Category: EMS
Keywords: DEI, health equity, CPR (PubMed Search)
Posted: 8/21/2024 by Jenny Guyther, MD
(Updated: 8/31/2024)
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Previous literature has shown that there is a survival difference between White and Black palpitations with regards to out of hospital cardiac arrest (OHCA) in the US.
This study looked at OHCA variables and outcomes among 5 racial/ethnic groups (White, Black, Asian, Hispanic, and Pacific Islander). Data was collected from the CARES registry from 3 racially diverse counties. The adjusted risk ratio for survival to hospital discharge was lower in all 4 other groups compared to patients where data entry identified the patient as White. The risk difference for positive neurologic outcomes was also lower among Black, Asian, Hispanic, and Pacific Islander patients.
When looking at variables associated with the cardiac arrests, there were differences between the groups with regards to response location and bystander CPR.
Bottom line: Cardiac arrest recognition and CPR education needs to be inclusive of all racial/ethnic groups and focus on areas where disparities exist.
Anderson KL, Saxena MR, Matheson LW, et al. Differences in Out-of-Hospital Cardiac Arrest Outcomes Among 5 Racial/Ethnic Groups. Prehosp Emerg Care. Published online April 23, 2024. doi:10.1080/10903127.2024.2335639