Coppler PJ, et al. - In view of the observation that demographic, social, economic and geographic factors are associated with increased short-term mortality after cardiac arrest, researchers investigated if these factors are additionally associated with long-term outcome differences using a detailed clinical database linked to state-wide administrative data. Findings revealed persistent long-term outcome differences in cardiac arrest survival based on sex, income, and geographic access acute care. Among patients who had cardiac catheterization, an attenuated benefit from cardiac catheterization at progressively lower neighborhood incomes was noted. Increased hazard of death was noted in association with residence more than 20 minutes from the nearest acute care hospital. They observed less benefit among female patients following ICD placement.