Cardiac arrest & resuscitation

Racial and ethnic differences in bystander cardiopulmonary resuscitation for opioid-associated out-of-hospital cardiac arrests

ResuscitationPublished Retrospective cohort study

Authors' conclusion

Findings from this study identify specific demographic categories (e.g. age, race/ethnicity) that are significantly less likely to receive bCPR.

Study context

Population
Adults with opioid-associated out-of-hospital cardiac arrest (OHCA) before EMS arrival, US National Emergency Medical Services Information System (NEMSIS) 2017–2025
Participants
19,612 EMS-assessed opioid overdoses
Exposure
Black, Hispanic, Asian, American Indian/Native Alaskan, Hawaiian/Pacific Islander vs White patients
Outcome
Bystander-administered CPR
Methodological detailsmultivariable logistic regression, US NEMSIS dataset 2017–2025
  • Multivariable logistic regression
  • US NEMSIS dataset 2017–2025

Main finding

As reported in the abstract

Bystander CPR
Each group vs whiteAdjusted odds ratio (95% CI)P value
Black
0.70(0.63–0.77)
P < 0.001
Hispanic
0.81(0.71–0.94)
P < 0.004

Observational data: associations, not effects.

Further findings

OutcomeAOR (95% CI)P value
Bystander CPR by sexFemale vs Male0.89 (0.82–0.97)P = 0.009

Bystander CPR by age (hierarchical analysis)

Younger patients more likely to receive bystander cardiopulmonary resuscitation (bCPR) across racial/ethnic groups; older patients significantly less likely

Original publication

Racial and ethnic differences in bystander cardiopulmonary resuscitation for opioid-associated out-of-hospital cardiac arrests. Resuscitation. Published 24 July 2026. doi:10.1016/j.resuscitation.2026.111216

Composed by AI from the published abstract and checked against it. How Briefs are made →

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