Abstract 16922: Impact of Neighborhood Socio-economic Status on Bystander Cardiopulmonary Resuscitation in Paris

IntroductionThere is no European data on the impact of neighborhood socio-economic status (SES) on Out-of-Hospital Cardiac Arrest (OHCA) bystander CPR. This study aims to analyze, based on a robust deprivation index, neighborhood SES impact on bystander CPR.HypothesisWe hypothesize that OHCA victims...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2016-11, Vol.134 (Suppl_1 Suppl 1), p.A16922-A16922
Hauptverfasser: Dahan, Benjamin, Jabre, Patricia, Karam, Nicole, Misslin, Renaud, Tafflet, Muriel, Bougouin, Wulfran, Jost, Daniel, Beganton, Frankie, Marijon, Eloi, Jouven, Xavier
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container_title Circulation (New York, N.Y.)
container_volume 134
creator Dahan, Benjamin
Jabre, Patricia
Karam, Nicole
Misslin, Renaud
Tafflet, Muriel
Bougouin, Wulfran
Jost, Daniel
Beganton, Frankie
Marijon, Eloi
Jouven, Xavier
description IntroductionThere is no European data on the impact of neighborhood socio-economic status (SES) on Out-of-Hospital Cardiac Arrest (OHCA) bystander CPR. This study aims to analyze, based on a robust deprivation index, neighborhood SES impact on bystander CPR.HypothesisWe hypothesize that OHCA victims in deprived area could be less likely to beneficiate a bystander CPR.MethodsData of all OHCA were collected prospectively between 2000 and 2010, in Paris. A geographical neighborhood unit was assigned to each case. Median household income, blue-collar workers rate, unemployment rate and adults without high school diploma rate were selected as SES characteristics and neighborhoods were classified in low SES neighborhood or medium- high SES neighborhood. We analyzed the relationship between neighborhood SES characteristics and the probability to receive bystander CPR.ResultsOf the 4,009 OHCA recorded with mappable addresses, 777 (19.4%) received bystander CPR. OHCA victims who received bystander CPR were more likely to be in public locations, with a witnessed cardiac arrest in neighborhoods ranged in low SES, or where median household income was in the highest quartile, and where no high school studies rate and blue collar worker rate were in the lowest quartile (p
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This study aims to analyze, based on a robust deprivation index, neighborhood SES impact on bystander CPR.HypothesisWe hypothesize that OHCA victims in deprived area could be less likely to beneficiate a bystander CPR.MethodsData of all OHCA were collected prospectively between 2000 and 2010, in Paris. A geographical neighborhood unit was assigned to each case. Median household income, blue-collar workers rate, unemployment rate and adults without high school diploma rate were selected as SES characteristics and neighborhoods were classified in low SES neighborhood or medium- high SES neighborhood. We analyzed the relationship between neighborhood SES characteristics and the probability to receive bystander CPR.ResultsOf the 4,009 OHCA recorded with mappable addresses, 777 (19.4%) received bystander CPR. OHCA victims who received bystander CPR were more likely to be in public locations, with a witnessed cardiac arrest in neighborhoods ranged in low SES, or where median household income was in the highest quartile, and where no high school studies rate and blue collar worker rate were in the lowest quartile (p&lt;0.05). In the multilevel analyses, bystander CPR provision was significantly lower in low SES neighborhoods than in medium-high SES neighborhoods (OR 0.85; 95% confidence interval [CI] 0.72-0.99).ConclusionIn the city of Paris, OHCA victims were less likely to receive bystander CPR in low SES neighborhoods. These first European data are in agreement with what we have observed from North American and Asian countries.</description><identifier>ISSN: 0009-7322</identifier><identifier>EISSN: 1524-4539</identifier><language>eng</language><publisher>by the American College of Cardiology Foundation and the American Heart Association, Inc</publisher><ispartof>Circulation (New York, N.Y.), 2016-11, Vol.134 (Suppl_1 Suppl 1), p.A16922-A16922</ispartof><rights>2016 by the American College of Cardiology Foundation and the American Heart Association, Inc.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids></links><search><creatorcontrib>Dahan, Benjamin</creatorcontrib><creatorcontrib>Jabre, Patricia</creatorcontrib><creatorcontrib>Karam, Nicole</creatorcontrib><creatorcontrib>Misslin, Renaud</creatorcontrib><creatorcontrib>Tafflet, Muriel</creatorcontrib><creatorcontrib>Bougouin, Wulfran</creatorcontrib><creatorcontrib>Jost, Daniel</creatorcontrib><creatorcontrib>Beganton, Frankie</creatorcontrib><creatorcontrib>Marijon, Eloi</creatorcontrib><creatorcontrib>Jouven, Xavier</creatorcontrib><title>Abstract 16922: Impact of Neighborhood Socio-economic Status on Bystander Cardiopulmonary Resuscitation in Paris</title><title>Circulation (New York, N.Y.)