Evidence map›Paper›PMID 37640454›Full record

Observational studyHeart (British Cardiac Society)2024

Automated external defibrillator location and socioeconomic deprivation in Great Britain.

Thomas Burgoine, David Austin, Jianhua Wu, Tom Quinn, Pam Shurmer, Chris P Gale, Chris Wilkinson

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Heart (British Cardiac Society), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

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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

7 authors at 5 institutions in 1 country.

Thomas BurgoineMRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK.ORCID 0000-0001-6936-3801
David AustinAcademic Cardiovascular Unit, South Tees NHS Foundation Trust, Middlesbrough, UK.ORCID 0000-0003-4606-1055
Jianhua WuWolfson Institute of Population Health, Queen Mary University of London, Barts and The London School of Medicine and Dentistry, London, UK.ORCID 0000-0001-6093-599X
Tom QuinnUrgent and Emergency Health Care and Workforce Research Group, Kingston University, Kingston upon Thames, UK.ORCID 0000-0002-5116-0034
Pam ShurmerDS43 Community Defibrillators, Hartlepool, UK.ORCID 0009-0003-4592-9489
Chris P GaleLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.ORCID 0000-0003-4732-382X
Chris WilkinsonAcademic Cardiovascular Unit, South Tees NHS Foundation Trust, Middlesbrough, UK chris.wilkinson@hyms.ac.uk.ORCID 0000-0003-0748-0150
South Tees Hospitals NHS Foundation Trust · GBKingston University · GBQueen Mary University of London · GBUniversity of Cambridge · GBUniversity of Leeds · GB

Funding

Medical Research Council MC_UU_00006/7
6 · The paper itself

Abstract

objectiveThe early use of automated external defibrillators (AEDs) improves outcomes in out-of-hospital cardiac arrest (OHCA). We investigated AED access across Great Britain (GB) according to socioeconomic deprivation.

methodsCross-sectional observational study using AED location data from The Circuit: the national defibrillator network led by the British Heart Foundation in partnership with the Association of Ambulance Chief Executives, Resuscitation Council UK and St John Ambulance. We calculated street network distances between all 1 677 466 postcodes in GB and the nearest AED and used a multilevel linear mixed regression model to investigate associations between the distances from each postcode to the nearest AED and Index of Multiple Deprivation, stratified by country and according to 24 hours 7 days a week (24/7) access.

results78 425 AED locations were included. Across GB, the median distance from the centre of a postcode to an AED was 726 m (England: 739 m, Scotland: 743 m, Wales: 512 m). For 24/7 access AEDs, the median distances were further (991 m, 994 m, 570 m). In Wales, the average distance to the nearest AED and 24/7 AED was shorter for the most deprived communities. In England, the average distance to the nearest AED was also shorter in the most deprived areas. There was no association between deprivation and average distance to the nearest AED in Scotland. However, the distance to the nearest 24/7 AED was greater with increased deprivation in England and Scotland. On average, a 24/7 AED was in England and Scotland, respectively, 99.2 m and 317.1 m further away in the most deprived than least deprived communities.

conclusionIn England and Scotland, there are differences in distances to the nearest 24/7 accessible AED between the most and least deprived communities. Equitable access to 'out-of-hours' accessible AEDs may improve outcomes for people with OHCA.

Indexed as

Cardiopulmonary ResuscitationEmergency Medical ServicesOut-of-Hospital Cardiac ArrestCross-Sectional StudiesDefibrillatorsHumansSocioeconomic FactorsUnited KingdomPUBLIC HEALTH

Identifiers

PMID37640454
PMCPMC10850630
OpenAlexW4386224679

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.