Cardiac arrest & resuscitation

Health inequalities in out-of-hospital cardiac arrest incidence and bystander cardiopulmonary resuscitation rates in England 2018–23

ResuscitationPublished Retrospective analysis of observational registry data

Authors' conclusion

This analysis highlights persistent geographic and socioeconomic disparities in OHCA incidence, BCPR rates and survival across England that remain unchanged since 2015.

Study context

Population
Out-of-hospital cardiac arrest (OHCA) patients in England, 2018–20232,102 postcode districts
Participants
165,701 patients
Exposure
High-risk vs low-risk postcode districts
  • High-risk areasn = 499
Outcome
High-risk areas (high incidence of EMS-resuscitated OHCAs and low BCPR rates)
Methodological detailsnational registry (OHCA Outcomes registry), geocoded cases linked to 2021 Census data, spatial analysis
  • National registry (OHCA Outcomes registry)
  • Geocoded cases linked to 2021 Census data
  • Spatial analysis

Main finding

As reported in the abstract

BCPR rate
Postcode districts remaining high-risk
23.6%

Observational data: associations, not effects.

Further findings

Return of spontaneous circulation (ROSC) slightly higher (as printed: 27.4% vs 26.5%)
Survival slightly higher (as printed: 8.2% vs 7.9%)

Original publication

Health inequalities in out-of-hospital cardiac arrest incidence and bystander cardiopulmonary resuscitation rates in England 2018–23. Resuscitation. Published 8 June 2026. doi:10.1016/j.resuscitation.2026.111162

Composed by AI from the published abstract and checked against it. How Briefs are made →

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