Incidence and Survival of Out-of-Hospital Cardiac Arrest in Public Housing Areas in 3 European Capitals-Reference-Cited by-同舟云学术

Incidence and Survival of Out-of-Hospital Cardiac Arrest in Public Housing Areas in 3 European Capitals

Published:2024-06 Issue:6 Volume:17 Page:
ISSN:1941-7713
Container-title:Circulation: Cardiovascular Quality and Outcomes
language:en
Short-container-title:Circ: Cardiovascular Quality and Outcomes

Author:

Juul Grabmayr Anne¹²^ORCID,Folke Fredrik¹²³^ORCID,Samsoee Kjoelbye Julie¹²,Andelius Linn¹^ORCID,Krammel Mario⁴⁵^ORCID,Ettl Florian⁶⁴^ORCID,Sulzgruber Patrick⁷⁴^ORCID,Krychtiuk Konstantin A.⁷⁸^ORCID,Sasson Comilla⁹^ORCID,Stieglis Remy¹⁰^ORCID,van Schuppen Hans¹⁰^ORCID,Tan Hanno L.¹¹¹²^ORCID,van der Werf Christian¹³¹⁴^ORCID,Torp-Pedersen Christian¹⁵¹⁶^ORCID,Kjær Ersbøll Annette¹¹⁷^ORCID,Malta Hansen Carolina¹²³¹⁸^ORCID

Affiliation:

1. Research Department, Copenhagen University Hospital, Emergency Medical Services Capital Region of Denmark (A.J.G., F.F., J.S.K., L.A., A.K.E., C.M.H.).

2. Department of Clinical Medicine (A.J.G., F.F., J.S.K., C.M.H.), University of Copenhagen, Denmark.

3. Department of Cardiology, Gentofte Hospital (F.F., C.M.H.), Copenhagen University, Denmark.

4. PULS, Austrian Cardiac Arrest Awareness Association (M.K., F.E., P.S.).

5. Emergency Medical Service Vienna, Austria (M.K.).

6. Department of Emergency Medicine (F.E.) Medical University of Vienna, Austria.

7. Department of Internal Medicine II, Division of Cardiology (P.S., K.A.K.) Medical University of Vienna, Austria.

8. Duke Clinical Research Institute, Durham, NC (K.A.K.).

9. American Heart Association, Denver, CO (C.S.).

10. Department of Anesthesiology (R.S., H.v.S.), Amsterdam University Medical Center, University of Amsterdam, the Netherlands.

11. Department of Clinical and Experimental Cardiology (H.L.T.), Amsterdam University Medical Center, University of Amsterdam, the Netherlands.

12. Netherlands Heart Institute, Utrecht, the Netherlands (H.L.T.).

13. Department of Cardiology, Heart Centre, (C.v.d.W.), Amsterdam University Medical Center, University of Amsterdam, the Netherlands.

14. Amsterdam Cardiovascular Sciences, Heart Failure and Arrhythmias, the Netherlands (C.v.d.W.).

15. Department of Public Health (C.T.-P.), University of Copenhagen, Denmark.

16. Department of Cardiology, North Zealand Hospital, Denmark (C.T.-P.).

17. National Institute of Public Health, University of Southern Denmark (A.K.E.).

18. Department of Cardiology, Rigshospitalet (C.M.H.), Copenhagen University, Denmark.

Abstract

BACKGROUND: Strategies to reach out-of-hospital cardiac arrests (called cardiac arrest) in residential areas and reduce disparities in care and outcomes are warranted. This study investigated incidences of cardiac arrests in public housing areas. METHODS: This register-based cohort study included cardiac arrest patients from Amsterdam (the Netherlands) from 2016 to 2021, Copenhagen (Denmark) from 2016 to 2021, and Vienna (Austria) from 2018 to 2021. Using Poisson regression adjusted for spatial correlation and city, we compared cardiac arrest incidence rates (number per square kilometer per year and number per 100 000 inhabitants per year) in public housing and other residential areas and examined the proportion of cardiac arrests within public housing and adjacent areas (100-m radius). RESULTS: Overall, 9152 patients were included of which 3038 (33.2%) cardiac arrests occurred in public housing areas and 2685 (29.3%) in adjacent areas. In Amsterdam, 635/1801 (35.3%) cardiac arrests occurred in public housing areas; in Copenhagen, 1036/3077 (33.7%); and in Vienna, 1367/4274 (32.0%). Public housing areas covered 42.4 (12.6%) of 336.7 km 2 and 1 024 470 (24.6%) of 4 164 700 inhabitants. Across the capitals, we observed a lower probability of 30-day survival in public housing versus other residential areas (244/2803 [8.7%] versus 783/5532 [14.2%]). The incidence rates and rate ratio of cardiac arrest in public housing versus other residential areas were incidence rate, 16.5 versus 4.1 n/km 2 per year; rate ratio, 3.46 (95% CI, 3.31–3.62) and incidence rate, 56.1 versus 36.8 n/100 000 inhabitants per year; rate ratio, 1.48 (95% CI, 1.42–1.55). The incidence rates and rate ratios in public housing versus other residential areas were consistent across the 3 capitals. CONCLUSIONS: Across 3 European capitals, one-third of cardiac arrests occurred in public housing areas, with an additional third in adjacent areas. Public housing areas exhibited consistently higher cardiac arrest incidences per square kilometer and 100 000 inhabitants and lower survival than other residential areas. Public housing areas could be a key target to improve cardiac arrest survival in countries with a public housing sector.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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5. Smartphone Activation of Citizen Responders to Facilitate Defibrillation in Out-of-Hospital Cardiac Arrest