The relationship between race and emergency medical services resuscitation intensity for those in refractory-arrest
Background: 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....
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-12-01
|
| Series: | Resuscitation Plus |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520424002571 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846113687327211520 |
|---|---|
| author | Justin Yap Jacob Hutton Marina Del Rios Frank Scheuermeyer Malini Nair Laiba Khan Emad Awad Takahisa Kawano Valerie Mok Jim Christenson Brian Grunau |
| author_facet | Justin Yap Jacob Hutton Marina Del Rios Frank Scheuermeyer Malini Nair Laiba Khan Emad Awad Takahisa Kawano Valerie Mok Jim Christenson Brian Grunau |
| author_sort | Justin Yap |
| collection | DOAJ |
| description | Background: 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. Methods: 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. Results: 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. Conclusion: 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. |
| format | Article |
| id | doaj-art-f2657c37a2294d228b43ffe111c343f6 |
| institution | Kabale University |
| issn | 2666-5204 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj-art-f2657c37a2294d228b43ffe111c343f62024-12-21T04:29:55ZengElsevierResuscitation Plus2666-52042024-12-0120100806The relationship between race and emergency medical services resuscitation intensity for those in refractory-arrestJustin Yap0Jacob Hutton1Marina Del Rios2Frank Scheuermeyer3Malini Nair4Laiba Khan5Emad Awad6Takahisa Kawano7Valerie Mok8Jim Christenson9Brian Grunau10British Columbia Resuscitation Research Collaborative, Vancouver, British Columbia, Canada; Corresponding author at: BC Resuscitation Research Collaborative (BC RESURECT), 1190 Hornby St., 4th Floor, Vancouver, B.C. V6Z 2K5, Canada.Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada; British Columbia Emergency Health Services, British Columbia, CanadaDepartment of Emergency Medicine, University of Iowa – Carver College of Medicine, Iowa city, IA, United StatesBritish Columbia Resuscitation Research Collaborative, Vancouver, British Columbia, Canada; Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Centre for Advancing Health Outcomes, University of British Columbia, Vancouver, British Columbia, CanadaBritish Columbia Resuscitation Research Collaborative, Vancouver, British Columbia, CanadaBritish Columbia Resuscitation Research Collaborative, Vancouver, British Columbia, Canada; Faculty of Science, University of British Columbia, British Columbia, CanadaDepartment of Emergency Medicine, University of Utah, Salt Lake City, UT, United StatesBritish Columbia Resuscitation Research Collaborative, Vancouver, British Columbia, Canada; Department of Emergency Medicine, University of Fukui Hospital, Fukui Prefecture, JapanFaculty of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaBritish Columbia Resuscitation Research Collaborative, Vancouver, British Columbia, Canada; Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada; British Columbia Emergency Health Services, British Columbia, CanadaBritish Columbia Resuscitation Research Collaborative, Vancouver, British Columbia, Canada; Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada; British Columbia Emergency Health Services, British Columbia, Canada; Centre for Advancing Health Outcomes, University of British Columbia, Vancouver, British Columbia, CanadaBackground: 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. Methods: 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. Results: 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. Conclusion: 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.http://www.sciencedirect.com/science/article/pii/S2666520424002571 |
| spellingShingle | Justin Yap Jacob Hutton Marina Del Rios Frank Scheuermeyer Malini Nair Laiba Khan Emad Awad Takahisa Kawano Valerie Mok Jim Christenson Brian Grunau The relationship between race and emergency medical services resuscitation intensity for those in refractory-arrest Resuscitation Plus |
| title | The relationship between race and emergency medical services resuscitation intensity for those in refractory-arrest |
| title_full | The relationship between race and emergency medical services resuscitation intensity for those in refractory-arrest |
| title_fullStr | The relationship between race and emergency medical services resuscitation intensity for those in refractory-arrest |
| title_full_unstemmed | The relationship between race and emergency medical services resuscitation intensity for those in refractory-arrest |
| title_short | The relationship between race and emergency medical services resuscitation intensity for those in refractory-arrest |
| title_sort | relationship between race and emergency medical services resuscitation intensity for those in refractory arrest |
| url | http://www.sciencedirect.com/science/article/pii/S2666520424002571 |
| work_keys_str_mv | AT justinyap therelationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT jacobhutton therelationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT marinadelrios therelationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT frankscheuermeyer therelationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT malininair therelationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT laibakhan therelationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT emadawad therelationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT takahisakawano therelationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT valeriemok therelationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT jimchristenson therelationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT briangrunau therelationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT justinyap relationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT jacobhutton relationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT marinadelrios relationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT frankscheuermeyer relationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT malininair relationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT laibakhan relationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT emadawad relationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT takahisakawano relationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT valeriemok relationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT jimchristenson relationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest AT briangrunau relationshipbetweenraceandemergencymedicalservicesresuscitationintensityforthoseinrefractoryarrest |