Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 안기옥 | - |
dc.date.accessioned | 2018-10-02T00:46:37Z | - |
dc.date.available | 2018-10-02T00:46:37Z | - |
dc.date.issued | 2016-08 | - |
dc.identifier.citation | RESUSCITATION, v. 99, page. 84-91 | en_US |
dc.identifier.issn | 0300-9572 | - |
dc.identifier.uri | https://www.sciencedirect.com/science/article/pii/S0300957215009132?via%3Dihub | - |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/76290 | - |
dc.description.abstract | Background: Socioeconomic factors of a community are associated with bystander cardiopulmonary resuscitation (BCPR) rates and outcomes of out-of-hospital cardiac arrest (OHCA). This study aimed to test whether dispatcher-provided CPR instruction modifies the association between education level of a community and provision of BCPR. Methods: A population-based observational study was conducted with OHCAs of cardiac etiology who were witnessed by laypersons between 2012 and 2013. Exposure variable was the proportion of highly-educated residents (high school graduates and higher) in a community categorized into quartile groups. Endpoints were provision of BCPR and early chest compression (<= 4 min of collapse, ECC). Multivariable logistic regression analysis was performed. A final model with an interaction term was evaluated to test interactive effects of community education level with dispatcher-provided CPR instruction. Results: A total of 10,694 OHCAs were analyzed. BCPR was performed in 5112 (47.8%), and early CPR was done in 3080 (28.8%). Compared with the highest educated communities, AORs (95% CIs) for BCPR were 0.84 (0.74-0.95) in higher, 0.78 (0.66-0.92) in lower, and 0.71 (0.60-0.85) in the lowest educated communities. For ECC, AORs (95% CIs) were 0.81 (0.66-0.99) in lower and 0.62 (0.50-0.76) in the lowest. In an interaction model of 4122 OHCA patients who received dispatcher-provided CPR instruction, OHCAs occurring in higher (AOR: 0.80 (0.67-0.96)), lower (AOR: 0.67 (0.52-0.87)), and the lowest (AOR: 0.59 (0.43-0.82)) were less likely to receive BCPR compared with the highest educated communities. Conclusion: OHCA patients in communities with a higher proportion of highly-educated residents were more likely to receive BCPR, and the disparity was more prominent in the group that received dispatcherprovided CPR instruction. (C) 2015 Elsevier Ireland Ltd. All rights reserved. | en_US |
dc.description.sponsorship | This study was supported by the Korea Centers for Disease Control and Prevention (CDC) (2013-2014) (grant nos.: 2013-E33015-00; 2014-E33011-00). | en_US |
dc.language.iso | en | en_US |
dc.publisher | ELSEVIER IRELAND LTD | en_US |
dc.subject | Out-of-hospital cardiac arrest | en_US |
dc.subject | Education | en_US |
dc.subject | Cardiopulmonary resuscitation | en_US |
dc.subject | Community | en_US |
dc.title | Interaction effects between highly-educated neighborhoods and dispatcher-provided instructions on provision of bystander cardiopulmonary resuscitation. | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.1016/j.resuscitation.2015.11.027 | - |
dc.relation.journal | RESUSCITATION | - |
dc.contributor.googleauthor | Lee, Sun Young | - |
dc.contributor.googleauthor | Ro, Young Sun | - |
dc.contributor.googleauthor | Shin, Sang Do | - |
dc.contributor.googleauthor | Song, Kyoung Jun | - |
dc.contributor.googleauthor | Ahn, Ki Ok | - |
dc.contributor.googleauthor | Kim, Min Jung | - |
dc.contributor.googleauthor | Hong, Sung Ok | - |
dc.contributor.googleauthor | Kim, Young Taek | - |
dc.relation.code | 2016000519 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | arendt75 | - |
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