Public Out-of-Hospital Cardiac Arrest in Residential Neighborhoods

Anne Juul Grabmayr; Fredrik Folke; Mads Christian Tofte Gregers; Louise Kollander; Nanna Bo; Linn Andelius; Theo Walter Jensen; Florian Ettl; Mario Krammel; Patrick Sulzgruber; Konstantin A Krychtiuk; Christian Torp-Pedersen; Annette Kjær Ersbøll; Carolina Malta Hansen

doi:10.1016/j.jacc.2023.08.036

Public Out-of-Hospital Cardiac Arrest in Residential Neighborhoods

Anne Juul Grabmayr^*, Fredrik Folke, Mads Christian Tofte Gregers, Louise Kollander, Nanna Bo, Linn Andelius, Theo Walter Jensen, Florian Ettl, Mario Krammel, Patrick Sulzgruber, Konstantin A Krychtiuk, Christian Torp-Pedersen, Annette Kjær Ersbøll, Carolina Malta Hansen

^*Corresponding author af dette arbejde

7 Citationer (Scopus)

Abstract

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.

Originalsprog	Engelsk
Tidsskrift	Journal of the American College of Cardiology
Vol/bind	82
Udgave nummer	18
Sider (fra-til)	1777-1788
Antal sider	12
ISSN	0735-1097
DOI	https://doi.org/10.1016/j.jacc.2023.08.036
Status	Udgivet - 31 okt. 2023

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10.1016/j.jacc.2023.08.036

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Juul Grabmayr, A., Folke, F., Tofte Gregers, M. C., Kollander, L., Bo, N., Andelius, L., Jensen, T. W., Ettl, F., Krammel, M., Sulzgruber, P., Krychtiuk, K. A., Torp-Pedersen, C., Kjær Ersbøll, A., & Malta Hansen, C. (2023). Public Out-of-Hospital Cardiac Arrest in Residential Neighborhoods. Journal of the American College of Cardiology, 82(18), 1777-1788. https://doi.org/10.1016/j.jacc.2023.08.036

Juul Grabmayr, A , Folke, F , Tofte Gregers, MC , Kollander, L , Bo, N, Andelius, L, Jensen, TW, Ettl, F, Krammel, M, Sulzgruber, P, Krychtiuk, KA, Torp-Pedersen, C , Kjær Ersbøll, A & Malta Hansen, C 2023, 'Public Out-of-Hospital Cardiac Arrest in Residential Neighborhoods', Journal of the American College of Cardiology, bind 82, nr. 18, s. 1777-1788. https://doi.org/10.1016/j.jacc.2023.08.036

@article{39792c57d6b549f29648c5e74fee6801,

title = "Public Out-of-Hospital Cardiac Arrest in Residential Neighborhoods",

abstract = "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.",

author = "{Juul Grabmayr}, Anne and Fredrik Folke and {Tofte Gregers}, {Mads Christian} and Louise Kollander and Nanna Bo and Linn Andelius and Jensen, {Theo Walter} and Florian Ettl and Mario Krammel and Patrick Sulzgruber and Krychtiuk, {Konstantin A} and Christian Torp-Pedersen and {Kj{\ae}r Ersb{\o}ll}, Annette and {Malta Hansen}, Carolina",

year = "2023",

month = oct,

day = "31",

doi = "10.1016/j.jacc.2023.08.036",

language = "English",

volume = "82",

pages = "1777--1788",

journal = "Journal of the American College of Cardiology",

issn = "0735-1097",

publisher = "Elsevier Inc",

number = "18",

}

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

PY - 2023/10/31

Y1 - 2023/10/31

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.

UR - http://www.scopus.com/inward/record.url?scp=85173976798&partnerID=8YFLogxK

U2 - 10.1016/j.jacc.2023.08.036

DO - 10.1016/j.jacc.2023.08.036

M3 - Journal article

C2 - 37879782

SN - 0735-1097

VL - 82

SP - 1777

EP - 1788

JO - Journal of the American College of Cardiology

JF - Journal of the American College of Cardiology

IS - 18

ER -

Public Out-of-Hospital Cardiac Arrest in Residential Neighborhoods

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