Acute cardiac care & resuscitation
Sociodemographic disparities in incidence and survival for pediatric out-of-hospital cardiac arrest in the United States
Authors' conclusion
Black children have over four times the OHCA incidence compared to White and Hispanic/Latino children. Children from the highest-risk neighborhoods have more than twice the OHCA incidence compared to children from the lowest-risk neighborhoods. Black children and children from the highest-risk neighborhoods have significantly lower OHCA survival rates.
Study context
- Population
- Children < 18 years with out-of-hospital cardiac arrest in the Cardiac Arrest Registry to Enhance Survival database, 2015–2019Black children 2,320 (33.4%) · Hispanic/Latino children 739 (10.6%) · White children 2,161 (31.1%) · children of Other race 188 (2.7%) · highest-risk neighborhoods 2,855 (41.2%)
- Participants
- 6,945 out-of-hospital cardiac arrest (OHCAs)
- Exposure
- race, ethnicity, or socioeconomic status (SES) index score with pediatric OHCA incidence and survival
- Black childrenn = 2,320
- Hispanic/Latino childrenn = 739
- White childrenn = 2,161reference
- children of Other racen = 188
- highest-risk neighborhoodsn = 2,855
- Outcome
- Incidence (measured per 100,000 children of a particular group)
Main finding
As reported in the abstract
Observational data: associations, not effects.
Secondary outcomes
| Outcome | aOR (95% CI) | |
|---|---|---|
| Survival to hospital discharge and neurologically favorable survival (secondary) — Black children vs White children · survival to hospital discharge | 0.73 (0.59–0.91) | |
| Survival to hospital discharge and neurologically favorable survival (secondary) — Black children vs White children · neurologically favorable survival | 0.64 (0.50–0.82) | |
| Survival to hospital discharge and neurologically favorable survival (secondary) — highest-risk neighborhoods vs lowest-risk neighborhoods · survival to hospital discharge | 0.64 (0.50–0.81) | |
| Survival to hospital discharge and neurologically favorable survival (secondary) — highest-risk neighborhoods vs lowest-risk neighborhoods · neurologically favorable survival | 0.54 (0.41–0.71) | |
| 0.512Adjusted odds ratio (log scale) |
Survival to hospital discharge and neurologically favorable survival (secondary)
- Hispanic/Latino children did not have significantly worse survival outcomes compared to White children
Original publication
Sociodemographic disparities in incidence and survival for pediatric out-of-hospital cardiac arrest in the United States. Resuscitation. Published 15 April 2025. doi:10.
Summarised from the published abstract; every number is checked against it