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dc.contributor.authorMasterson, Siobhán
dc.contributor.authorCullinan, John
dc.contributor.authorTeljeur, Conor
dc.contributor.authorVellinga, Akke
dc.identifier.citationMasterson, S., Cullinan, J., Teljeur, C. and Vellinga, A. (2016) ‘The Spatial Distribution of Out-of-Hospital Cardiac Arrest and the Chain of Survival in Ireland: A Multi-Class Urban-Rural Analysis’. Irish Geography, 49(2), 1-27, DOI: 10.2014/igj.v49i2.1232en_IE
dc.description.abstractAbstract: Cardiac arrest occurs when the heart suddenly ceases to pump blood around the body. To optimise survival from out-of-hospital cardiac arrest (OHCA), knowledge of the spatial distribution of OHCA and the availability of resuscitation, or ‘Chain of Survival’, is required. Thus, this study aims to describe OHCA incidence and Chain of Survival availability in a manner that can help inform pre-hospital planning in the Republic of Ireland. In view of Ireland’s heterogeneous settlement pattern, we analyse the association between varying degrees of rurality, OHCA incidence and the availability of the Chain of Survival. In addition to population density, settlement size, proximity to urban centres and land use is taken into account which results in six classes: city; town; accessible village; remote village; accessible rural; remote rural. Results show that, when adjusted for age and sex, the incidence of adult OHCA decreases with increasing rurality. Furthermore, while distance to the nearest ambulance station and call-response interval is greater with increasing rurality, the lowest levels of bystander cardiopulmonary resuscitation occur in the most urban class. To the best of our knowledge, this is one of the very first whole-country geographic descriptions of OHCA to be performed internationally. It is also the first OHCA study to use a multi-class urban-rural classification that considers rurality as more than a function of population densityen_IE
dc.publisherGeographical Society of Irelanden_IE
dc.relation.ispartofIrish Geographyen
dc.subjectCardiac arresten_IE
dc.subjectSpatial distributionen_IE
dc.titleThe spatial distribution of out-of-hospital cardiac arrest and the chain of survival in Ireland: a multi-class urban-rural analysisen_IE
dc.local.contactAkke Vellinga, General Practice/Bacteriology, Nui Galway. 5192 Email:

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