Association between location of out-of-hospital cardiac arrest, on-scene socioeconomic status, and accessibility to public automated defibrillators in two large metropolitan areas in Canada and France
To compare walking access times to automated external defibrillators (AEDs) between area-level quintiles of socioeconomic status (SES) in out-of-hospital cardiac arrest (OHCA) cases occurring in 2 major urban regions of Canada and France. This was an international, multicenter, retrospective cohort...
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| Veröffentlicht in: | Resuscitation 2022-12, Vol.181, p.97-109 |
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| creator | Heidet, Matthieu Freyssenge, Julie Claustre, Clément Deakin, John Helmer, Jennie Thomas-Lamotte, Bruno Wohl, Mathys Danny Liang, Li Hubert, Hervé Baert, Valentine Vilhelm, Christian Fraticelli, Laurie Mermet, Éric Benhamed, Axel Revaux, François Lecarpentier, Éric Debaty, Guillaume Tazarourte, Karim Cheskes, Sheldon Christenson, Jim El Khoury, Carlos Grunau, Brian |
| description | To compare walking access times to automated external defibrillators (AEDs) between area-level quintiles of socioeconomic status (SES) in out-of-hospital cardiac arrest (OHCA) cases occurring in 2 major urban regions of Canada and France.
This was an international, multicenter, retrospective cohort study of adult, non-traumatic OHCA cases in the metropolitan Vancouver (Canada) and Rhône County (France) regions that occurred between 2014 and 2018. We calculated area-level SES for each case, using quintiles of country-specific scores (Q5 = most deprived). We identified AED locations from local registries. The primary outcome was the simulated walking time from the OHCA location to the closest AED (continuous and dichotomized by a 3-minute 1-way threshold). We fit multivariate models to analyze the association between OHCA-to-AED walking time and outcomes (Q5 vs others).
A total of 6,187 and 3,239 cases were included from the Metro Vancouver and Rhône County areas, respectively. In Metro Vancouver Q5 areas (vs Q1-Q4), areas, AEDs were farther from (79 % over 400 m from case vs 67 %, p |
| doi_str_mv | 10.1016/j.resuscitation.2022.10.016 |
| format | Article |
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This was an international, multicenter, retrospective cohort study of adult, non-traumatic OHCA cases in the metropolitan Vancouver (Canada) and Rhône County (France) regions that occurred between 2014 and 2018. We calculated area-level SES for each case, using quintiles of country-specific scores (Q5 = most deprived). We identified AED locations from local registries. The primary outcome was the simulated walking time from the OHCA location to the closest AED (continuous and dichotomized by a 3-minute 1-way threshold). We fit multivariate models to analyze the association between OHCA-to-AED walking time and outcomes (Q5 vs others).
A total of 6,187 and 3,239 cases were included from the Metro Vancouver and Rhône County areas, respectively. In Metro Vancouver Q5 areas (vs Q1-Q4), areas, AEDs were farther from (79 % over 400 m from case vs 67 %, p < 0.001) and required longer walking times to (97 % above 3 min vs 91 %, p < 0.001) cases. In Rhône Q5 areas, AEDs were closer than in other areas (43 % over 400 m from case vs 50 %, p = 0.01), yet similarly poorly accessible (85 % above 3 min vs 86 %, p = 0.79). In multivariate models, AED access time ≥ 3 min was associated with decreased odds of survival at hospital discharge in Metro Vancouver (odds ratio 0.41, 95 % CI [0.23–0.74], p = 0.003).
