In:
Circulation: Cardiovascular Quality and Outcomes, Ovid Technologies (Wolters Kluwer Health), Vol. 15, No. Suppl_1 ( 2022-05)
Abstract:
Background: Racial disparities in bystander cardiopulmonary resuscitation (CPR) treatment contributes to inequities in survival for out-of-hospital cardiac arrest (OHCA). Whether bystander CPR rates differ by race/ethnicity for witnessed OHCAs in public settings is unclear but critical to understand for informing public health interventions. Methods: Within the Cardiac Arrest Registry to Enhance Survival, we identified 110,054 witnessed OHCAs during 2013-2019. Using hierarchical logistic regression, we compared rates of bystander CPR in Blacks/Hispanics vs. Whites for OHCAs at home vs. in public locations, overall and by neighborhood race and income groups. Results: Overall, 35,469 (32.2%) witnessed OHCAs occurred in Black/Hispanic individuals and 25,758 (23.4%) OHCAs occurred in public locations. Blacks/Hispanics were less likely to receive bystander CPR at home (38.5% vs. 47.4% for Whites; adjusted OR [aOR]=0.74 [95% CI: 0.71-0.76] ) and in public (45.6% vs. 60.0%; aOR=0.59 [0.56-0.63]), and the magnitude of this disparity was greater for OHCAs occurring in public ( P for interaction 〈 0.001). Lower bystander CPR rates for Blacks/Hispanics at home and in public were found in majority Black/Hispanic, Integrated, and predominantly White neighborhoods ( Table ), and the magnitude of this difference was greater for public OHCAs in each neighborhood race/ethnicity stratum (all P- values for interaction 〈 0.02). A similar pattern was found in high, middle, and low-income neighborhoods, with lower bystander CPR rates for Blacks/Hispanics at home and in public and a larger treatment disparity for OHCAs in public vs. at home in each income strata (all P- values for interaction 〈 0.001). Conclusions: Black and Hispanic victims of witnessed OHCA are less likely to receive potentially life-saving bystander CPR, as compared with White patients, and the magnitude of this disparity was greater for OHCAs witnessed in public than at home.
Type of Medium:
Online Resource
ISSN:
1941-7713
,
1941-7705
DOI:
10.1161/circoutcomes.15.suppl_1.22
Language:
English
Publisher:
Ovid Technologies (Wolters Kluwer Health)
Publication Date:
2022
detail.hit.zdb_id:
2453882-6
