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Chances of surviving cardiac arrest depends on your neighborhood
Date:5/31/2010

entions in the neighborhoods that need CPR training the most. Boosting bystander CPR rates in the United States from the current average of 27 percent to 56 percent could save an additional 1,500 lives per year.

Each year, in the United States, nearly 300,000 patients experience cardiac arrestthe sudden, abrupt loss of heart functionwhile outside of the hospital. Heart disease is the most common cause of cardiac arrest, but other factors such as drowning, choking, electrocution and trauma can cause cardiac arrest.

An earlier study by Sasson in the 2009 journal Circulation found that the nation's survival rate for out-of-hospital cardiac arrest has been at a standstill at 7.6 percent for nearly 30 years. Because most incidences of cardiac arrest occur outside a hospital and are often witnessed by bystanders, efforts to improve survival should focus on the prompt delivery of medical interventions such as the delivery of CPR.

"To improve cardiac survival rates that have been stagnant for 30 years, CPR training should be more basic and available to the people who are most likely to witness someone experiencing cardiac arrest," Sasson said. "Health care resources are extremely limited. To make improvements, we need to understand where and how best to make change."

For this study in the Annals of Internal Medicine, researchers analyzed emergency medical services (EMS) and 911 call data from the Cardiac Arrest Registry to Enhance Survival Rates (CARES), which was used to identify areas with higher incidences of cardiac arrest and low rates of bystander CPR. CARES is an EMS Web-based registry for out-of-hospital cardiac arrests. Census information was used to approximate neighborhoods. The study is believed to be the first to show relative stability in the incidence of cardiac arrest within census tracts from year to year.

Sasson is preparing to take action to improve cardiac survival with education and outreach efforts i
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Contact: Shantell M. Kirkendoll
smkirk@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

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