Acute cardiac care & resuscitation
The role of hospital performance on race and ethnicity outcome disparities for US non-traumatic out-of-hospital cardiac arrests
Authors' conclusion
OHCAs from Black and Hispanic/Latino communities received care at high-performing hospitals less often, and adjusting for receiving hospital significantly diminished OHCA outcome disparities.
Study context
- Population
- Non-traumatic out-of-hospital cardiac arrests (OHCAs) from the National Cardiac Arrest Registry to Enhance Survival from 2013 to 2022 that survived hospital admissionOHCAs included
- Participants
- 202,117 ohcas
- Exposure
- association between community race/ethnicity and outcomes, ignoring and adjusting for receiving hospital
Main finding
As reported in the abstract
Care at higher-performing hospitals
Each group vs whiteOdds ratio (CI)
Black
0.12(0.12–0.13)
Hispanic/Latino
0.21(0.20–0.21)
Observational data: associations, not effects.
Further findings
| Outcome | aOR (CI) | |
|---|---|---|
| Outcomes, ignoring receiving hospital — Black vs White · worse outcomes | 0.56 (0.54–0.58) | |
| Outcomes, ignoring receiving hospital — Hispanic/Latino vs White · worse outcomes | 0.63 (0.61–0.66) | |
| Outcomes, adjusting for hospital performance quartile — Black vs White | 0.80 (0.76–0.84) | |
| Outcomes, adjusting for hospital performance quartile — Hispanic/Latino vs White | 0.82 (0.78–0.86) | |
| Outcomes, adjusting for receiving hospital random effect — Black vs White | 0.84 (0.81–0.87) | |
| Outcomes, adjusting for receiving hospital random effect — Hispanic/Latino vs White | 0.86 (0.83–0.90) | |
| 0.512Adjusted odds ratio (log scale) |
| Outcome | White | Black | Hispanic/Latino | Estimate |
|---|---|---|---|---|
| Outcomes with care at higher-performing hospitals, by group | OR 1.43 (CI 1.41–1.44) | OR 1.54 (CI 1.50–1.59) | 1.51 (CI 1.46–1.56) |
- Outcomes with care at higher-performing hospitals, by group: care at higher-performing hospitals improved outcomes for all groups
Outcomes, ignoring receiving hospital
- Adjusting for bystander cardiopulmonary resuscitation did not change results
Original publication
The role of hospital performance on race and ethnicity outcome disparities for US non-traumatic out-of-hospital cardiac arrests. Resuscitation. Published 16 January 2025. doi:10.
Summarised from the published abstract; every number is checked against it