RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Survival after out-of-hospital cardiac arrest is associated with area-level socioeconomic status.
Center for Resuscitation Science, Department for Medicine, Karolinska Institutet.
Department of Political and Social Sciences, European University Institute.
Institute of Environmental Medicine, Karolinska Institutet.
Department of Molecular and Clinical Medicine, Gothenburg University.
Vise andre og tillknytning
2018 (engelsk)Inngår i: Heart, ISSN 1355-6037, E-ISSN 1468-201X, artikkel-id heartjnl-2018-313838Artikkel i tidsskrift (Fagfellevurdert) Epub ahead of print
Abstract [en]

OBJECTIVE: Out-of-hospital cardiac arrest (OHCA) is a major cause of death in the Western world. In this study we aimed to investigate the relationship between area-level socioeconomic status (SES) and 30-day survival after OHCA. We hypothesised that high SES at an area level is associated with an improved chance of 30-day survival.

METHODS: Patients with OHCA in Stockholm County between 1 January 2006 and 31 December 2015 were analysed retrospectively. To quantify area-level SES, we linked the patient's home address to 250 × 250/1000 × 1000 meter grids with aggregated information about income and education. We constructed multivariable logistic regression models in which area-level SES measures were adjusted for age, sex, emergency medical services response time, witnessed status, initial rhythm, aetiology, location and year of cardiac arrest.

RESULTS: We included 7431 OHCAs. There was significantly greater 30-day survival (p=0.003) in areas with a high proportion of university-educated people. No statistically significant association was seen between median disposable income and 30-day survival. The adjusted OR for 30-day survival among patients in the highest educational quintile was 1.70 (95% CI 1.15 to 2.51) compared with patients in the lowest educational quintile. We found no significant interaction for sex. Positive trend with increasing area-level education was seen in both men and women but the trend was only statistically significant among men (p=0.012) CONCLUSIONS: Survival to 30 days after OHCA is positively associated with the average educational level of the residential area. Area-level income does not independently predict 30-day survival after OHCA.

sted, utgiver, år, opplag, sider
2018. artikkel-id heartjnl-2018-313838
Emneord [en]
cardiac arrest
HSV kategori
Forskningsprogram
Människan i vården
Identifikatorer
URN: urn:nbn:se:hb:diva-15532DOI: 10.1136/heartjnl-2018-313838PubMedID: 30327393Scopus ID: 2-s2.0-85055019717OAI: oai:DiVA.org:hb-15532DiVA, id: diva2:1273261
Tilgjengelig fra: 2018-12-20 Laget: 2018-12-20 Sist oppdatert: 2019-01-11bibliografisk kontrollert

Open Access i DiVA

fulltext(1041 kB)11 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 1041 kBChecksum SHA-512
0010c7bbe8712bb9c08eef7cfbc384cfa89edd3376354179166aa077da70354a03a4480e3ed070ad89025254284c72d4b35d669c52502d0765f3478b91a898f5
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekstPubMedScopus

Personposter BETA

Herlitz, Johan

Søk i DiVA

Av forfatter/redaktør
Herlitz, Johan
Av organisasjonen
I samme tidsskrift
Heart

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 11 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 16 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf