Evidence map›Paper›PMID 42316053›Full record

ArticleBMC cardiovascular disorders2026

Examining the association between spatial accessibility to emergency cardiac care centers and cardiovascular mortality in Georgia, United States.

Nima Kianfar, X Angela Yao, Behzad Kiani, Abe Mollalo

Abstract read
In one paragraph

Article in BMC cardiovascular disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Nima KianfarDepartment of Geospatial Information Systems, Faculty of Geomatics Engineering, K.N. Toosi University of Technology, Tehran, Iran. Nimakianfar@email.kntu.ac.ir.ORCID http://orcid.org/0000-0001-7566-3587
X Angela YaoDepartment of Geography, University of Georgia, Athens, GA, USA.
Behzad KianiFrazer Institute, Faculty of Health, Medicine, and Behavioural Sciences, The University of Queensland, Brisbane, Australia.
Abe MollaloDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular diseases (CVDs) are the leading cause of mortality in Georgia, U.S., accounting for over 21,000 deaths annually. Due to the acute nature of cardiac complications and patients' urgent need for immediate medical attention, optimal access to emergency healthcare is essential. Despite this urgency, spatial accessibility to emergency cardiac care (ECC) centers and its relationship with CVD mortality remains underexplored.

methodsWe implemented an enhanced two-step floating catchment area method to explore spatial disparities in access to ECC centers in Georgia. Moreover, we proposed two complementary equity metrics, Health Disparity Index (HDI) and Localized Health Outcome Index (LHOI), to quantify disparities. We further examined the potential association between spatial access to ECC centers and CVD mortality rates using Social Vulnerability Index-adjusted ordinary least squares regression models.

resultsECC centers were clustered primarily in the Atlanta Metropolitan area, while more remote and rural areas in the central and southernmost regions have the lowest access to emergency medical resources. The estimated HDI value of 0.61, along with high LHOI values observed in 64 counties, indicates substantial inequity in CVD mortality and highlights that many high-mortality counties lack adequate emergency cardiac resources. Poorer access to ECC centers was significantly associated with higher CVD mortality rates (P < 0.05).

conclusionsOur integrated framework reveals pronounced spatial disparities in access to ECC across Georgia and underscores the need for targeted, place-based interventions.

Indexed as

Cardiology Service, HospitalCardiovascular DiseasesEmergency Medical ServicesHealthcare DisparitiesHealth Services AccessibilityCatchment Area, HealthGeorgiaHumansRisk AssessmentRisk FactorsSocioeconomic Disparities in HealthCardiovascular DiseaseEmergency Cardiac Care CentersEnhanced Two-Step Floating Catchment AreaGISHealth Disparity IndexSpatial Accessibility

Identifiers

PMID42316053
PMCPMC13418765

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LicenceCC BY-NC-ND
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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.