Health inequalities in cardiopulmonary resuscitation and use of automated electrical defibrillators in out-of-hospital cardiac arrest

Out of hospital cardiac arrest (OHCA) outcomes can be improved by strengthening the chain of survival, namely prompt cardiopulmonary resuscitation (CPR) and automated external defibrillator (AED). However, provision of bystander CPR and AED use remains low due to individual patient factors ranging from lack of education to socioeconomic barriers and due to lack of resources such as limited availability of AEDs in the community. Although the impact of health inequalities on survival from OHCA is documented, it is imperative that we identify and implement strategies to improve public health and outcomes from OHCA overall but with a simultaneous emphasis on making care more equitable. Disparities in CPR delivery and AED use in OHCA exist based on factors including sex, education level, socioeconomic status, race and ethnicity, all of which we discuss in this review. Most importantly, we discuss the barriers to AED use, and strategies on how these may be overcome.

Choudhury, Rozina YasminHampshire Hospitals NHS Foundation Trust (författare)
Naqvi, RameezEast Suffolk and North East Essex Foundation Trust (författare)
Boulton, Adam J.University of Warwick (författare)
Chahal, C. Anwar A.Mayo Clinic Minnesota,Barts Health NHS Trust (författare)
Munir, SabrinaNewham University Hospital (författare)
Carrington, MafaldaCentro Hospitalar de Vila Nova de Gaia (författare)
Ricci, FabrizioLund University,Lunds universitet,Kardiovaskulär forskning - hypertoni,Forskargrupper vid Lunds universitet,Cardiovascular Research - Hypertension,Lund University Research Groups,Ss Annunziata Hospital,University G.d'Annunzio of Chieti-Pescara(Swepub:lu)fa7062ri (författare)
Khanji, Mohammed Y.Barts Health NHS Trust,Queen Mary University,Newham University Hospital (författare)
Imperial College LondonHampshire Hospitals NHS Foundation Trust (creator_code:org_t)

Av författaren/redakt...: Zahra, Syeda Anu ...; Choudhury, Rozin ...; Naqvi, Rameez; Boulton, Adam J.; Chahal, C. Anwar ...; Munir, Sabrina; visa fler...; Carrington, Mafa ...; Ricci, Fabrizio; Khanji, Mohammed ...; visa färre...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

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