Acute cardiac care & resuscitation

Race is not associated with medical emergency team evaluation prior to in-hospital cardiac arrest

ResuscitationPublished retrospective cohort study

Authors' conclusion

Though racial disparities in IHCA outcomes exist, this study did not detect a difference in rates of MET evaluation prior to IHCA among patients with acute physiologic decline as a potential mechanism for these disparities.

Study context

Population
Adults age ≥ 18 years from the American Heart Association Get With The Guidelines® Resuscitation registry who had an in-hospital cardiac arrest (IHCA) between 2000 and 2021 with acute physiologic decline (MEWS ≥ 3) during the 24 h prior to IHCApatients with acute physiologic decline during the 24 h prior to IHCA, of 354,480 patients, 88,507 met the initial inclusion criteria
Participants
29,714 participants
Exposure
Black vs White patients with acute physiologic decline
Outcome
Preceding MET evaluation before IHCA among patients with acute physiologic decline
Methodological detailspropensity-weighted cohort, weighted multivariable logistic regression
  • Propensity-weighted cohort
  • Weighted multivariable logistic regression

Main finding

As reported in the abstract

Patients with a preceding medical emergency team (MET) evaluation before IHCA

4102

13.8%

Observational data: associations, not effects.

Further findings

OutcomeaOR (95% CI)P value
MET evaluation prior to cardiac arrestDid not differ significantly1.02 (0.94–1.11)P = 0.62

Original publication

Race is not associated with medical emergency team evaluation prior to in-hospital cardiac arrest. Resuscitation. Published 16 April 2025. doi:10.1016/j.resuscitation.2025.110609

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