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Observational Study
. 2018 Sep:130:118-123.
doi: 10.1016/j.resuscitation.2018.07.005. Epub 2018 Jul 6.

Medical facilities in the neighborhood and incidence of sudden cardiac arrest

Charlene E Goh  1 , Stephen J Mooney  2 , David S Siscovick  3 , Rozenn N Lemaitre  4 , Philip Hurvitz  5 , Nona Sotoodehnia  4 , Tanya K Kaufman  6 , Garazi Zulaika  6 , Gina S Lovasi  7
Affiliations
Observational Study

Medical facilities in the neighborhood and incidence of sudden cardiac arrest

Charlene E Goh et al. Resuscitation. 2018 Sep.

Abstract

Background: Medical establishments in the neighborhood, such as pharmacies and primary care clinics, may play a role in improving access to preventive care and treatment and could explain previously reported neighborhood variations in sudden cardiac arrest (SCA) incidence and survival.

Methods: The Cardiac Arrest Blood Study Repository is a population-based repository of data from adult cardiac arrest patients and population-based controls residing in King County, Washington. We examined the association between the availability of medical facilities near home with SCA risk, using adult (age 18-80) Seattle residents experiencing cardiac arrest (n = 446) and matched controls (n = 208) without a history of heart disease. We also analyzed the association of major medical centers near the event location with emergency medical service (EMS) response time and survival among adult cases (age 18+) presenting with ventricular fibrillation from throughout King County (n = 1537). The number of medical facilities per census tract was determined by geocoding business locations from the National Establishment Time-Series longitudinal database 1990-2010.

Results: More pharmacies in the home census tract was unexpectedly associated with higher odds of SCA (OR:1.28, 95% CI: 1.03, 1.59), and similar associations were observed for other medical facility types. The presence of a major medical center in the event census tract was associated with a faster EMS response time (-53 s, 95% CI: -84, -22), but not with short-term survival.

Conclusions: We did not observe a protective association between medical facilities in the home census tract and SCA risk, orbetween major medical centers in the event census tract and survival.

Keywords: Emergency medical services; Medical facilities; Neighborhood; Observational study; Sudden cardiac arrest; Survival.

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Figures

Figure 1.
Figure 1.. Survival after Ventricular Fibrillation (VF) Sudden Cardiac Arrest (SCA) in King County, WA (1990–2010) in the Cardiac Arrest Blood Study-Repository dataset
Note: The marker size is relative to the number of VF-SCA cases in that year. In 2010, there were only 10 cases of VF (and no deaths) in our study sample and were thus excluded from the figure.
See this image and copyright information in PMC

References

    1. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Heart disease and stroke statistics−-2015 update: a report from the American Heart Association. Circulation. 2015;131:e29–322. - PubMed
    1. Becker LB, Han BH, Meyer PM, Wright FA, Rhodes KV, Smith DW, et al. Racial differences in the incidence of cardiac arrest and subsequent survival. The CPR Chicago Project. N Engl J Med. 1993;329:600–6. - PubMed
    1. Galea S, Blaney S, Nandi A, Silverman R, Vlahov D, Foltin G, et al. Explaining racial disparities in incidence of and survival from out-of-hospital cardiac arrest. American journal of epidemiology. 2007;166:534–43. - PubMed
    1. Kong MH, Peterson ED, Fonarow GC, Sanders GD, Yancy CW, Russo AM, et al. Addressing disparities in sudden cardiac arrest care and the underutilization of effective therapies. Am Heart J. 2010;160:605–18. - PMC - PubMed
    1. Fosbøl EL, Dupre ME, Strauss B, Swanson DR, Myers B, McNally BF, et al. Association of neighborhood characteristics with incidence of out-of-hospital cardiac arrest and rates of bystander-initiated CPR: implications for community-based education intervention. Resuscitation. 2014;85:1512–7. - PubMed

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