| Small area variations in out-of-hospital cardiac arrest: does the neighborhood matter? | |
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MedLine Citation:
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PMID: 20516307 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The incidence and outcomes of out-of-hospital cardiac arrest vary widely across cities. It is unknown whether similar differences exist at the neighborhood level. OBJECTIVE: To determine the extent to which neighborhoods have persistently high rates of cardiac arrest but low rates of bystander cardiopulmonary resuscitation (CPR). DESIGN: Multilevel Poisson regression of 1108 cardiac arrests from 161 census tracts as captured by the Cardiac Arrest Registry to Enhance Survival (CARES). SETTING: Fulton County, Georgia, between 1 October 2005 to 30 November 2008. MEASUREMENTS: Incidence of cardiac arrest, by census tract and year and by rates of bystander CPR. RESULTS: Adjusted rates of cardiac arrest varied across neighborhoods (interquartile range [IQR], 0.57 to 0.73 per 1000 persons; mean, 0.64 per 1000 persons [SD, 0.11]) but were stable from year to year (intraclass correlation, 0.36 [95% CI, 0.26 to 0.50]; P < 0.001). Adjusted bystander CPR rates also varied by census tract (IQR, 19% to 29%; mean, 25% [SD, 10%]). LIMITATION: Analysis was based on data from a single county. CONCLUSION: Surveillance data can identify neighborhoods with a persistently high incidence of cardiac arrest and low rates of bystander CPR. These neighborhoods are promising targets for community-based interventions. PRIMARY FUNDING SOURCE: Robert Wood Johnson Foundation Clinical Scholars Program, National Institutes of Health, and Centers for Disease Control and Prevention. |
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Authors:
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Comilla Sasson; Carla C Keirns; Dylan Smith; Michael Sayre; Michelle Macy; William Meurer; Bryan F McNally; Arthur L Kellermann; Theodore J Iwashyna; |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. Date: 2010-06-01 |
Journal Detail:
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Title: Annals of internal medicine Volume: 153 ISSN: 1539-3704 ISO Abbreviation: Ann. Intern. Med. Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-12 Completed Date: 2010-08-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0372351 Medline TA: Ann Intern Med Country: United States |
Other Details:
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Languages: eng Pagination: 19-22 Citation Subset: AIM; IM |
Affiliation:
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University of Michigan, Ann Arbor, Michigan, USA. comilla@umich.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cardiopulmonary Resuscitation / statistics & numerical data* Emergency Medical Services Female Georgia / epidemiology Heart Arrest / epidemiology* Humans Incidence Male Middle Aged Poisson Distribution Small-Area Analysis |
| Grant Support | |
ID/Acronym/Agency:
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K08 HL091249/HL/NHLBI NIH HHS; MM-0917-05/05//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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