Cardiac arrest & resuscitation
The role of hospital performance on race and ethnicity outcome disparities for US non-traumatic out-of-hospital cardiac arrests
Authors' conclusion
OHCAs from Black and Hispanic/Latino communities received care at high-performing hospitals less often, and adjusting for receiving hospital significantly diminished OHCA outcome disparities.
Study context
- Population
- Non-traumatic out-of-hospital cardiac arrests (OHCAs) surviving hospital admission, US CARES registry, 2013–2022
- Participants
- 202,117 participants
- Exposure
- OHCAs from >50% Black or >50% Hispanic/Latino vs >50% White census-tract communities
- Outcome
- Care at higher-performing hospitals (quartiles by good neurologic outcome rates) and outcome disparities, ignoring vs adjusting for receiving hospital
Methodological detailsregistry-based, hierarchical modeling
- Registry-based
- Hierarchical modeling
Main finding
As reported in the abstract
Odds of care at higher-performing hospitals
Each group vs whiteOdds ratio (CI)
Black
0.12(0.12–0.13)
Hispanic/Latino
0.21(0.20–0.21)
Observational data: associations, not effects.
Further findings
| Outcome | Estimate | |
|---|---|---|
| Outcomes with care at higher-performing hospitals, within each groupWhite | OR 1.43 (CI 1.41–1.44) | |
| Outcomes with care at higher-performing hospitals, within each groupBlack | OR 1.54 (CI 1.50–1.59) | |
| Outcomes with care at higher-performing hospitals, within each groupHispanic/Latino | OR 1.51 (CI 1.46–1.56) | |
| Outcomes, ignoring receiving hospitalBlack vs White | aOR 0.56 (CI 0.54–0.58) | |
| Outcomes, ignoring receiving hospitalHispanic/Latino vs White | aOR 0.63 (CI 0.61–0.66) | |
| Outcomes, adjusted for hospital performance quartileBlack vs White | aOR 0.80 (CI 0.76–0.84) | |
| Outcomes, adjusted for hospital performance quartileHispanic/Latino vs White | aOR 0.82 (CI 0.78–0.86) | |
| Outcomes, adjusted for receiving hospital random effectBlack vs White | aOR 0.84 (CI 0.81–0.87) | |
| Outcomes, adjusted for receiving hospital random effectHispanic/Latino vs White | aOR 0.86 (CI 0.83–0.90) | |
| 0.512Ratio (log scale) |
Outcomes, ignoring receiving hospital
- Adjusting for bystander CPR did not change results
Original publication
The role of hospital performance on race and ethnicity outcome disparities for US non-traumatic out-of-hospital cardiac arrests. Resuscitation. Published 16 January 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →