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Community Socioeconomic Status and Dispatcher-Assisted Cardiopulmonary Resuscitation for Patients with Out-of-Hospital Cardiac Arrest

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Listed:
  • Ching-Fang Tzeng

    (Harvard T. H. Chan School of Public Health, Boston, MA 02115, USA
    Department of Emergency Medicine, Baylor Scott & White All Saints Medical Center, Fort Worth, TX 76104, USA)

  • Chien-Hsin Lu

    (Department of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, Taiwan)

  • Chih-Hao Lin

    (Department of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70403, Taiwan)

Abstract

Few studies have investigated the association between dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) performance and the outcomes of out-of-hospital cardiac arrest (OHCA) among communities with different socioeconomic statuses (SES). A retrospective cohort study was conducted using an Utstein-style population OHCA database in Tainan, Taiwan, between January 2014 and December 2015. SES was defined based on real estate prices. The outcome measures included the achievement of return of spontaneous circulation (ROSC) and the performance of DA-CPR. Statistical significance was set at a two-tailed p -value of less than 0.05. A total of 2928 OHCA cases were enrolled in the high SES ( n = 1656, 56.6%), middle SES ( n = 1025, 35.0%), and low SES ( n = 247, 8.4%) groups. The high SES group had a significantly higher prehospital ROSC rate, ever ROSC rate, and sustained ROSC rate and good neurologic outcomes at discharge (all p < 0.005). The low SES group, compared to the high and middle SES groups, had a significantly longer dispatcher recognition time ( p = 0.004) and lower early (≤60 s) recognition rate ( p = 0.029). The high SES group, but none of the DA-CPR measures, had significant associations with sustained ROSC in the multivariate regression model. The low SES group was associated with a longer time to dispatcher recognition of cardiac arrest and worse outcomes of OHCA. Strategies to promote public awareness of cardiac arrest could be tailored to neighborhood SES.

Suggested Citation

  • Ching-Fang Tzeng & Chien-Hsin Lu & Chih-Hao Lin, 2021. "Community Socioeconomic Status and Dispatcher-Assisted Cardiopulmonary Resuscitation for Patients with Out-of-Hospital Cardiac Arrest," IJERPH, MDPI, vol. 18(3), pages 1-11, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1207-:d:489390
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    References listed on IDEAS

    as
    1. Duncan, G.J. & Daly, M.C. & McDonough, P. & Williams, D.R., 2002. "Optimal indicators of socioeconomic status for health research," American Journal of Public Health, American Public Health Association, vol. 92(7), pages 1151-1157.
    2. Pin-Hui Fang & Yu-Yuan Lin & Chien-Hsin Lu & Ching-Chi Lee & Chih-Hao Lin, 2020. "Impacts of Emergency Medical Technician Configurations on Outcomes of Patients with Out-Of-Hospital Cardiac Arrest," IJERPH, MDPI, vol. 17(6), pages 1-12, March.
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