Cardiac arrest & resuscitation
Relationship between neighbourhood deprivation and ethnicity with attendance of prehospital critical care to out-of-hospital cardiac arrest patients
Main finding · Prehospital critical care attendanceResult — go to the resultAdjusted odds ratio 1.034 95% CI 1.025–1.043Authors' conclusion
Prehospital critical care teams were less likely to attend cardiac arrest patients in more deprived neighbourhoods, while no association was found with neighbourhood ethnicity.
Study context
- Population
- Out-of-hospital cardiac arrest (OHCA) patients treated by three neighbouring ambulance services in England, 2018–202316,144 (26.5%) attended by critical care
- Participants
- 61,011 patients
- Exposure
- Neighbourhood deprivation and ethnicity vs prehospital critical care attendance
- Outcome
- Prehospital critical care attendance by neighbourhood deprivation and ethnicity
Methodological detailsmulticentre
- Multicentre
Main finding
Prehospital critical care attendance
Adjusted odds ratio
1.034
95% CI 1.025–1.043
As reported in the abstract
Observational data: associations, not effects.
Further findings
Prehospital critical care attendance by neighbourhood affluence, doctor-led services (subgroup)
- Doctor-led services: strongest association
- aOR 1.056, 1.044-1.068 (95% CI)
Prehospital critical care attendance by neighbourhood affluence, paramedic-led services (subgroup)
- Paramedic-led services: weakest association
- aOR 1.014, 1.001-1.026 (95% CI)
Prehospital critical care attendance by neighbourhood ethnicity
- No relationship detected with neighbourhood ethnicity in adjusted analyses
Prehospital critical care attendance by sex
- Female patients less likely to receive a prehospital critical care response in all analyses
Helicopter Emergency Medical Services attendance
- Patients attended by HEMS (85.5% of prehospital critical care)
- 13,772
- Patients reached by helicopter
- 7,403
Original publication
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