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Race/ethnicity and neighborhood characteristics are associated with bystander cardiopulmonary resuscitation in pediatric out-of-hospital cardiac arrest in the United States: A study from CARES

Journal of the American Heart Association Jul 17, 2019

Naim MY, et al. - In this analysis of Cardiac Arrest Registry to Enhance Survival, researchers analyzed pediatric nontraumatic out-of-hospital cardiac arrests (OHCAs) from 2013 to 2017, to determine if racial and neighborhood features are related to bystander cardiopulmonary resuscitation (BCPR) in these cases. The likelihood of BCPR was found to be less in other races/ethnicities vs white children. A less common occurrence of BCPR was reported for arrests with an index score of 1, 2, 3, and 4 than arrests in neighborhoods with an index score of 0. An incrementally lower probability of BCPR with increasing index score was observed in black children while an overall similar probability at most scores was demonstrated by white children. Overall, findings revealed the association of racial and neighborhood features with BCPR in pediatric OHCA. Increased BCPR and improved pediatric OHCA results could be achieved via targeted CPR training for nonwhite, low-education, and low-income neighborhoods.
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