ArticleBMC public health2021
A national population-based study of patients, bystanders and contextual factors associated with resuscitation in witnessed cardiac arrest: insight from the french RéAC registry.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- When Bystanders Skip CPR: Insights from a Retrospective Study.Medicina (Kaunas, Lithuania) · 2026Article
- IntraVenous vs IntraOsseous access in Cardiac Arrest: the omitted economic question (IVOCA study).Resuscitation plus · 2026Article
- Barriers to action: behavioral determinants of bystander intervention in medical emergencies - a scoping review.BMC emergency medicine · 2026Article
- The association between the type of bystander and survival after an out-of-hospital cardiac arrest: A French nationwide study.Resuscitation plus · 2025Article
- Access to automated external defibrillators and first responders: Associations with socioeconomic factors and income inequality at small spatial scales.Resuscitation plus · 2024Article
- Knowledge, attitudes, practices, and self-efficacy of the Chinese public regarding cardiopulmonary resuscitation: an online cross-sectional survey.Frontiers in public health · 2024Article
- Training experience is an important factor affecting willingness for bystander CPR and awareness of AED: a survey of residents from a province in Central China in 2023.Frontiers in public health · 2024Article
- Development and evaluation of a virtual reality basic life support for undergraduate students in Thailand: a project by Mae Fah Luang University (MFU BLiS VR).BMC medical education · 2023Article
- Out of hospital cardiac arrest: experience of a bystander CPR training program in Karachi, Pakistan.BMC emergency medicine · 2022Article
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Authors and funding
12 authors at 9 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn out-of-hospital cardiac arrest (OHCA), bystander initiated cardiopulmonary resuscitation (CPR) increases the chance of return of spontaneous circulation and survival with a favourable neurological status. Socioeconomic disparities have been highlighted in OHCA field. In areas with the lowest average socioeconomic status, OHCA incidence increased, and bystander CPR decreased. Evaluations were performed on restricted geographical area, and European evaluation is lacking. We aimed to analyse, at a national level, the impact of area-level social deprivation on the initiation of CPR in case of a witnessed OHCA.
methodsWe included all witnessed OHCA cases with age over 18 years from July 2011 to July 2018 form the OHCA French national registry. We excluded OHCA occurred in front of rescue teams or in nursing home, and patients with incomplete address or partial geocoding. We collected data from context, bystander and patient. The area-level social deprivation was estimated by the French version of the European Deprivation Index (in quintile) associated with the place where OHCA occurred. We assessed the associations between Utstein variables and social deprivation level using a mixed-effect logit model with bystander-initiated CPR.
resultsWe included 23,979 witnessed OHCA of which 12,299 (51%) had a bystander-initiated CPR. More than one third of the OHCA (8,326 (35%)) occurred in an area from the highest quintile of social deprivation. The higher the area-level deprivation, the less the proportion of bystander-initiated CPR (56% in Quintile 1 versus 48% in Quintile 5). The In the multivariable analysis, bystander less often began CPR in areas with the highest deprivation level, compared to those with the lowest deprivation level (OR=0.69, IC95%: 0.63-0.75).
conclusionsThe level of social deprivation of the area where OHCA occurred was associated with bystander-initiated CPR. It decreased in the more deprived areas although these areas also concentrate more younger patients.
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