Examining the association between ethnicity and out-of-hospital cardiac arrest interventions in Salt Lake City, Utah.
Publication/Presentation Date
9-1-2024
Abstract
AIMS: Previous research has reported racial disparities in out-of-hospital cardiac arrest (OHCA) interventions, including bystander CPR and AED use. However, studies on other prehospital interventions are limited. The primary objective of this study was to investigate race/ethnic disparities in out-of-hospital cardiac arrest (OHCA) interventions: EMS response times, medication administration, and decisions for intra-arrest transport. The secondary objective was to evaluate differences in the provision of Bystander CPR (CPR) and application of AED.
METHODS: We retrospectively analyzed data from the Salt Lake City Fire Department (2010-2023). We included adults 18 years or older with EMS-treated OHCA. Race/ethnicity was categorized as White people, Asian people, Black people, Hispanic people, and others. We employed multivariable regression analysis to evaluate the association between race/ethnicity and the outcomes of interest.
RESULTS: Unadjusted analyses revealed no significant differences across ethnic groups in EMS response, medication administration, bystander CPR, or intra-arrest transport decisions. However, significant ethnic disparities were observed in Automated External Defibrillator (AED) utilization, Black people having the lowest rate (6.5%) and Asian people the highest (21.8%). The adjusted analysis found no significant association between race/ethnicity and all OHCA intervention measures, nor between race/ethnicity and survival outcomes.
CONCLUSIONS: Our multivariable analysis found no statistically significant association between race/ethnicity and EMS response time, epinephrine administration, antiarrhythmic medication use, bystander CPR, AED intervention, or intra-arrest transport. These results imply regional variations in ethnic disparities in OHCA may not be consistent across all areas, warranting further research into disparities in other regions and additional influential factors like neighborhood conditions and socioeconomic status.
Volume
19
First Page
100684
Last Page
100684
ISSN
2666-5204
Published In/Presented At
Awad, E., Al Kurdi, D., Austin Johnson, M., Druck, J., Hopkins, C., & Youngquist, S. T. (2024). Examining the association between ethnicity and out-of-hospital cardiac arrest interventions in Salt Lake City, Utah. Resuscitation plus, 19, 100684. https://doi.org/10.1016/j.resplu.2024.100684
Disciplines
Medicine and Health Sciences
PubMedID
38912531
Department(s)
Fellows and Residents
Document Type
Article