Out-of-hospital Cardiac Arrest in Rural Versus Metropolitan Locations in Western Australia: An Epidemiological and Spatial Analysis

Abstract

This doctoral research examines the impact of rurality on the incidence, management, and survival of out-of-hospital cardiac arrest in Western Australia. Rural areas had lower survival despite higher bystander intervention rates. However, rural cases had longer ambulance mobilisation times, and longer overall response times. Geospatial analysis revealed decreased survival as a function of distance from town, however, most rural cases occurred within townships. Tailored first-responder programs and improved mobilisation could enhance survival in rural areas.