Cardiac arrest & resuscitation
Sociodemographic disparities in incidence and survival for pediatric out-of-hospital cardiac arrest in the United States
Authors' conclusion
Black children have over four times the OHCA incidence compared to White and Hispanic/Latino children. Children from the highest-risk neighborhoods have more than twice the OHCA incidence compared to children from the lowest-risk neighborhoods. Black children and children from the highest-risk neighborhoods have significantly lower OHCA survival rates.
Study context
- Population
- Children <18 years with Out-of-hospital Cardiac Arrest (OHCA), Cardiac Arrest Registry to Enhance Survival, US, 2015–2019
- Exposure
- Race, ethnicity and neighbourhood socioeconomic status (SES) index
- Blackn = 2,320
- Hispanic/Latinon = 739
- Whiten = 2,161reference
- Other racen = 188
- Highest-risk neighborhoodsn = 2,855
- Outcome
- OHCA incidence (per 100,000 children of a particular group)
Methodological detailsregistry (CARES)
- Registry (CARES)
Main finding
As reported in the abstract
Black vs Hispanic/Latino and White: P < 0.001 · Highest-risk neighborhoods vs Lowest-risk neighborhoods: P < 0.001
Observational data: associations, not effects.
Secondary outcomes
| Outcome | Estimate | |
|---|---|---|
| Survival to hospital dischargeBlack vs White · lower odds of survival | aOR for survival to hospital discharge 0.73 (95% CI 0.59–0.91) | |
| Survival to hospital dischargeHighest-risk neighborhoods vs Lowest-risk neighborhoods · lower odds of survival | aOR for survival to hospital discharge 0.64 (95% CI 0.50–0.81) | |
| Survival with favorable neurologic outcomeBlack vs White · lower odds of favorable survival | aOR for neurologically favorable survival 0.64 (95% CI 0.50–0.82) | |
| Survival with favorable neurologic outcomeHighest-risk neighborhoods vs Lowest-risk neighborhoods · lower odds of favorable survival | aOR for neurologically favorable survival 0.54 (95% CI 0.41–0.71) | |
| 0.512Ratio (log scale) |
Survival outcomes, Hispanic/Latino vs White
- Hispanic/Latino children did not have significantly worse survival outcomes vs White children
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
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