Relationship Between Socioeconomic Factors, Distribution of Public Access Defibrillators and Incidence of Out-of-hospital Cardiac Arrest

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aut.relation.endpage58
aut.relation.journalResuscitationen_NZ
aut.relation.startpage53
aut.relation.volume138en_NZ
aut.researcherDicker, Bridget
dc.contributor.authorDicker, Ben_NZ
dc.contributor.authorGarrett, Nen_NZ
dc.contributor.authorWong, Sen_NZ
dc.contributor.authorMcKenzie, Hen_NZ
dc.contributor.authorMcCarthy, Jen_NZ
dc.contributor.authorJenkin, Gen_NZ
dc.contributor.authorSmith, Ten_NZ
dc.contributor.authorSkinner, JRen_NZ
dc.contributor.authorPegg, Ten_NZ
dc.contributor.authorDevlin, Gen_NZ
dc.contributor.authorSwain, Aen_NZ
dc.contributor.authorScott, Ten_NZ
dc.contributor.authorTodd, Ven_NZ
dc.date.accessioned2019-04-01T21:17:46Z
dc.date.available2019-04-01T21:17:46Z
dc.date.copyright2019-05-01en_NZ
dc.date.issued2019-05-01en_NZ
dc.description.abstractBackground: Survival from out-of-hospital cardiac arrest (OHCA) is improved when public access defibrillators are used. Areas of socioeconomic deprivation may have higher rates of OHCA and thus a greater demand for public access defibrillators. We aimed to determine if there was a relationship between socioeconomic factors, the geographic distribution of public access defibrillators (PADs) and incidence of OHCA. Method: Socioeconomic deprivation data was obtained from the Census-based 2013 Index of Deprivation. Spatial information for PADs was obtained from a New Zealand PAD database (AED Locations) in 2016 and 2018. Location data for OHCA was obtained from the St John New Zealand OHCA registry for the period 1 October 2013 to 30 June 2016. Relationships between these variables were analysed using a Poisson regression analysis. Results: Cardiac arrest incidence increased with increasing deprivation. The incidence in the most deprived areas of 156.5 events per 100,000 person years (135.4–180.9, 95% CI) is double the incidence in the least deprived areas at 78.0 events per 100,000 person years (66.4–91.7, 95% CI). Significant increases in the rates of OHCA were observed with every 1% increase in proportions of Māori (1.0%, 0.61–1.4%, 95% CI, p = 0.001), Pacific Peoples (0.6%, 0.21–0.9%, p = 0.005), >65 year olds (3.7%, 3.0–4.3%, p < 0.001), and males (3.7%, 1.8–5.6%, p < 0.001). In 2018, the decile 10 areas had the lowest coverage of PADs (65% of these areas contained a PAD) compared with less deprived areas (68–84%, median 81%). Conclusions: The most socioeconomically deprived communities had the highest incidence of OHCA and the least availability of PADs. This provides impetus for targeted PAD placement in areas of higher deprivation.en_NZ
dc.identifier.citationResuscitation, 138, 53-58.
dc.identifier.doi10.1016/j.resuscitation.2019.02.022en_NZ
dc.identifier.issn0300-9572en_NZ
dc.identifier.issn1873-1570en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/12404
dc.publisherElsevier
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S0300957218310062?via%3Dihub
dc.rightsCopyright © 2019 Elsevier Ltd. All rights reserved. This is the author’s version of a work that was accepted for publication in (see Citation). Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. The definitive version was published in (see Citation). The original publication is available at (see Publisher's Version).
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectAutomated external defibrillator (AED); Public access defibrillator (PAD); Out-of-hospital cardiac arrest (OHCA); Deprivation; Ethnicity; Resuscitation; Bystander; Defibrillation; Cardiopulmonary resuscitation
dc.titleRelationship Between Socioeconomic Factors, Distribution of Public Access Defibrillators and Incidence of Out-of-hospital Cardiac Arresten_NZ
dc.typeJournal Article
pubs.elements-id354503
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HY Public Health & Psychosocial Studies 2018 PBRF
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