Cardiac arrest & resuscitation

Disparities in Emergency Medical Services Intra-Arrest Transport by Neighborhood Socioeconomic Vulnerability

JAMA Netw OpenPublished Retrospective cohort study

Main findingResult — go to the resultAdjusted odds ratio 1.35 95% CI 1.15–1.57

Authors' conclusion

In this cohort study of EMS resuscitations of adults for nontraumatic OHCA, greater neighborhood socioeconomic vulnerability was associated with increased odds of IAT.

Study context

Population
US adults (≥18 years) with attempted emergency medical services (EMS) resuscitation for nontraumatic out-of-hospital cardiac arrest (OHCA), 2022
Participants
61,524 patient encounters
Exposure
Highest vs lowest neighbourhood Social Vulnerability Index (SVI) quartile
Outcome
Odds of intra-arrest transport (IAT)
Methodological detailsnational EMS electronic health record database
  • National EMS electronic health record database

Main finding

As reported in the abstract

Adjusted odds ratio

1.35

95% CI 1.15–1.57

Events by group

Highest SVI quartile vs Lowest SVI quartile
aOR 1.35 (95% CI 1.15–1.57)

Observational data: associations, not effects.

Further findings

Intra-arrest transport (IAT) overall

Received IAT
23 492 (38.2%)
Continued on-scene resuscitation
38 032 (61.8%)

Original publication

Disparities in Emergency Medical Services Intra-Arrest Transport by Neighborhood Socioeconomic Vulnerability. JAMA Netw Open. Published 1 April 2026. doi:10.1001/jamanetworkopen.2026.3764

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