Cardiac arrest & resuscitation
Historical neighborhood redlining and bystander cardiopulmonary resuscitation (CPR) disparities in out-of-hospital cardiac arrest
Authors' conclusion
Redlining, a historical segregation practice, is associated with reduced contemporary rates of bystander CPR during OHCA.
Study context
- Population
- Witnessed non-traumatic out-of-hospital cardiac arrest (OHCA) in graded Home Owners' Loan Corporation (HOLC) census tracts, Cardiac Arrest Registry to Enhance Survival (CARES) registry, USwitnessed OHCA in graded tracts
- Participants
- 43,186 participants
- Exposure
- HOLC grades B, C, D vs HOLC grade A
- Outcome
- Bystander CPR provision
Methodological detailsregistry-based, multivariable hierarchical logistic regression, Adjusted for age, sex, race/ethnicity, arrest location, calendar year, state, and census-tract % Black residents and % below poverty
- Registry-based
- Multivariable hierarchical logistic regression
- Adjusted for age, sex, race/ethnicity, arrest location, calendar year, state, and census-tract % Black residents and % below poverty
Main finding
As reported in the abstract
Bystander CPR
Each group vs HOLC grade AOdds ratio (95% CI)P value
HOLC grade C
0.89(0.81–0.98)
P = 0.016HOLC grade D
0.86(0.78–0.95)
P = 0.002- Overall bystander CPR rate
- 37.2%
Observational data: associations, not effects.
Original publication
Historical neighborhood redlining and bystander CPR disparities in out-of-hospital cardiac arrest. Resuscitation. Published 6 June 2024. doi:10. 1016/ j. resuscitation. 2024. 110264
Composed by AI from the published abstract and checked against it. How Briefs are made →