Evidence map›Paper›PMID 35985721›Full record

ArticleOpen heart2022

Individual-level income and out-of-hospital cardiac arrest survival in men and women.

Laura Helena van Dongen, Robin L A Smits, Irene G M van Valkengoed, Petra Elders, Hanno Tan, Marieke T Blom

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Open heart, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. The association of depression and patient and resuscitation characteristics with survival after out-of-hospital cardiac arrest: a cohort study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Laura Helena van DongenDepartment of Experimental Cardiology, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands.ORCID 0000-0002-6568-2562
Robin L A SmitsDepartment of Public Health, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands.
Irene G M van ValkengoedDepartment of Public Health, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands.
Petra EldersHealth Behaviours & Chronic Diseases, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Hanno TanDepartment of Experimental Cardiology, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands h.l.tan@amsterdamumc.nl.
Marieke T BlomDepartment of Experimental Cardiology, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands.
GGD Amsterdam · NLAmsterdam University Medical Centers · NLNetherlands Heart Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveArea-level socioeconomic factors are known to associate with chances to survive out-of-hospital cardiac arrest (OHCA survival). However, the relationship between individual-level socioeconomic factors and OHCA survival in men and women is less established. This study investigated the association between individual-level income and OHCA survival in men and women, as well as its contribution to outcome variability and mediation by resuscitation characteristics.

methodsA cross-sectional cohort study using data from a Dutch community-based OHCA registry was performed. We included 5395 patients aged≥25 years with OHCA from a presumed cardiac cause. Household income, derived from Statistics Netherlands, was stratified into quartiles. The association between survival to hospital discharge and household income was analysed using multivariable logistic regression adjusting for age, sex and resuscitation characteristics.

resultsOverall women had lower household income than men (median €18 567 vs €21 015), and less favourable resuscitation characteristics. Increasing household income was associated with increased OHCA survival in both men and women in a linear manner (Q4 vs Q1: OR 1.63 95% CI (1.24 to 2.16) in men, and 2.54 (1.43 to 4.48) in women). Only initial rhythm significantly changed the ORs for OHCA survival with>10% in both men and women. Household income explained 3.8% in men and 4.3% in women of the observed variance in OHCA survival.

conclusionBoth in men and women, higher individual-level household income was associated with a 1.2-fold to 2.5-fold increased OHCA survival to hospital discharge, but explained only little of outcome variability. A shockable initial rhythm was the most important resuscitation parameter mediating this association. Our results do not support the need for immediate targeted interventions on actionable prehospital resuscitation care characteristics.

Indexed as

Cardiopulmonary ResuscitationEmergency Medical ServicesOut-of-Hospital Cardiac ArrestCross-Sectional StudiesFemaleHumansMaleRegistriesepidemiologyheart arrestoutcome assessment, health care

Identifiers

PMID35985721
PMCPMC9396148
OpenAlexW4292380024

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Registered trials

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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.