Cardiac arrest & resuscitation
Race, Ethnicity, Insurance Payer, and Pediatric Cardiac Arrest Survival
Authors' conclusion
In this retrospective cohort study of pediatric in-hospital cardiac arrest in a large, national, administrative dataset, children of racial and ethnic minority groups receiving CPR had higher odds of in-hospital mortality. In addition, the odds of in-hospital mortality among children receiving CPR were higher at hospitals with the highest proportion of Black patients.
Study context
- Population
- Pediatric inpatients (aged <18 years) who received in-hospital cardiopulmonary resuscitation (CPR), Healthcare Cost and Utilization Project Kids' Inpatient Database (1997–2019)3,899 hospital identification numbers
- Participants
- 27,332 inpatients
- Exposure
- Black, Hispanic, other race or ethnicity vs White; public vs private insurance
- Whiten = 13,062reference
- Blackn = 6,081
- Hispanicn = 5,123
- Other race or ethnicityn = 3,066
- Outcome
- In-hospital mortality
Methodological detailspopulation-based, national administrative database
- Population-based
- National administrative database
Main finding
As reported in the abstract
Adjusted odds ratio (95% CI)P value
Black vs White
1.20(1.08–1.34)
P < 0.001Hispanic vs White
1.16(1.04–1.30)
P = 0.006Other race or ethnicity vs White
1.37(1.20–1.58)
P < 0.001Public insurance vs Private insurance
1.00(0.91–1.11)
P = 0.93Observational data: associations, not effects.
Further findings
| Outcome | aOR (95% CI) | P value | |
|---|---|---|---|
| In-hospital mortality by hospital proportion of Black patientsHighest proportion of Black patients (>30.1%) vs Lowest proportion of Black patients | 1.50 (1.17–1.92) | P = 0.001 | |
| 0.512Adjusted odds ratio (log scale) |
- In-hospital mortality by hospital proportion of Black patients: multivariable analysis of the 2003-2019 datasets
Original publication
Race, Ethnicity, Insurance Payer, and Pediatric Cardiac Arrest Survival. JAMA Netw Open. Published 2 September 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →