Acute cardiac care & resuscitation
Out-of-hospital cardiac arrest survival in Black & Hispanic communities since the COVID-19 pandemic
Authors' conclusion
OHCA survival improved minimally in 2021 and 2022 following a significant decline in 2020. The initial decline was larger in majority Black or Hispanic communities; despite some improvement in 2021 and 2022, absolute survival in these communities remained lower throughout the study period.
Study context
- Population
- Adults with non-traumatic out-of-hospital cardiac arrest (OHCA) from 2015 to 2022OHCA patients (mean age 61.9y, 64% male, 22% Black race, 7% Hispanic ethnicity)
- Participants
- 506,419 adults
- Exposure
- Survival to discharge during 2015-2019 versus 2020, 2021, and 2022
- Outcome
- Pre-pandemic survival
- Follow-up
- 2015-2019
Methodological detailsmultivariable regression models with generalized estimation equations, risk-adjusted rates
- Multivariable regression models with generalized estimation equations
- Risk-adjusted rates
Main finding
As reported in the abstract
- Overall pre-pandemic survival
- 9.9%
Observational data: associations, not effects.
Further findings
Relative change
| Outcome | Predominantly White | Majority Black or Hispanic | Integrated | Relative change | P value |
|---|---|---|---|---|---|
| Survival in 20202020 vs pre-pandemic · survival decreased to 9.0% overall | −8.1% | −16.5% | −6.5% | −9.1% | P < 0.001 |
- Survival in 2020: P for interaction: 0.07
Survival in 2021-2022
- Overall survival remained largely unchanged
- 9.1%
- Modest improvements in majority Black/Hispanic communities
- Absolute survival remained lower in majority Black/Hispanic communities at all times compared to other communities
Original publication
Out-of-hospital cardiac arrest survival in Black & Hispanic communities since the COVID-19 pandemic. Resuscitation. Published 12 March 2025. doi:10. 1016/ j. resuscitation. 2025. 110579
Composed by AI from the published abstract and checked against it. How Briefs are made →