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Race/Ethnicity and Neighborhood Characteristics Are Associated With Bystander Cardiopulmonary Resuscitation in Pediatric Out‐of‐Hospital Cardiac Arrest in the United States: A Study From CARES
BACKGROUND: Whether racial and neighborhood characteristics are associated with bystander cardiopulmonary resuscitation (BCPR) in pediatric out‐of‐hospital cardiac arrest (OHCA) is unknown. METHODS AND RESULTS: An analysis was conducted of CARES (Cardiac Arrest Registry to Enhance Survival) for pedi...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6662125/ https://www.ncbi.nlm.nih.gov/pubmed/31288613 http://dx.doi.org/10.1161/JAHA.119.012637 |
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author | Naim, Maryam Y. Griffis, Heather M. Burke, Rita V. McNally, Bryan F. Song, Lihai Berg, Robert A. Nadkarni, Vinay M. Vellano, Kimberly Markenson, David Bradley, Richard N. Rossano, Joseph W. |
author_facet | Naim, Maryam Y. Griffis, Heather M. Burke, Rita V. McNally, Bryan F. Song, Lihai Berg, Robert A. Nadkarni, Vinay M. Vellano, Kimberly Markenson, David Bradley, Richard N. Rossano, Joseph W. |
author_sort | Naim, Maryam Y. |
collection | PubMed |
description | BACKGROUND: Whether racial and neighborhood characteristics are associated with bystander cardiopulmonary resuscitation (BCPR) in pediatric out‐of‐hospital cardiac arrest (OHCA) is unknown. METHODS AND RESULTS: An analysis was conducted of CARES (Cardiac Arrest Registry to Enhance Survival) for pediatric nontraumatic OHCAs from 2013 to 2017. An index (range, 0–4) was created for each arrest based on neighborhood characteristics associated with low BCPR (>80% black; >10% unemployment; <80% high school; median income, <$50 000). The primary outcome was BCPR. BCPR occurred in 3399 of 7086 OHCAs (48%). Compared with white children, BCPR was less likely in other races/ethnicities (black: adjusted odds ratio [aOR], 0.59; 95% CI, 0.52–0.68; Hispanic: aOR, 0.78; 95% CI, 0.66–0.94; and other: aOR, 0.54; 95% CI, 0.40–0.72). Compared with arrests in neighborhoods with an index score of 0, BCPR occurred less commonly for arrests with an index score of 1 (aOR, 0.80; 95% CI, 0.70–0.91), 2 (aOR, 0.75; 95% CI, 0.65–0.86), 3 (aOR, 0.52; 95% CI, 0.45–0.61), and 4 (aOR, 0.46; 95% CI, 0.36–0.59). Black children had an incrementally lower likelihood of BCPR with increasing index score while white children had an overall similar likelihood at most scores. Black children with an index of 4 were approximately half as likely to receive BCPR compared with white children with a score of 0. CONCLUSIONS: Racial and neighborhood characteristics are associated with BCPR in pediatric OHCA. Targeted CPR training for nonwhite, low‐education, and low‐income neighborhoods may increase BCPR and improve pediatric OHCA outcomes. |
format | Online Article Text |
id | pubmed-6662125 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-66621252019-08-02 Race/Ethnicity and Neighborhood Characteristics Are Associated With Bystander Cardiopulmonary Resuscitation in Pediatric Out‐of‐Hospital Cardiac Arrest in the United States: A Study From CARES Naim, Maryam Y. Griffis, Heather M. Burke, Rita V. McNally, Bryan F. Song, Lihai Berg, Robert A. Nadkarni, Vinay M. Vellano, Kimberly Markenson, David Bradley, Richard N. Rossano, Joseph W. J Am Heart Assoc Original Research BACKGROUND: Whether racial and neighborhood characteristics are associated with bystander cardiopulmonary resuscitation (BCPR) in pediatric out‐of‐hospital cardiac arrest (OHCA) is unknown. METHODS AND RESULTS: An analysis was conducted of CARES (Cardiac Arrest Registry to Enhance Survival) for pediatric nontraumatic OHCAs from 2013 to 2017. An index (range, 0–4) was created for each arrest based on neighborhood characteristics associated with low BCPR (>80% black; >10% unemployment; <80% high school; median income, <$50 000). The primary outcome was BCPR. BCPR occurred in 3399 of 7086 OHCAs (48%). Compared with white children, BCPR was less likely in other races/ethnicities (black: adjusted odds ratio [aOR], 0.59; 95% CI, 0.52–0.68; Hispanic: aOR, 0.78; 95% CI, 0.66–0.94; and other: aOR, 0.54; 95% CI, 0.40–0.72). Compared with arrests in neighborhoods with an index score of 0, BCPR occurred less commonly for arrests with an index score of 1 (aOR, 0.80; 95% CI, 0.70–0.91), 2 (aOR, 0.75; 95% CI, 0.65–0.86), 3 (aOR, 0.52; 95% CI, 0.45–0.61), and 4 (aOR, 0.46; 95% CI, 0.36–0.59). Black children had an incrementally lower likelihood of BCPR with increasing index score while white children had an overall similar likelihood at most scores. Black children with an index of 4 were approximately half as likely to receive BCPR compared with white children with a score of 0. CONCLUSIONS: Racial and neighborhood characteristics are associated with BCPR in pediatric OHCA. Targeted CPR training for nonwhite, low‐education, and low‐income neighborhoods may increase BCPR and improve pediatric OHCA outcomes. John Wiley and Sons Inc. 2019-07-10 /pmc/articles/PMC6662125/ /pubmed/31288613 http://dx.doi.org/10.1161/JAHA.119.012637 Text en © 2019 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Research Naim, Maryam Y. Griffis, Heather M. Burke, Rita V. McNally, Bryan F. Song, Lihai Berg, Robert A. Nadkarni, Vinay M. Vellano, Kimberly Markenson, David Bradley, Richard N. Rossano, Joseph W. Race/Ethnicity and Neighborhood Characteristics Are Associated With Bystander Cardiopulmonary Resuscitation in Pediatric Out‐of‐Hospital Cardiac Arrest in the United States: A Study From CARES |
title | Race/Ethnicity and Neighborhood Characteristics Are Associated With Bystander Cardiopulmonary Resuscitation in Pediatric Out‐of‐Hospital Cardiac Arrest in the United States: A Study From CARES |
title_full | Race/Ethnicity and Neighborhood Characteristics Are Associated With Bystander Cardiopulmonary Resuscitation in Pediatric Out‐of‐Hospital Cardiac Arrest in the United States: A Study From CARES |
title_fullStr | Race/Ethnicity and Neighborhood Characteristics Are Associated With Bystander Cardiopulmonary Resuscitation in Pediatric Out‐of‐Hospital Cardiac Arrest in the United States: A Study From CARES |
title_full_unstemmed | Race/Ethnicity and Neighborhood Characteristics Are Associated With Bystander Cardiopulmonary Resuscitation in Pediatric Out‐of‐Hospital Cardiac Arrest in the United States: A Study From CARES |
title_short | Race/Ethnicity and Neighborhood Characteristics Are Associated With Bystander Cardiopulmonary Resuscitation in Pediatric Out‐of‐Hospital Cardiac Arrest in the United States: A Study From CARES |
title_sort | race/ethnicity and neighborhood characteristics are associated with bystander cardiopulmonary resuscitation in pediatric out‐of‐hospital cardiac arrest in the united states: a study from cares |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6662125/ https://www.ncbi.nlm.nih.gov/pubmed/31288613 http://dx.doi.org/10.1161/JAHA.119.012637 |
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