Acute cardiac care & resuscitation

Out-of-hospital cardiac arrest survival in Black & Hispanic communities since the COVID-19 pandemic

ResuscitationPublished Cardiac Arrest Registry to Enhance Survival

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

OutcomePredominantly WhiteMajority Black or HispanicIntegratedRelative changeP 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

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