自动外部除器的位置和社会经济贫困在英国
Thomas Burgoine1, David Austin2,3, Jianhua Wu4
1MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Cambridge, UK.
Heart (British Cardiac Society)
|August 28, 2023
概括
自动化外部除器 (AED) 改善了医院外心脏骤停 (OHCA) 的生存率. 在英格兰和苏格兰的贫困地区,24/7获得AED的机会不那么公平,这可能会影响OHCA的结果.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 地理空间分析是什么
背景情况:
- 使用自动外部除器 (AED) 进行早期除对于改善医院外心脏骤停 (OHCA) 的存活率至关重要.
- 社会经济因素可能会影响救生医疗设备 (如AED) 的可用性.
- 了解AED获取的地理差异对于有针对性的公共卫生干预至关重要.
研究的目的:
- 调查社会经济贫困与在英国各地获得AEDs之间的关系.
- 根据不同程度的社区贫困情况,分析AED的近距离.
- 评估24/7可访问的AED是否在社会经济层面上表现出不同的分布模式.
主要方法:
- 一项横截面的观察性研究利用了来自The Circuit国家除器网络的AED位置数据.
- 在所有1,677,466个英国邮政编码和最近的AED之间计算了街道网络距离.
- 多级线性混合回归模型检查了AED距离,多重贫困指数和24 / 7访问之间的关联,按国家分层.
主要成果:
- 在整个英国,AED的中位距离为726米,24/7AED位于更远的地方 (中位991米).
- 在威尔士和英格兰,更贫困的社区到最近的AED的平均距离较短.
- 然而,在英格兰和苏格兰,最贫困的地区远离24/7可访问的AED (分别为99.2m和317.1m).
结论:
- 在英格兰和苏格兰的贫困和非贫困社区之间,在获得24/7AEDs方面存在显著的差异.
- 需要公平地分配"非工作时间"可访问的AED,以潜在地提高OHCA生存率.
- 进一步的研究应侧重于解决AED可访问性的地理和社会经济障碍.
关键词:
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