Disparities in Survival with Bystander CPR following Cardiopulmonary Arrest Based on Neighborhood Characteristics.
Disparities in Survival with Bystander CPR following Cardiopulmonary Arrest Based on Neighborhood Characteristics.
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DOI：
10.1155/2016/6983750
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发表时间：
2016
影响因子：
1.2
通讯作者：
Kumar SD
中科院分区：
文献类型：
--
作者：
Rivera NT;Kumar SL;Bhandari RK;Kumar SD
美国心脏协会报告说，每年院外心肺骤停（OHCA）的发生率超过30万，存活率为9.5%。旁观者心肺复苏（CPR）每30人中就有一人获救，CPR启动每延迟一分钟，生存率就会下降10%。旁观者心肺复苏术和培训因地区而异。我们对320名在南佛罗里达遭受OHCA超过25个月的患者进行了回顾性研究。随着收入的增加（p = 0.05），总体和旁观者CPR的生存率增加，低收入和高收入社区之间的差异更大（分别为p = 0.01和p = 0.03）。在白色占主导地位的社区，旁观者心肺复苏术的生存率在统计学上高于黑人（p = 0.04）。高教育社区与低教育社区相比，总体生存率和旁观者CPR的生存率增加（p = 0.03）。有更多高中适龄人口的社区显示出最低的生存率。我们发现，在低收入、黑人占主导地位和教育程度低的社区，OHCA的生存率存在显著差异。在高中生人数较多的社区，生存率降低。这个群体是潜在的培训目标，可以想象，指导可以改变这些社区的生存结果，缩小差距，从而提高所有人的生存率。
The American Heart Association reports the annual incidence of out-of-hospital cardiopulmonary arrests (OHCA) is greater than 300,000 with a survival rate of 9.5%. Bystander cardiopulmonary resuscitation (CPR) saves one life for every 30, with a 10% decrease in survival associated with every minute of delay in CPR initiation. Bystander CPR and training vary widely by region. We conducted a retrospective study of 320 persons who suffered OHCA in South Florida over 25 months. Increased survival, overall and with bystander CPR, was seen with increasing income (p = 0.05), with a stronger disparity between low- and high-income neighborhoods (p = 0.01 and p = 0.03, resp.). Survival with bystander CPR was statistically greater in white- versus black-predominant neighborhoods (p = 0.04). Increased survival, overall and with bystander CPR, was seen with high- versus low-education neighborhoods (p = 0.03). Neighborhoods with more high school age persons displayed the lowest survival. We discovered a significant disparity in OHCA survival within neighborhoods of low-income, black-predominance, and low-education. Reduced survival was seen in neighborhoods with larger populations of high school students. This group is a potential target for training, and instruction can conceivably change survival outcomes in these neighborhoods, closing the gap, thus improving survival for all.