Accessibility of public AEDs was globally poor in Metro Vancouver and Rhône, and even poorer in Metro Vancouver’s socioeconomically deprived areas.</description><identifier>ISSN: 0300-9572</identifier><identifier>EISSN: 1873-1570</identifier><identifier>DOI: 10.1016/j.resuscitation.2022.10.016</identifier><identifier>PMID: 36309249</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Access to urgent care ; Adult ; AED ; Automated external defibrillator ; Canada - epidemiology ; Cardiopulmonary Resuscitation ; Defibrillators ; Defibrillators, Implantable ; Emergency Medical Services ; France ; Human health and pathology ; Humanities and Social Sciences ; Humans ; Life Sciences ; Methods and statistics ; Out-of-hospital cardiac arrest ; Out-of-Hospital Cardiac Arrest - epidemiology ; Out-of-Hospital Cardiac Arrest - therapy ; Retrospective Studies ; Social Class ; Socioeconomic inequities ; Statistics</subject><ispartof>Resuscitation, 2022-12, Vol.181, p.97-109</ispartof><rights>2022 Elsevier B.V.</rights><rights>Copyright © 2022 Elsevier B.V. All rights reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-eafe3c96b3ffe74391a7d149a32ecc4d7a06fd801031445439a4d27c542702e93</citedby><cites>FETCH-LOGICAL-c417t-eafe3c96b3ffe74391a7d149a32ecc4d7a06fd801031445439a4d27c542702e93</cites><orcidid>0000-0001-9186-0492 ; 0000-0002-2647-658X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.resuscitation.2022.10.016$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36309249$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://univ-lyon1.hal.science/hal-03834681$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Heidet, Matthieu</creatorcontrib><creatorcontrib>Freyssenge, Julie</creatorcontrib><creatorcontrib>Claustre, Clément</creatorcontrib><creatorcontrib>Deakin, John</creatorcontrib><creatorcontrib>Helmer, Jennie</creatorcontrib><creatorcontrib>Thomas-Lamotte, Bruno</creatorcontrib><creatorcontrib>Wohl, Mathys</creatorcontrib><creatorcontrib>Danny Liang, Li</creatorcontrib><creatorcontrib>Hubert, Hervé</creatorcontrib><creatorcontrib>Baert, Valentine</creatorcontrib><creatorcontrib>Vilhelm, Christian</creatorcontrib><creatorcontrib>Fraticelli, Laurie</creatorcontrib><creatorcontrib>Mermet, Éric</creatorcontrib><creatorcontrib>Benhamed, Axel</creatorcontrib><creatorcontrib>Revaux, François</creatorcontrib><creatorcontrib>Lecarpentier, Éric</creatorcontrib><creatorcontrib>Debaty, Guillaume</creatorcontrib><creatorcontrib>Tazarourte, Karim</creatorcontrib><creatorcontrib>Cheskes, Sheldon</creatorcontrib><creatorcontrib>Christenson, Jim</creatorcontrib><creatorcontrib>El Khoury, Carlos</creatorcontrib><creatorcontrib>Grunau, Brian</creatorcontrib><creatorcontrib>on behalf of the RéAC, CanROC, ReACanROC investigators</creatorcontrib><creatorcontrib>RéAC, CanROC, ReACanROC investigators</creatorcontrib><title>Association between location of out-of-hospital cardiac arrest, on-scene socioeconomic status, and accessibility to public automated defibrillators in two large metropolitan areas in Canada and France</title><title>Resuscitation</title><addtitle>Resuscitation</addtitle><description>To compare walking access times to automated external defibrillators (AEDs) between area-level quintiles of socioeconomic status (SES) in out-of-hospital cardiac arrest (OHCA) cases occurring in 2 major urban regions of Canada and France.
This was an international, multicenter, retrospective cohort study of adult, non-traumatic OHCA cases in the metropolitan Vancouver (Canada) and Rhône County (France) regions that occurred between 2014 and 2018. We calculated area-level SES for each case, using quintiles of country-specific scores (Q5 = most deprived). We identified AED locations from local registries. The primary outcome was the simulated walking time from the OHCA location to the closest AED (continuous and dichotomized by a 3-minute 1-way threshold). We fit multivariate models to analyze the association between OHCA-to-AED walking time and outcomes (Q5 vs others).
