Journal article
The relationship between race and emergency medical services resuscitation intensity for those in refractory-arrest
Resuscitation plus, Vol.20, 100806
12/2024
DOI: 10.1016/j.resplu.2024.100806
PMCID: PMC11543904
PMID: 39526073
Abstract
Previous studies have reported race-based health disparities in North America. It is unknown if emergency medical service (EMS) treatment of out-of-hospital cardiac arrest (OHCA) varies based on race. We sought to compare markers of resuscitation intensity among different racial groups.
Using data of adult EMS-treated OHCAs from the Trial of Continuous or Interrupted Chest Compressions During CPR, we analyzed data from participants for whom on-scene return of spontaneous circulation (ROSC) was not achieved. We fit multivariate regression models using a generalized estimating equation, to estimate the association between patient race (White vs. Black vs. “Other”) and the following markers for resuscitation intensity: (1) resuscitation attempt duration; (2) intra-arrest transport; (3) number of epinephrine doses; (4) EMS arrival-to-CPR interval, and (5) 9–1–1 to first shock.
From our study cohort of 5370 cases, the median age was 65 years old (IQR: 53–78), 2077 (39 %) were women, 2121 (39 %) were Black, 596 (11 %) were “Other race”, 2653 (49 %) were White, and 4715 (88 %) occurred in a private location. With reference to White race, Black race was associated with a longer resuscitation attempt duration and a lower number of epinephrine doses; Black and “Other” race were both associated with a lower odds of intra-arrest transport.
We identified race-based differences in EMS resuscitation intensity for OHCA within a North American cohort, although 40% of race data was missing from this dataset. Future research investigating race-based differences in OHCA management may be warranted.
Details
- Title: Subtitle
- The relationship between race and emergency medical services resuscitation intensity for those in refractory-arrest
- Creators
- Justin Yap - British Columbia Resuscitation Research Collaborative, Vancouver, British Columbia, CanadaJacob Hutton - University of British ColumbiaMarina Del Rios - University of IowaFrank Scheuermeyer - British Columbia Resuscitation Research Collaborative, Vancouver, British Columbia, CanadaMalini Nair - British Columbia Resuscitation Research Collaborative, Vancouver, British Columbia, CanadaLaiba Khan - British Columbia Resuscitation Research Collaborative, Vancouver, British Columbia, CanadaEmad Awad - University of UtahTakahisa Kawano - British Columbia Resuscitation Research Collaborative, Vancouver, British Columbia, CanadaValerie Mok - University of British ColumbiaJim Christenson - British Columbia Resuscitation Research Collaborative, Vancouver, British Columbia, CanadaBrian Grunau - British Columbia Resuscitation Research Collaborative, Vancouver, British Columbia, Canada
- Resource Type
- Journal article
- Publication Details
- Resuscitation plus, Vol.20, 100806
- DOI
- 10.1016/j.resplu.2024.100806
- PMID
- 39526073
- PMCID
- PMC11543904
- NLM abbreviation
- Resusc Plus
- ISSN
- 2666-5204
- eISSN
- 2666-5204
- Publisher
- Elsevier B.V
- Grant note
- Heart and Stroke Foundation of CanadaGovernment of British ColumbiaBC Emergency Health ServicesMichael Smith Health Research BC
We are grateful for the dedication and service of the clinicians and research personnel who contributed to the Resuscitation Outcomes Consortium. The BC Resuscitation Research Collaborative would like to acknowledge funding from the Heart and Stroke Foundation of Canada and the Government of British Columbia, as well as in-kind support from Providence Health Care and BC Emergency Health Services. BG Ac-knowledges support from Michael Smith Health Research BC.
- Language
- English
- Date published
- 12/2024
- Academic Unit
- Emergency Medicine
- Record Identifier
- 9984738391802771
Metrics
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