2023-09-28 14:46:10 +00:00
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abstract: 'Background: Survival following out-of-hospital cardiac arrest (OHCA) is
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low, and poor survival appears associated with low socioeconomic
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position (SEP). We aimed to synthesise the evidence regarding
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association of specific SEP measures with OHCA survival, as well as
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effect modification and potential mediators, with the goal of informing
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efforts to improve survival by highlighting characteristics of
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populations requiring additional resources, and identifying modifiable
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factors. Methods: MEDLINE and Embase databases were searched on 23 May
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2019. Quantitative primary studies considering the association of any
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SEP measure with any OHCA survival measure were eligible. SEP could be
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measured at the level of the patient, their residential area, or OHCA
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location. Data on study characteristics and outcomes were extracted and
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a narrative review performed; this considered the evidence for overall
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SEP-survival association, variation in association of different SEP
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measures with survival, effect modification, and mediation. Results:
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Twenty-three studies were included. These were highly heterogeneous,
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particularly regarding SEP measures and eligibility criteria. Several
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studies report a SEP-survival association, with this being almost
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exclusively in the direction of lower survival with lower SEP. There is
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some indication that the education-survival association is particularly
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consistent but further work is needed to increase confidence here. No
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evidence of effect modification by age, sex or other factors was seen,
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although few studies considered this. No mediators were conclusively
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identified. Conclusions: Low SEP is associated with poorer OHCA survival
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in at least some settings. It may be appropriate to consider
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populations'' socioeconomic characteristics when targeting interventions
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to improve OHCA survival.'
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affiliation: 'Halbesma, N (Corresponding Author), Univ Edinburgh, Usher Inst, Teviot
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Pl, Edinburgh EH8 9AG, Midlothian, Scotland.
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Chamberlain, Rosemary C.; Halbesma, Nynke, Univ Edinburgh, Usher Inst, Teviot Pl,
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Edinburgh EH8 9AG, Midlothian, Scotland.
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Barnetson, Calum, NHS Lothian, Edinburgh, Midlothian, Scotland.
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Clegg, Gareth R.; Halbesma, Nynke, Univ Edinburgh, Resuscitat Res Grp, Edinburgh,
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Midlothian, Scotland.'
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author: Chamberlain, Rosemary C. and Barnetson, Calum and Clegg, Gareth R. and Halbesma,
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Nynke
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author-email: nynke.halbesma@ed.ac.uk
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author_list:
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- family: Chamberlain
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given: Rosemary C.
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- family: Barnetson
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given: Calum
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- family: Clegg
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given: Gareth R.
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- family: Halbesma
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given: Nynke
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da: '2023-09-28'
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doi: 10.1016/j.resuscitation.2020.09.025
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eissn: 1873-1570
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files: []
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issn: 0300-9572
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journal: RESUSCITATION
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keywords: 'Out-of-hospital cardiac arrest survival; Socioeconomic position;
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Education; Income; Systematic review; Epidemiology'
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keywords-plus: 'EXTERNAL DEFIBRILLATOR USE; BYSTANDER CPR; OUTCOMES; RESUSCITATION;
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DISPARITIES; CARE; RACE'
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language: English
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month: DEC
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number-of-cited-references: '40'
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orcid-numbers: Clegg, Gareth/0000-0002-4314-611X
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pages: 49-59
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papis_id: beb008274576f0fe9a96cd9b3fdbbc65
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ref: Chamberlain2020associationmeasures
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tags:
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- review
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times-cited: '11'
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title: 'Association of measures of socioeconomic position with survival following
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out-of-hospital cardiac arrest: A systematic review'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000603700700018
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usage-count-last-180-days: '0'
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usage-count-since-2013: '2'
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volume: '157'
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web-of-science-categories: Critical Care Medicine; Emergency Medicine
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year: '2020'
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