Association of neighborhood race and income with survival after out-of-hospital cardiac arrest
Journal of the American Heart Association Feb 21, 2020
Chan PS, et al. - Given the survival of people with an out-of-hospital cardiac arrest (OHCA) may be influenced by the neighborhood in which the arrest happens, researchers addressed this subject in this study with 169,502 patients with OHCA, utilizing the national CARES (Cardiac Arrest Registry to Enhance Survival) registry. The link of neighborhood race and income on overall survival was evaluated using hierarchical logistic regression. Relative to OHCAs happening in mainly white neighborhoods, a 12% less chance of survival to discharge was reported for those in majority black neighborhoods, whereas similar survival was noted for those in integrated neighborhoods. Relative to high-income neighborhoods, the likelihood to survive to discharge was 11% less for those in middle-income neighborhoods, whereas 12% less chance to survive was reported for those in low-income neighborhoods. Overall, lower survival rates were documented for OHCAs in majority black and non–high-income neighborhoods and differential bystander cardiopulmonary resuscitation rates failed to explain these differences.
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