Key result
Deprivation and ethnic minority status are associated with increased incidence of out-of-hospital cardiac arrest, lower rates of bystander CPR, and poorer survival outcomes.
Why the study?
Disparities in care can occur at each link in the chain of survival for out-of-hospital cardiac arrest, producing health inequities that require summarisation and solutions.
Health inequities significantly impact the chain of survival and outcomes in out-of-hospital cardiac arrest, highlighting the need for targeted interventions in disadvantaged communities.
OHCA disparities by deprivation persist internationally; leaves open equity-focused interventions across the chain of survival.
PURPOSE OF REVIEW: Out-of-hospital cardiac arrest (OHCA) is a time-critical emergency in which a rapid response following the chain of survival is crucial to save life. Disparities in care can occur at each link in this pathway and hence produce health inequities. This review summarises the health inequities that exist for OHCA patients and suggests how they may be addressed. RECENT FINDINGS: There is international evidence that the incidence of OHCA is increased with increasing deprivation and in ethnic minorities. These groups have lower rates of bystander CPR and bystander-initiated defibrillation, which may be due to barriers in accessing cardiopulmonary resuscitation training, provision of public access defibrillators, and language barriers with emergency call handlers. There are also disparities in the ambulance response and in-hospital care following resuscitation. These disadvantaged communities have poorer survival following OHCA. SUMMARY: OHCA disproportionately affects deprived communities and ethnic minorities. These groups experience disparities in care throughout the chain of survival and this appears to translate into poorer outcomes. Addressing these inequities will require coordinated action that engages with disadvantaged communities.
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Boulton et al. (2022) conducted a review in Out-of-hospital cardiac arrest (OHCA). Deprivation and ethnic minority status was evaluated on Incidence of OHCA, bystander CPR rates, and survival. Deprivation and ethnic minority status are associated with increased incidence of out-of-hospital cardiac arrest, lower rates of bystander CPR, and poorer survival outcomes.
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