Cardiac arrest & resuscitation

Historical neighborhood redlining and bystander cardiopulmonary resuscitation (CPR) disparities in out-of-hospital cardiac arrest

ResuscitationPublished Retrospective cohort study

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
Fully adjusted
Each group vs HOLC grade AOdds ratio (95% CI)P value
HOLC grade C
0.89(0.81–0.98)
P = 0.016
HOLC 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 →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.