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Incidence and Survival of Out-of-Hospital Cardiac Arrest in Public Housing Areas in 3 European Capitals.
Juul Grabmayr, Anne; Folke, Fredrik; Samsoee Kjoelbye, Julie; Andelius, Linn; Krammel, Mario; Ettl, Florian; Sulzgruber, Patrick; Krychtiuk, Konstantin A; Sasson, Comilla; Stieglis, Remy; van Schuppen, Hans; Tan, Hanno L; van der Werf, Christian; Torp-Pedersen, Christian; Kjær Ersbøll, Annette; Malta Hansen, Carolina.
Affiliation
  • Juul Grabmayr A; Research Department, Copenhagen University Hospital, Emergency Medical Services Capital Region of Denmark (A.J.G., F.F., J.S.K., L.A., A.K.E., C.M.H.).
  • Folke F; Department of Clinical Medicine (A.J.G., F.F., J.S.K., C.M.H.), University of Copenhagen, Denmark.
  • Samsoee Kjoelbye J; Research Department, Copenhagen University Hospital, Emergency Medical Services Capital Region of Denmark (A.J.G., F.F., J.S.K., L.A., A.K.E., C.M.H.).
  • Andelius L; Department of Clinical Medicine (A.J.G., F.F., J.S.K., C.M.H.), University of Copenhagen, Denmark.
  • Krammel M; Department of Cardiology, Gentofte Hospital (F.F., C.M.H.), Copenhagen University, Denmark.
  • Ettl F; Research Department, Copenhagen University Hospital, Emergency Medical Services Capital Region of Denmark (A.J.G., F.F., J.S.K., L.A., A.K.E., C.M.H.).
  • Sulzgruber P; Department of Clinical Medicine (A.J.G., F.F., J.S.K., C.M.H.), University of Copenhagen, Denmark.
  • Krychtiuk KA; Research Department, Copenhagen University Hospital, Emergency Medical Services Capital Region of Denmark (A.J.G., F.F., J.S.K., L.A., A.K.E., C.M.H.).
  • Sasson C; PULS, Austrian Cardiac Arrest Awareness Association (M.K., F.E., P.S.).
  • Stieglis R; Emergency Medical Service Vienna, Austria (M.K.).
  • van Schuppen H; Department of Emergency Medicine (F.E.) Medical University of Vienna, Austria.
  • Tan HL; PULS, Austrian Cardiac Arrest Awareness Association (M.K., F.E., P.S.).
  • van der Werf C; Department of Internal Medicine II, Division of Cardiology (P.S., K.A.K.) Medical University of Vienna, Austria.
  • Torp-Pedersen C; PULS, Austrian Cardiac Arrest Awareness Association (M.K., F.E., P.S.).
  • Kjær Ersbøll A; Department of Internal Medicine II, Division of Cardiology (P.S., K.A.K.) Medical University of Vienna, Austria.
  • Malta Hansen C; Duke Clinical Research Institute, Durham, NC (K.A.K.).
Circ Cardiovasc Qual Outcomes ; 17(6): e010820, 2024 Jun.
Article in En | MEDLINE | ID: mdl-38766860
ABSTRACT

BACKGROUND:

Strategies to reach out-of-hospital cardiac arrests (called cardiac arrest) in residential areas and reduce disparities in care and outcomes are warranted. This study investigated incidences of cardiac arrests in public housing areas.

METHODS:

This register-based cohort study included cardiac arrest patients from Amsterdam (the Netherlands) from 2016 to 2021, Copenhagen (Denmark) from 2016 to 2021, and Vienna (Austria) from 2018 to 2021. Using Poisson regression adjusted for spatial correlation and city, we compared cardiac arrest incidence rates (number per square kilometer per year and number per 100 000 inhabitants per year) in public housing and other residential areas and examined the proportion of cardiac arrests within public housing and adjacent areas (100-m radius).

RESULTS:

Overall, 9152 patients were included of which 3038 (33.2%) cardiac arrests occurred in public housing areas and 2685 (29.3%) in adjacent areas. In Amsterdam, 635/1801 (35.3%) cardiac arrests occurred in public housing areas; in Copenhagen, 1036/3077 (33.7%); and in Vienna, 1367/4274 (32.0%). Public housing areas covered 42.4 (12.6%) of 336.7 km2 and 1 024 470 (24.6%) of 4 164 700 inhabitants. Across the capitals, we observed a lower probability of 30-day survival in public housing versus other residential areas (244/2803 [8.7%] versus 783/5532 [14.2%]). The incidence rates and rate ratio of cardiac arrest in public housing versus other residential areas were incidence rate, 16.5 versus 4.1 n/km2 per year; rate ratio, 3.46 (95% CI, 3.31-3.62) and incidence rate, 56.1 versus 36.8 n/100 000 inhabitants per year; rate ratio, 1.48 (95% CI, 1.42-1.55). The incidence rates and rate ratios in public housing versus other residential areas were consistent across the 3 capitals.

CONCLUSIONS:

Across 3 European capitals, one-third of cardiac arrests occurred in public housing areas, with an additional third in adjacent areas. Public housing areas exhibited consistently higher cardiac arrest incidences per square kilometer and 100 000 inhabitants and lower survival than other residential areas. Public housing areas could be a key target to improve cardiac arrest survival in countries with a public housing sector.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Public Housing / Registries / Out-of-Hospital Cardiac Arrest Limits: Aged / Aged80 / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: En Journal: Circ Cardiovasc Qual Outcomes Journal subject: ANGIOLOGIA / CARDIOLOGIA Year: 2024 Document type: Article Country of publication: United States

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Public Housing / Registries / Out-of-Hospital Cardiac Arrest Limits: Aged / Aged80 / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: En Journal: Circ Cardiovasc Qual Outcomes Journal subject: ANGIOLOGIA / CARDIOLOGIA Year: 2024 Document type: Article Country of publication: United States