Acute cardiac care & resuscitation
Race is not associated with medical emergency team evaluation prior to in-hospital cardiac arrest
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
| Outcome | aOR (95% CI) | P value | |
|---|---|---|---|
| MET evaluation prior to cardiac arrestDid not differ significantly | 1.02 (0.94–1.11) | P = 0.62 | |
| 0.512Adjusted odds ratio (log scale) |
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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