1. Surviving out of hospital cardiac arrest at home: a postcode lottery?
- Author
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Lyon RM, Cobbe SM, Bradley JM, and Grubb NR
- Subjects
- Aged, Female, Hospital Mortality, Hospitalization statistics & numerical data, Humans, Male, Medically Underserved Area, Middle Aged, Outcome Assessment, Health Care, Prognosis, Retrospective Studies, Scotland epidemiology, Survival Rate, Time Factors, Time and Motion Studies, Ambulances standards, Catchment Area, Health statistics & numerical data, Heart Arrest mortality
- Abstract
Objective: To find out if the response time, distance travelled to scene, and geographical location affect survival from out of hospital cardiac arrest (OHCA)., Methods: Retrospective cohort study over 10 years, 1 December 1991 to 1 August 2001. Outcome and demographic data were obtained for 1956 OHCAs occurring at home, in the Lothians region, from the Heartstart Scotland database. Survival rates to hospital admission and discharge were examined by postcode district., Results: Certain postcode areas were served by quicker response times and shorter journeys. The survival to admission rate was greater in those areas where the median response time was <10 minutes (13.5% versus 8.1%, p<0.05). There was greater survival to discharge in these areas but not significantly so (4.1% versus 3.2%, p = 0.42). Survival to admission was more likely in areas where the median distance travelled was
- Published
- 2004
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