DEMOGRAPHICS OF CARDIAC-ARREST - ASSOCIATION WITH RESIDENCE IN A LOW-INCOME AREA

被引:47
作者
FEERO, S
HEDGES, JR
STEVENS, P
机构
[1] OREGON HLTH SCI UNIV,DEPT EMERGENCY MED,PORTLAND,OR 97201
[2] OREGON HLTH SCI UNIV HOSP,DEPT EMERGENCY SERV,PORTLAND,OR
[3] ST PETER HOSP,DEPT EMERGENCY,OLYMPIA,WA
关键词
CARDIAC ARREST; EMERGENCY MEDICAL SERVICES; CARDIOPULMONARY RESUSCITATION; DEMOGRAPHICS; GENDER; SOCIOECONOMIC FACTORS;
D O I
10.1111/j.1553-2712.1995.tb03071.x
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: To report cardiac arrest demographics and assess whether arrest rate is associated with differences in intracity regional population densities, incomes, or race distributions. Methods: One-year retrospective review of out-of-hospital cardiac arrests in a city with a two-tier emergency medical service (EMS) system. Associations of population density, median income, and race data with age- and gender-adjusted cardiac arrest rates for seven city regions and groupings of high- and low-income census tracts were made. Results: Median income, but not race or population density, was associated with sex- and age-adjusted intracity regional cardiac arrest rates (p = 0.034). This association of cardiac arrest rate with income status was magnified when the 20 lowest and the 20 highest income census tracts were compared. Cardiac arrest victims in these two income groups did not differ in regard to rate of witnessed arrest, bystander-administered CPR, or previous cardiac disease. Rates of survival to hospital discharge were not significantly different between the two groups. Conclusion: The association of lower income with cardiac arrest suggests that cardiac health promotion and EMS intervention measures, including CPR instruction, should be targeted to lower-income neighborhoods. These findings may help explain previous studies suggesting a racial or population density association with cardiac arrest rates.
引用
收藏
页码:11 / 16
页数:6
相关论文
共 9 条
[1]   RACIAL-DIFFERENCES IN THE INCIDENCE OF CARDIAC-ARREST AND SUBSEQUENT SURVIVAL [J].
BECKER, LB ;
HAN, BH ;
MEYER, PM ;
WRIGHT, FA ;
RHODES, KV ;
SMITH, DW ;
BARRETT, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 329 (09) :600-606
[2]  
CAIN KC, 1992, HEALTH SERV RES, V27, P267
[3]   OUT-OF-HOSPITAL CARDIAC-ARREST - RACIAL-DIFFERENCES IN OUTCOME IN SEATTLE [J].
COWIE, MR ;
FAHRENBRUCH, CE ;
COBB, LA ;
HALLSTROM, AP .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1993, 83 (07) :955-959
[4]  
CUMMINS RO, 1991, ANN EMERG MED, V20, P861
[5]  
FLEISS JL, 1981, STAT METHODS RATES P, P237
[6]  
HERBERT PR, 1992, ARCH INTERN MED, V152, P2253
[7]   ROLE OF THE EMERGENCY MEDICAL-SERVICES SYSTEM IN REGIONWIDE HEALTH MONITORING AND REFERRAL [J].
HSIAO, AK ;
HEDGES, JR .
ANNALS OF EMERGENCY MEDICINE, 1993, 22 (11) :1696-1702
[8]  
Kleinbaum DG, 1982, EPIDEMIOLOGIC RES PR, p[320, 343, 419]
[9]   GEOGRAPHIC PATTERNS OF URBAN TRAUMA ACCORDING TO MECHANISM AND SEVERITY OF INJURY [J].
PEPE, PE ;
MATTOX, KL ;
FISCHER, RP ;
MATSUMOTO, CM .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1990, 30 (09) :1125-1132