Out-of-hospital cardiac arrest in South Asian and white populations in London: database evaluation of characteristics and outcome.
OBJECTIVE: To compare out-of-hospital cardiac arrest (OOHCA) characteristics in white and South Asian populations within Greater London. METHODS: Data for OOHCAs were extracted from 1 April 2003 to 31 March 2007. Primary study variables included age, gender, ethnicity, response times from 999 call t...
| Publicado en: | Heart Vol. 96; no. 1; pp. 27 - 30 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
BMJ Publishing Group
Jan2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105283311&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105283311 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13556037 1XU jtl: Heart issn: 13556037 maglogo: N pubinfo: dt: Jan2010 vid: 96 iid: 1 pid: 8280 pub: BMJ Publishing Group artinfo: ui: 105283311 105283311 2010525735 10.1136/hrt.2009.170183 NLM19744967 105283311 ppf: 27 ppct: 3 formats: tig: atl: Out-of-hospital cardiac arrest in South Asian and white populations in London: database evaluation of characteristics and outcome. aug: au: Shah AS Bhopal R Gadd S Donohoe R sug: subj: Asians Emergency Medical Services Statistics and Numerical Data White Persons Heart Arrest Ethnology Aged Aged, 80 and Over Resuscitation, Cardiopulmonary Methods Female Heart Arrest Mortality Heart Arrest Therapy Human England Male Middle Age Quality of Health Care Retrospective Design Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: OBJECTIVE: To compare out-of-hospital cardiac arrest (OOHCA) characteristics in white and South Asian populations within Greater London. METHODS: Data for OOHCAs were extracted from 1 April 2003 to 31 March 2007. Primary study variables included age, gender, ethnicity, response times from 999 call to ambulance arrival, initial cardiac rhythm, whether bystander cardiopulmonary resuscitation was provided before arrival of the London Ambulance Service (LAS) NHS Trust crew, whether the arrest was witnessed (bystander or LAS crew) and hospital outcome, including survival to hospital admission and discharge. RESULTS: Of 13 013 OOHCAs of presumed cardiac cause, 3161 (24.3%) had ethnicity codes assigned. These comprised 63.1% (n = 1995) white and 5.8% (n = 183) South Asian people, with the remainder from other backgrounds. White patients were on average 5 years older than South Asians (69.5 vs 64.6, p<0.005). Response time (7.48 min vs 7.46 min), bystander cardiopulmonary resuscitation (34.4% vs 29.7%), initial cardiac rhythm (29.5% vs 30.4%) and survival to admission (22.2% vs 22.5%) and discharge (8.7% vs 8.9%) were comparable between the two ethnic groups. South Asians were slightly more likely to have a witnessed an OOHCA than their white counterparts (OR = 1.1, 95% CI 1.0 to 1.2). DISCUSSION: The quality of care provided was comparable between white and South Asian populations. The data support the emerging view that South Asians' high mortality from coronary heart disease reflects higher incidence rather than higher case fatality. South Asians had an OOHCA at a significantly younger age. The study demonstrates the importance of ethnic coding within the emergency services. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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