A spatiotemporal data mining study to identify high-risk neighborhoods for out-of-hospital cardiac arrest (OHCA) incidents

Paulina Pui-Yun WONG*, Chien-Tat LOW, Wenhui CAI, Kelvin Tak-yiu LEUNG, Poh-chin LAI

*Corresponding author for this work

Research output: Journal PublicationsJournal Article (refereed)peer-review

Abstract

Out-of-hospital cardiac arrest (OHCA) is a worldwide health problem. The aim of the study is to utilize the territorial-wide OHCA data of Hong Kong in 2012–2015 to examine its spatiotemporal pattern and high-risk neighborhoods. Three techniques for spatiotemporal data mining (SaTScan’s spatial scan statistic, Local Moran’s I, and Getis Ord Gi*) were used to extract high-risk neighborhoods of OHCA occurrence and identify local clusters/hotspots. By capitalizing on the strengths of these methods, the results were then triangulated to reveal “truly” high-risk OHCA clusters. The final clusters for all ages and the elderly 65+ groups exhibited relatively similar patterns. All ages groups were mainly distributed in the urbanized neighborhoods throughout Kowloon. More diverse distribution primarily in less accessible areas was observed among the elderly group. All outcomes were further converted into an index for easy interpretation by the general public. Noticing the spatial mismatches between hospitals and ambulance depots (representing supplies) and high-risk neighborhoods (representing demands), this setback should be addressed along with public education and strategic ambulance deployment plan to shorten response time and improve OHCA survival rate. This study offers policymakers and EMS providers essential spatial evidence to assist with emergency healthcare planning and informed decision-making.
Original languageEnglish
Article number2509 (2022)
JournalScientific Reports
Volume12
Issue number1
Early online date3 Mar 2022
DOIs
Publication statusE-pub ahead of print - 3 Mar 2022

Bibliographical note

The authors would like to thank the Hong Kong Fire Services Department in providing data to the study.

This research was funded by Research Seed Fund and Direct Grant of Lingnan University.

Publisher Copyright:
© 2022. The Author(s).

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