ArticleEmergency medicine journal : EMJ2004
Surviving out of hospital cardiac arrest at home: a postcode lottery?
Article in Emergency medicine journal : EMJ, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- The breast cancer risk assessment pathway in England: a systems analysis of current challenges and ways to improve.British journal of cancer · 2026Article
- Dispelling the remoteness myth- a geospatial analysis of where out-of-hospital cardiac arrests are occurring in Western Australia.Resuscitation plus · 2024Article
- Common hierarchies, varied rules - the problem of governing community first responders in prehospital care for quality standards: documentary discourse analysis.BMC health services research · 2023Article
- Prehospital Time Interval for Urban and Rural Emergency Medical Services: A Systematic Literature Review.Healthcare (Basel, Switzerland) · 2022Review
- Socio-spatial disparities in access to emergency health care-A Scandinavian case study.PloS one · 2021Article
- Factors modifying performance of a novel citizen text message alert system in improving survival of out-of-hospital cardiac arrest.European heart journal. Acute cardiovascular care · 2018Article
- Sudden Cardiac Death and Arrhythmias.Arrhythmia & electrophysiology review · 2018Review
- Distance to invasive heart centre, performance of acute coronary angiography, and angioplasty and associated outcome in out-of-hospital cardiac arrest: a nationwide study.European heart journal · 2017Article
- Optimal installation locations for automated external defibrillators in Taipei 7-Eleven stores: using GIS and a genetic algorithm with a new stirring operator.Computational and mathematical methods in medicine · 2014Article
- A Nationwide Comparison of Driving Distance Versus Straight-Line Distance to Hospitals.The Professional geographer : the journal of the Association of American Geographers · 2012Article
- Postcode lotteries in public health--the NHS Health Checks Programme in North West London.BMC public health · 2011Article
- Population density, call-response interval, and survival of out-of-hospital cardiac arrest.International journal of health geographics · 2011Article
- Regional variation in ICD implantation rates: the shocking truth?Heart (British Cardiac Society) · 2005Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo find out if the response time, distance travelled to scene, and geographical location affect survival from out of hospital cardiac arrest (OHCA).
methodsRetrospective 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.
resultsCertain 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 <four miles (13.3% versus 9.7%, p<0.05) but not survival to discharge (4.0% versus 3.7%, p = 0.72). A close correlation between distance travelled and response time was shown (Pearson = 0.93, p<0.01), likewise between distance travelled and survival to admission (Spearman = -0.87, p<0.01). Certain areas, particularly those at greater geographical distance from ambulance dispatch points, were found to be associated with significantly lower survival to admission rates.
conclusionsSurvival to admission from OHCA is strongly influenced by response time and distance travelled to the scene. The geographical location of an arrest can potentially influence survival to admission. Measures should be taken to strategically position ambulance dispatch points and to task the nearest geographically available vehicle to attend an OHCA.
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