A total of 6,187 and 3,239 cases were included from the Metro Vancouver and Rhône County areas, respectively. In Metro Vancouver Q5 areas (vs Q1-Q4), areas, AEDs were farther from (79 % over 400 m from case vs 67 %, p < 0.001) and required longer walking times to (97 % above 3 min vs 91 %, p < 0.001) cases. In Rhône Q5 areas, AEDs were closer than in other areas (43 % over 400 m from case vs 50 %, p = 0.01), yet similarly poorly accessible (85 % above 3 min vs 86 %, p = 0.79). In multivariate models, AED access time ≥ 3 min was associated with decreased odds of survival at hospital discharge in Metro Vancouver (odds ratio 0.41, 95 % CI [0.23–0.74], p = 0.003).
Accessibility of public AEDs was globally poor in Metro Vancouver and Rhône, and even poorer in Metro Vancouver’s socioeconomically deprived areas.</description><subject>Access to urgent care</subject><subject>Adult</subject><subject>AED</subject><subject>Automated external defibrillator</subject><subject>Canada - epidemiology</subject><subject>Cardiopulmonary Resuscitation</subject><subject>Defibrillators</subject><subject>Defibrillators, Implantable</subject><subject>Emergency Medical Services</subject><subject>France</subject><subject>Human health and pathology</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Methods and statistics</subject><subject>Out-of-hospital cardiac arrest</subject><subject>Out-of-Hospital Cardiac Arrest - epidemiology</subject><subject>Out-of-Hospital Cardiac Arrest - therapy</subject><subject>Retrospective Studies</subject><subject>Social Class</subject><subject>Socioeconomic inequities</subject><subject>Statistics</subject><issn>0300-9572</issn><issn>1873-1570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUcFu1DAUjBCILoVfQJa4gNQsdpyNE3FarVqKtBIXOFsv9gv1KvFbbKdV_7CfhXe3rdQbJ0tv5s08zxTFJ8GXgovm624ZMM7RuATJkV9WvKoysszYq2IhWiVLsVL8dbHgkvOyW6nqrHgX445zLledelucyUbyrqq7RfGwjpGMOyqxHtMdomcjmdOABkZzKmkobyjus-HIDATrwDAI-Yp0wciX0aBHdpAhNORpcobFfNwcLxh4y8AYjNH1bnTpniVi-7kfMwfmRBMktMzi4PrgxhEShcicZ-mO2AjhD7IJU6A95V3w2RXhiG_Ag4Wj_FUAb_B98WaAMeKHx_e8-H11-WtzXW5_fv-xWW9LUwuVSoQBpemaXg4Dqlp2ApQVdQeyQmNqq4A3g2254FLU9SoToLaVMqu6UrzCTp4XX066NzDqfXAThHtN4PT1eqsPMy5bWTetuBWZ-_nE3Qf6O-e49ORyWPmbHmmOulIy2zStajP124lqAsUYcHjWFlwfatc7_aJ2faj9AGYsb398NJr7Ce3z7lPPmXB5ImCO5tZh0FkIc2zWBTRJW3L_ZfQPwUrLMg</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Heidet, Matthieu</creator><creator>Freyssenge, Julie</creator><creator>Claustre, Clément</creator><creator>Deakin, John</creator><creator>Helmer, Jennie</creator><creator>Thomas-Lamotte, Bruno</creator><creator>Wohl, Mathys</creator><creator>Danny Liang, Li</creator><creator>Hubert, Hervé</creator><creator>Baert, Valentine</creator><creator>Vilhelm, Christian</creator><creator>Fraticelli, Laurie</creator><creator>Mermet, Éric</creator><creator>Benhamed, Axel</creator><creator>Revaux, François</creator><creator>Lecarpentier, Éric</creator><creator>Debaty, Guillaume</creator><creator>Tazarourte, Karim</creator><creator>Cheskes, Sheldon</creator><creator>Christenson, Jim</creator><creator>El Khoury, Carlos</creator><creator>Grunau, Brian</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>BXJBU</scope><orcidid>https://orcid.org/0000-0001-9186-0492</orcidid><orcidid>https://orcid.org/0000-0002-2647-658X</orcidid></search><sort><creationdate>20221201</creationdate><title>Association between location of out-of-hospital cardiac arrest, on-scene socioeconomic status, and accessibility to public automated defibrillators