Abstract
Abstract 188: Racial Disparities in Survival Outcomes Following Pediatric In-Hospital Cardiac Arrest
Circulation (New York, N.Y.), Vol.140(Suppl_2)
11/19/2019
DOI: 10.1161/circ.140.suppl_2.188
Abstract
Introduction:
Among adults with in-hospital cardiac arrest (IHCA), overall survival is lower in black patients compared to white patients. Data regarding racial differences in survival for pediatric IHCA remain unknown.
Methods:
Using data from the American Heart Association Get With the Guidelines-Resuscitation registry, we identified children >24 hours and < 18 years of age with IHCA due to an initial pulseless rhythm. We used generalized estimation equation to examine the association of black race with survival to hospital discharge and return of spontaneous circulation (ROSC).
Results:
Overall, 2940 pediatric patients (898 black, 2042 white) with IHCA were included. The mean age was 6 years, 57% were male and 16% had an initial shockable rhythm. Baseline demographics, cardiac arrest characteristics including initial rhythm did not differ significantly by race. Although black race was associated with lower rates of ROSC compared to white patients (69.5% in blacks vs. 74.6% in whites; adjusted OR 0.8012, 95% CI 0.6749 - 0.9512, P= 0.0113), it was not associated with survival to discharge (34.7% in blacks vs. 37.8% in whites; adjusted OR 0.9705, 95% CI 0.8086 – 1.1648, P=0.7476). A lower rate of ROSC in black patients was not explained by longer delays in epinephrine administration for patients with a non-shockable rhythm, or defibrillation in patients with a shockable rhythm.
Conclusion:
In contrast to adults, no statistically significant racial differences in survival were present in pediatric IHCA.
Details
- Title: Subtitle
- Abstract 188: Racial Disparities in Survival Outcomes Following Pediatric In-Hospital Cardiac Arrest
- Creators
- Sarah E Haskell - University of IowaSaket Girotra - University of IowaYunshu Zhou - Iowa City, IAMarina Del Rios - University of Illinois ChicagoRaina M Merchant - University of PennsylvaniaDianne L Atkins - University of Iowa
- Resource Type
- Abstract
- Publication Details
- Circulation (New York, N.Y.), Vol.140(Suppl_2)
- DOI
- 10.1161/circ.140.suppl_2.188
- ISSN
- 0009-7322
- eISSN
- 1524-4539
- Language
- English
- Date published
- 11/19/2019
- Academic Unit
- Critical Care; Stead Family Department of Pediatrics; Emergency Medicine; Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984354402202771
Metrics
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