Acute cardiac care & resuscitationCohort study
Variation in Bystander Cardiopulmonary Resuscitation Delivery and Subsequent Survival From Out-of-Hospital Cardiac Arrest Based on Neighborhood-Level Ethnic Characteristics
- Retrospective cohort study
- multivariable analysis
Authors' conclusion
Individuals with out-of-hospital cardiac arrest in predominantly Hispanic neighborhoods were less likely to receive B-CPR and had lower likelihood of survival.
Study context
- Population
- Adult OHCA events, Resuscitation Outcomes Consortium Epistry US sites, 2011–2015 (excluding EMS-witnessed and healthcare/institutional-facility arrests)of 27,481 arrest events
- Participants
- 18,927 events
- Exposure
- Neighborhood-level proportion of Hispanic residents
- Outcome
- Receipt of bystander CPR (B-CPR) and survival
Main finding
As reported in the abstract
B-CPR
Each group vs <25% HispanicOdds ratio (CI)P value
51% to 75% HispanicB-CPR
0.79(0.65–0.95)
P = 0.014>75% HispanicB-CPR
0.72(0.55–0.96)
P = 0.025>75% Hispanicsurvival
0.56(0.34–0.93)
P = 0.023- Bystander cardiopulmonary resuscitation (B-CPR) overall
- 37%
- Survival global P value
- 0.029
Observational data: associations, not effects.
Original publication
Variation in Bystander Cardiopulmonary Resuscitation Delivery and Subsequent Survival From Out-of-Hospital Cardiac Arrest Based on Neighborhood-Level Ethnic Characteristics. Circulation. Published 30 December 2019. doi:10.1161/circulationaha.119.041541
Summarised from the published abstract; every number is checked against it