in two large metropolitan areas in Canada and France</title><author>Heidet, Matthieu ; Freyssenge, Julie ; Claustre, Clément ; Deakin, John ; Helmer, Jennie ; Thomas-Lamotte, Bruno ; Wohl, Mathys ; Danny Liang, Li ; Hubert, Hervé ; Baert, Valentine ; Vilhelm, Christian ; Fraticelli, Laurie ; Mermet, Éric ; Benhamed, Axel ; Revaux, François ; Lecarpentier, Éric ; Debaty, Guillaume ; Tazarourte, Karim ; Cheskes, Sheldon ; Christenson, Jim ; El Khoury, Carlos ; Grunau, Brian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-eafe3c96b3ffe74391a7d149a32ecc4d7a06fd801031445439a4d27c542702e93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Access to urgent care</topic><topic>Adult</topic><topic>AED</topic><topic>Automated external defibrillator</topic><topic>Canada - epidemiology</topic><topic>Cardiopulmonary Resuscitation</topic><topic>Defibrillators</topic><topic>Defibrillators, Implantable</topic><topic>Emergency Medical Services</topic><topic>France</topic><topic>Human health and pathology</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Methods and statistics</topic><topic>Out-of-hospital cardiac arrest</topic><topic>Out-of-Hospital Cardiac Arrest - epidemiology</topic><topic>Out-of-Hospital Cardiac Arrest - therapy</topic><topic>Retrospective Studies</topic><topic>Social Class</topic><topic>Socioeconomic inequities</topic><topic>Statistics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heidet, Matthieu</creatorcontrib><creatorcontrib>Freyssenge, Julie</creatorcontrib><creatorcontrib>Claustre, Clément</creatorcontrib><creatorcontrib>Deakin, John</creatorcontrib><creatorcontrib>Helmer, Jennie</creatorcontrib><creatorcontrib>Thomas-Lamotte, Bruno</creatorcontrib><creatorcontrib>Wohl, Mathys</creatorcontrib><creatorcontrib>Danny Liang, Li</creatorcontrib><creatorcontrib>Hubert, Hervé</creatorcontrib><creatorcontrib>Baert, Valentine</creatorcontrib><creatorcontrib>Vilhelm, Christian</creatorcontrib><creatorcontrib>Fraticelli, Laurie</creatorcontrib><creatorcontrib>Mermet, Éric</creatorcontrib><creatorcontrib>Benhamed, Axel</creatorcontrib><creatorcontrib>Revaux, François</creatorcontrib><creatorcontrib>Lecarpentier, Éric</creatorcontrib><creatorcontrib>Debaty, Guillaume</creatorcontrib><creatorcontrib>Tazarourte, Karim</creatorcontrib><creatorcontrib>Cheskes, Sheldon</creatorcontrib><creatorcontrib>Christenson, Jim</creatorcontrib><creatorcontrib>El Khoury, Carlos</creatorcontrib><creatorcontrib>Grunau, Brian</creatorcontrib><creatorcontrib>on behalf of the RéAC, CanROC, ReACanROC investigators</creatorcontrib><creatorcontrib>RéAC, CanROC, ReACanROC investigators</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>HAL-SHS: Archive ouverte en Sciences de l'Homme et de la Société</collection><jtitle>Resuscitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heidet, Matthieu</au><au>Freyssenge, Julie</au><au>Claustre, Clément</au><au>Deakin, John</au><au>Helmer, Jennie</au><au>Thomas-Lamotte, Bruno</au><au>Wohl, Mathys</au><au>Danny Liang, Li</au><au>Hubert, Hervé</au><au>Baert, Valentine</au><au>Vilhelm, Christian</au><au>Fraticelli, Laurie</au><au>Mermet, Éric</au><au>Benhamed, Axel</au><au>Revaux, François</au><au>Lecarpentier, Éric</au><au>Debaty, Guillaume</au><au>Tazarourte, Karim</au><au>Cheskes, Sheldon</au><au>Christenson, Jim</au><au>El Khoury, Carlos</au><au>Grunau, Brian</au><aucorp>on behalf of the RéAC, CanROC, ReACanROC investigators</aucorp><aucorp>RéAC, CanROC, ReACanROC