ArticleJournal of the American Heart Association2018
Association Between Driving Distance From Nearest Fire Station and Survival of Out-of-Hospital Cardiac Arrest.
Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 16 citations in OpenAlex.
- Defining the terminology of first responders alerted for out-of-hospital cardiac arrest by medical dispatch centres: An international consensus study on nomenclature.Resuscitation plus · 2025Article
- Improving preparedness for time critical prehospital care: a descriptive study of the first responder system in Central Norway.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- From Stadiums to Streets: Preventing Sudden Cardiac Death in Young Adults.Journal of the American Heart Association · 2025Article
- Dispelling the remoteness myth- a geospatial analysis of where out-of-hospital cardiac arrests are occurring in Western Australia.Resuscitation plus · 2024Article
- Urban-suburb disparities in pre-hospital emergency medical resources and response time among patients with out-of-hospital cardiac arrest: A mixed-method cross-sectional study.Frontiers in public health · 2023Article
- The association of fire or police first responder initiated interventions with out of hospital cardiac arrest survival.Resuscitation · 2022Article
- Urban-Rural Differences in Cardiac Arrest Outcomes: A Retrospective Population-Based Cohort Study.CJC open · 2022Article
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- Association Between Driving Distance From Nearest Fire Station and Survival of Out-of-Hospital Cardiac Arrest.Journal of the American Heart Association · 2018Article
Corrections and comments
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Authors and funding
12 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Firefighter first responders dispatched in parallel with emergency medical services ( EMS ) personnel for out-of-hospital cardiac arrests ( OHCA ) can provide early defibrillation to improve survival. We examined whether survival following first responder defibrillation differed according to driving distance from nearest fire station to OHCA site. Methods and Results From the CARES (Cardiac Arrest Registry to Enhance Survival) registry, we identified non- EMS witnessed OHCA s of presumed cardiac cause from 2010 to 2014 in Durham, Mecklenburg, and Wake counties, North Carolina. We used logistic regression to estimate the association between calculated driving distances (≤1, 1-1.5, 1.5-2, and >2 miles) and survival to hospital discharge following first responder defibrillation compared with defibrillation by EMS personnel. In total, 5020 OHCA s were included in the study. First responders more often applied the first automated external defibrillators at the shortest distances (≤1 mile) versus longest distances (>2 miles) (53.4% versus 46.6%, respectively, P<0.001). When compared with EMS defibrillation, first responder defibrillation within 1 mile and 1 to 1.5 miles of the nearest fire station was associated with increased survival to hospital discharge (odds ratio 2.01 [95% confidence interval 1.46-2.78] and odds ratio 1.61 [95% confidence interval 1.10-2.35], respectively). However, at the longest distances (1.5-2.0 and >2.0 miles), survival following first responder defibrillation did not differ from EMS defibrillation (odds ratio 0.77 [95% confidence interval 0.48-1.21] and odds ratio 0.97 [95% confidence interval 0.67-1.41], respectively). Conclusions Shorter driving distance from nearest fire station to OHCA location was associated with improved survival following defibrillation by first responders. These results suggest that the location of first responder units should be considered when organizing prehospital systems of OHCA care.
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