Evidence map›Paper›PMID 25263511›Full record

ArticleResuscitation2014

Multiple cluster analysis for the identification of high-risk census tracts for out-of-hospital cardiac arrest (OHCA) in Denver, Colorado.

Ariann F Nassel, Elisabeth D Root, Jason S Haukoos, Kevin McVaney, Christopher Colwell, James Robinson, Brian Eigel, David J Magid, Comilla Sasson

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Resuscitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
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  3. Observational
  4. Where Should the Cancer Control Interventions Target: A Geospatial Hotspot Analysis for Major Cancer Mortality 2018 to 2022 in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 1 country.

Ariann F NasselUniversity of Alabama, Birmingham, AL, United States.
Elisabeth D RootUniversity of Colorado, Boulder, CO, United States.
Jason S HaukoosDepartment of Emergency Medicine, University of Colorado, Aurora, CO, United States; Denver Health and Hospital Authority, Denver, CO, United States; Colorado School of Public Health, Aurora, CO, United States.
Kevin McVaneyDepartment of Emergency Medicine, University of Colorado, Aurora, CO, United States; Denver Health and Hospital Authority, Denver, CO, United States.
Christopher ColwellDepartment of Emergency Medicine, University of Colorado, Aurora, CO, United States; Denver Health and Hospital Authority, Denver, CO, United States.
James RobinsonDenver Health and Hospital Authority, Denver, CO, United States.
Brian EigelAmerican Heart Association, Dallas, TX, United States.
David J MagidKaiser Permanente, Denver, CO, United States.
Comilla SassonDepartment of Emergency Medicine, University of Colorado, Aurora, CO, United States; Colorado School of Public Health, Aurora, CO, United States; American Heart Association, Dallas, TX, United States. Electronic address: comilla.sasson@ucdenver.edu.
University of Colorado Denver · USAmerican Heart Association · USDenver Health Medical Center · USKaiser Permanente · USUniversity of Alabama at Birmingham · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Colorado Boulder · US

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Effectiveness of Rapid HIV Screening Methods in Urban Emergency DepartmentsR01AI106057 · NIAID · DENVER HEALTH AND HOSPITAL AUTHORITY · PI HAUKOOS, JASON · 2012 to 2016
$3.1M
Simulating the Operational Consequences of HIV Screening in the Emergency DepartmR01HS021749 · AHRQ · UNIVERSITY OF CINCINNATI · PI LYONS, MICHAEL S · 2012 to 2016
$1.2M
Strategies to Identify Undiagnosed HIV Infection in the Emergency DepartmentK02HS017526 · AHRQ · DENVER HEALTH AND HOSPITAL AUTHORITY · PI HAUKOOS, JASON · 2008 to 2012
$554k
AHRQ HHS K02 HS017526AHRQ HHS R01 HS021749NCATS NIH HHS UL1 TR001082NIAID NIH HHS R01 AI106057
6 · The paper itself

Abstract

backgroundPrior research has shown that high-risk census tracts for out-of-hospital cardiac arrest (OHCA) can be identified. High-risk neighborhoods are defined as having a high incidence of OHCA and a low prevalence of bystander cardiopulmonary resuscitation (CPR). However, there is no consensus regarding the process for identifying high-risk neighborhoods.

objectiveWe propose a novel summary approach to identify high-risk neighborhoods through three separate spatial analysis methods: Empirical Bayes (EB), Local Moran's I (LISA), and Getis Ord Gi* (Gi*) in Denver, Colorado.

methodsWe conducted a secondary analysis of prospectively collected Emergency Medical Services data of OHCA from January 1, 2009 to December 31, 2011 from the City and County of Denver, Colorado. OHCA incidents were restricted to those of cardiac etiology in adults ≥18 years. The OHCA incident locations were geocoded using Centrus. EB smoothed incidence rates were calculated for OHCA using Geoda and LISA and Gi* calculated using ArcGIS 10.

resultsA total of 1102 arrests in 142 census tracts occurred during the study period, with 887 arrests included in the final sample. Maps of clusters of high OHCA incidence were overlaid with maps identifying census tracts in the below the Denver County mean for bystander CPR prevalence. Five census tracts identified were designated as Tier 1 high-risk tracts, while an additional 7 census tracts where designated as Tier 2 high-risk tracts.

conclusionThis is the first study to use these three spatial cluster analysis methods for the detection of high-risk census tracts. These census tracts are possible sites for targeted community-based interventions to improve both cardiovascular health education and CPR training.

Indexed as

CensusesRegistriesUrban PopulationBayes TheoremCardiopulmonary ResuscitationCluster AnalysisColoradoEmergency Medical ServicesFemaleHumansIncidenceMaleMiddle AgedOut-of-Hospital Cardiac ArrestPrevalenceRetrospective StudiesCardiopulmonary resuscitationGeographic information systemsOut-of-hospital cardiac arrestPublic health interventionsSpatial statistics

Identifiers

PMID25263511
PMCPMC4864608
OpenAlexW2030971439

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.