investigators</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between location of out-of-hospital cardiac arrest, on-scene socioeconomic status, and accessibility to public automated defibrillators in two large metropolitan areas in Canada and France</atitle><jtitle>Resuscitation</jtitle><addtitle>Resuscitation</addtitle><date>2022-12-01</date><risdate>2022</risdate><volume>181</volume><spage>97</spage><epage>109</epage><pages>97-109</pages><issn>0300-9572</issn><eissn>1873-1570</eissn><abstract>To compare walking access times to automated external defibrillators (AEDs) between area-level quintiles of socioeconomic status (SES) in out-of-hospital cardiac arrest (OHCA) cases occurring in 2 major urban regions of Canada and France.
This was an international, multicenter, retrospective cohort study of adult, non-traumatic OHCA cases in the metropolitan Vancouver (Canada) and Rhône County (France) regions that occurred between 2014 and 2018. We calculated area-level SES for each case, using quintiles of country-specific scores (Q5 = most deprived). We identified AED locations from local registries. The primary outcome was the simulated walking time from the OHCA location to the closest AED (continuous and dichotomized by a 3-minute 1-way threshold). We fit multivariate models to analyze the association between OHCA-to-AED walking time and outcomes (Q5 vs others).
A total of 6,187 and 3,239 cases were included from the Metro Vancouver and Rhône County areas, respectively. In Metro Vancouver Q5 areas (vs Q1-Q4), areas, AEDs were farther from (79 % over 400 m from case vs 67 %, p < 0.001) and required longer walking times to (97 % above 3 min vs 91 %, p < 0.001) cases. In Rhône Q5 areas, AEDs were closer than in other areas (43 % over 400 m from case vs 50 %, p = 0.01), yet similarly poorly accessible (85 % above 3 min vs 86 %, p = 0.79). In multivariate models, AED access time ≥ 3 min was associated with decreased odds of survival at hospital discharge in Metro Vancouver (odds ratio 0.41, 95 % CI [0.23–0.74], p = 0.003).
Accessibility of public AEDs was globally poor in Metro Vancouver and Rhône, and even poorer in Metro Vancouver’s socioeconomically deprived areas.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>36309249</pmid><doi>10.1016/j.resuscitation.2022.10.016</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0001-9186-0492</orcidid><orcidid>https://orcid.org/0000-0002-2647-658X</orcidid></addata></record> |
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| ispartof | Resuscitation, 2022-12, Vol.181, p.97-109 |
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| language | eng |
| recordid | cdi_hal_primary_oai_HAL_hal_03834681v1 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Access to urgent care Adult AED Automated external defibrillator Canada - epidemiology Cardiopulmonary Resuscitation Defibrillators Defibrillators, Implantable Emergency Medical Services France Human health and pathology Humanities and Social Sciences Humans Life Sciences Methods and statistics Out-of-hospital cardiac arrest Out-of-Hospital Cardiac Arrest - epidemiology Out-of-Hospital Cardiac Arrest - therapy Retrospective Studies Social Class Socioeconomic inequities Statistics |
| title | Association between location of out-of-hospital cardiac arrest, on-scene socioeconomic status, and accessibility to public automated defibrillators in two large metropolitan areas in Canada and France |
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