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Health inequalities in cardiopulmonary resuscitation and use of automated electrical defibrillators in out-of-hospital cardiac arrest

Zahra, Syeda Anum ; Choudhury, Rozina Yasmin ; Naqvi, Rameez ; Boulton, Adam J. ; Chahal, C. Anwar A. ; Munir, Sabrina ; Carrington, Mafalda ; Ricci, Fabrizio LU and Khanji, Mohammed Y. (2024) In Current Problems in Cardiology 49(5).
Abstract

Out of hospital cardiac arrest (OHCA) outcomes can be improved by strengthening the chain of survival, namely prompt cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED). However, provision of bystander CPR and AED use remains low due to individual patient factors ranging from lack of education to socioeconomic barriers and due to lack of resources such as limited availability of AEDs in the community. Although the impact of health inequalities on survival from OHCA is documented, it is imperative that we identify and implement strategies to improve public health and outcomes from OHCA overall but with a simultaneous emphasis on making care more equitable. Disparities in CPR delivery and AED use in OHCA exist... (More)

Out of hospital cardiac arrest (OHCA) outcomes can be improved by strengthening the chain of survival, namely prompt cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED). However, provision of bystander CPR and AED use remains low due to individual patient factors ranging from lack of education to socioeconomic barriers and due to lack of resources such as limited availability of AEDs in the community. Although the impact of health inequalities on survival from OHCA is documented, it is imperative that we identify and implement strategies to improve public health and outcomes from OHCA overall but with a simultaneous emphasis on making care more equitable. Disparities in CPR delivery and AED use in OHCA exist based on factors including sex, education level, socioeconomic status, race and ethnicity, all of which we discuss in this review. Most importantly, we discuss the barriers to AED use, and strategies on how these may be overcome.

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author
; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
AED, CPR, Health inequalities, OHCA
in
Current Problems in Cardiology
volume
49
issue
5
article number
102484
publisher
Elsevier
external identifiers
  • pmid:38401825
  • scopus:85186428670
ISSN
0146-2806
DOI
10.1016/j.cpcardiol.2024.102484
language
English
LU publication?
yes
id
b4c20269-a073-45b2-bb98-2fcbc51e4027
date added to LUP
2024-03-14 11:34:28
date last changed
2024-04-25 08:12:17
@article{b4c20269-a073-45b2-bb98-2fcbc51e4027,
  abstract     = {{<p>Out of hospital cardiac arrest (OHCA) outcomes can be improved by strengthening the chain of survival, namely prompt cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED). However, provision of bystander CPR and AED use remains low due to individual patient factors ranging from lack of education to socioeconomic barriers and due to lack of resources such as limited availability of AEDs in the community. Although the impact of health inequalities on survival from OHCA is documented, it is imperative that we identify and implement strategies to improve public health and outcomes from OHCA overall but with a simultaneous emphasis on making care more equitable. Disparities in CPR delivery and AED use in OHCA exist based on factors including sex, education level, socioeconomic status, race and ethnicity, all of which we discuss in this review. Most importantly, we discuss the barriers to AED use, and strategies on how these may be overcome.</p>}},
  author       = {{Zahra, Syeda Anum and Choudhury, Rozina Yasmin and Naqvi, Rameez and Boulton, Adam J. and Chahal, C. Anwar A. and Munir, Sabrina and Carrington, Mafalda and Ricci, Fabrizio and Khanji, Mohammed Y.}},
  issn         = {{0146-2806}},
  keywords     = {{AED; CPR; Health inequalities; OHCA}},
  language     = {{eng}},
  number       = {{5}},
  publisher    = {{Elsevier}},
  series       = {{Current Problems in Cardiology}},
  title        = {{Health inequalities in cardiopulmonary resuscitation and use of automated electrical defibrillators in out-of-hospital cardiac arrest}},
  url          = {{http://dx.doi.org/10.1016/j.cpcardiol.2024.102484}},
  doi          = {{10.1016/j.cpcardiol.2024.102484}},
  volume       = {{49}},
  year         = {{2024}},
}