.24-0.51), and defibrillation combined, 15% vs 27%, OR: 0.46 (95% CI: 0.36-0.61); and 30-day survival rate Vienna, 21% vs 26%, OR: 0.84 (95% CI: 0.58-1.20), 30-day survival rate Copenhagen, 33% vs 44%, OR: 0.65 (95% CI: 0.47-0.90), and 30-day survival rate combined, 25% vs 36%, OR: 0.73 (95% CI: 0.58-0.93). Conclusions: Two-thirds of public OHCAs occurred in residential neighborhoods with fewer resuscitative efforts before ambulance arrival and lower survival than in nonresidential areas. Targeted efforts to improve early CPR and defibrillation for public OHCA patients in residential neighborhoods are needed.
KW - automated external defibrillators
KW - cardiopulmonary resuscitation
KW - first responders
KW - out-of-hospital cardiac arrest
KW - sudden cardiac death
KW - volunteer responders
U2 - 10.1016/j.jacc.2023.08.036
DO - 10.1016/j.jacc.2023.08.036
M3 - Journal article
C2 - 37879782
AN - SCOPUS:85173976798
VL - 82
SP - 1777
EP - 1788
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
SN - 0735-1097
IS - 18
ER -
ID: 374830605