Acute cardiac care & resuscitationCohort study
Race and Sex Differences in the Association of Bystander Cardiopulmonary Resuscitation (CPR) for Cardiac Arrest
- Observational cohort study
- registry-based
- hierarchical logistic regression
Authors' conclusion
Although bystander CPR was associated with higher survival in all patients, its association with survival was weakest for Black individuals and women with out-of-hospital cardiac arrest.
Study context
- Population
- Nontraumatic OHCA in a large US registry, 2013 to 2022
- Participants
- 623,342 nontraumatic OHCAs
- Exposure
- Bystander CPR vs no bystander CPR, by sex and race and ethnicity
- Outcome
- Survival to hospital discharge; differential association of bystander CPR by sex and race and ethnicity
Main finding
As reported in the abstract
Survival, bystander CPR vs none, by race and ethnicity and sex (subgroups)
Bystander CPR vs No bystander CPRAdjusted odds ratio (95% CI)
White
1.33(1.30–1.37)
Native American
1.40(1.02–1.90)
Black
1.09(1.04–1.14)
Asian
1.27(1.12–1.42)
unknown race
1.31(1.25–1.36)
men
1.35(1.31–1.38)
women
1.15(1.12–1.19)
- Hispanic
- adjusted OR 1.29 (95% CI 1.20–1.139)
Observational data: associations, not effects.
Further findings
Overall survival to hospital discharge
- Survived to hospital discharge
- 58 098 (9.3%)
Neighborhood race and ethnicity and income strata
- Weaker association in Black individuals and women consistent across strata
Survival without severe neurological deficits
- Similar results
Original publication
Race and Sex Differences in the Association of Bystander CPR for Cardiac Arrest. Circulation. Published 7 August 2024. doi:10.1161/circulationaha.124.068732
Summarised from the published abstract; every number is checked against it