Acute cardiac care & resuscitation

Association of socioeconomic status with 30-day survival following out-of-hospital cardiac arrest in Scotland, 2011–2020

Eur Heart J Qual Care Clin OutcomesPublished Retrospective cohort study

Main finding · 30-day survival after OHCAResult — go to the resultOdds ratio 0.74 95% CI 0.63–0.88

Authors' conclusion

Socioeconomic status is associated with 30-day survival after OHCA in Scotland, favouring people living in the least deprived areas. This was not explained by confounding due to age, sex, or urban/rural residency. The strongest association was observed in males <45 years old.

Study context

Population
Non-traumatic, non-EMS-witnessed out-of-hospital cardiac arrest (OHCA) with resuscitation attempted by the Scottish Ambulance Service, 2011–2020
Exposure
Most deprived vs least deprived Scottish Index of Multiple Deprivation (SIMD) quintile
Outcome
30-day survival after OHCA
Follow-up
30 days
Methodological detailspopulation-based
  • Population-based

Main finding

As reported in the abstract

Odds ratio

0.74

95% CI 0.63–0.88

Most deprivedvs Least deprived
OR 0.74 (95% CI 0.63–0.88)

Observational data: associations, not effects.

Further findings

30-day survival by age and sex (stratified)

Strongest association in males <45 years old

Shockable initial rhythm, bystander CPR, 30-day survival across quintiles

Decreasing trends with increasing deprivation

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Association of socioeconomic status with 30-day survival following out-of-hospital cardiac arrest in Scotland, 2011–2020. Eur Heart J Qual Care Clin Outcomes. Published 19 September 2023. doi:10.1093/ehjqcco/qcad053

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