</title><description>IntroductionThere is no European data on the impact of neighborhood socio-economic status (SES) on Out-of-Hospital Cardiac Arrest (OHCA) bystander CPR. This study aims to analyze, based on a robust deprivation index, neighborhood SES impact on bystander CPR.HypothesisWe hypothesize that OHCA victims in deprived area could be less likely to beneficiate a bystander CPR.MethodsData of all OHCA were collected prospectively between 2000 and 2010, in Paris. A geographical neighborhood unit was assigned to each case. Median household income, blue-collar workers rate, unemployment rate and adults without high school diploma rate were selected as SES characteristics and neighborhoods were classified in low SES neighborhood or medium- high SES neighborhood. We analyzed the relationship between neighborhood SES characteristics and the probability to receive bystander CPR.ResultsOf the 4,009 OHCA recorded with mappable addresses, 777 (19.4%) received bystander CPR. OHCA victims who received bystander CPR were more likely to be in public locations, with a witnessed cardiac arrest in neighborhoods ranged in low SES, or where median household income was in the highest quartile, and where no high school studies rate and blue collar worker rate were in the lowest quartile (p&lt;0.05). In the multilevel analyses, bystander CPR provision was significantly lower in low SES neighborhoods than in medium-high SES neighborhoods (OR 0.85; 95% confidence interval [CI] 0.72-0.99).ConclusionIn the city of Paris, OHCA victims were less likely to receive bystander CPR in low SES neighborhoods. These first European data are in agreement with what we have observed from North American and Asian countries.</description><issn>0009-7322</issn><issn>1524-4539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNqdj91KAzEUhIMouGrf4bxAID_7w3qnRdEbkdb7kmbTbjSbs-RkKX17U_AJnJth4BuYuWKVbFTN60b316wSQvS800rdsjui7xJb3TUVm5_2lJOxGWTbK_UI79N8SXiAD-eP4x7TiDjAFq1H7ixGnLyFbTZ5IcAIz2fKJg4uwdqkweO8hAmjSWfYOFrI-kL6wvkInyZ5emA3BxPIrf78ntWvL1_rN37CkF2in7CcXNqNzoQ87spOoYXsuBKylRdxocoV_c_aL9STUys</recordid><startdate>20161111</startdate><enddate>20161111</enddate><creator>Dahan, Benjamin</creator><creator>Jabre, Patricia</creator><creator>Karam, Nicole</creator><creator>Misslin, Renaud</creator><creator>Tafflet, Muriel</creator><creator>Bougouin, Wulfran</creator><creator>Jost, Daniel</creator><creator>Beganton, Frankie</creator><creator>Marijon, Eloi</creator><creator>Jouven, Xavier</creator><general>by the American College of Cardiology Foundation and the American Heart Association, Inc</general><scope/></search><sort><creationdate>20161111</creationdate><title>Abstract 16922: Impact of Neighborhood Socio-economic Status on Bystander Cardiopulmonary Resuscitation in Paris</title><author>Dahan, Benjamin ; Jabre, Patricia ; Karam, Nicole ; Misslin, Renaud ; Tafflet, Muriel ; Bougouin, Wulfran ; Jost, Daniel ; Beganton, Frankie ; Marijon, Eloi ; Jouven, Xavier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-wolterskluwer_health_00003017-201611111-020093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><toplevel>online_resources</toplevel><creatorcontrib>Dahan, Benjamin</creatorcontrib><creatorcontrib>Jabre, Patricia</creatorcontrib><creatorcontrib>Karam, Nicole</creatorcontrib><creatorcontrib>Misslin, Renaud</creatorcontrib><creatorcontrib>Tafflet, Muriel</creatorcontrib><creatorcontrib>Bougouin, Wulfran</creatorcontrib><creatorcontrib>Jost, Daniel</creatorcontrib><creatorcontrib>Beganton, Frankie</creatorcontrib><creatorcontrib>Marijon, Eloi</creatorcontrib><creatorcontrib>Jouven, Xavier</creatorcontrib><jtitle>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dahan, Benjamin</au><au>Jabre, Patricia</au><au>Karam, Nicole</au><au>Misslin, Renaud</au><au>Tafflet, Muriel</au><au>Bougouin, Wulfran</au><au>Jost, Daniel</au><au>Beganton, Frankie</au><au>Marijon, Eloi</au><au>Jouven, Xavier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abstract 16922: Impact of Neighborhood Socio-economic Status on Bystander Cardiopulmonary Resuscitation in Paris</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><date>2016-11-11</date><risdate>2016</risdate><volume>134</volume><issue>Suppl_1 Suppl 1</issue><spage>A16922</spage><epage>A16922</epage><pages>A16922-A16922</pages><issn>0009-7322</issn><eissn>1524-4539</eissn><abstract>IntroductionThere is no European data on the impact of neighborhood socio-economic status (SES) on Out-of-Hospital Cardiac Arrest (OHCA) bystander CPR. This study aims to analyze, based on a robust deprivation index, neighborhood SES impact on bystander CPR.HypothesisWe hypothesize that OHCA victims in deprived area could be less likely to beneficiate a bystander CPR.MethodsData of all OHCA were collected prospectively between 2000 and 2010, in Paris. A geographical neighborhood unit was assigned to each case. Median household income, blue-collar workers rate, unemployment rate and adults without high school diploma rate were selected as SES characteristics and neighborhoods were classified in low SES neighborhood or medium- high SES neighborhood. We analyzed the relationship between neighborhood SES characteristics and the probability to receive bystander CPR.ResultsOf the 4,009 OHCA recorded with mappable addresses, 777 (19.4%) received bystander CPR. OHCA victims who received bystander CPR were more likely to be in public locations, with a witnessed cardiac arrest in neighborhoods ranged in low SES, or where median household income was in the highest quartile, and where no high school studies rate and blue collar worker rate were in the lowest quartile (p&lt;0.05). In the multilevel analyses, bystander CPR provision was significantly lower in low SES neighborhoods than in medium-high SES neighborhoods (OR 0.85; 95% confidence interval [CI] 0.72-0.99).ConclusionIn the city of Paris, OHCA victims were less likely to receive bystander CPR in low SES neighborhoods. These first European data are in agreement with what we have observed from North American and Asian countries.</abstract><pub>by the American College of Cardiology Foundation and the American Heart Association, Inc</pub></addata></record>
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title Abstract 16922: Impact of Neighborhood Socio-economic Status on Bystander Cardiopulmonary Resuscitation in Paris
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