Racial Differences in the Utilization of Guideline-Recommended and Life-Sustaining Procedures During Hospitalizations for Out-of-Hospital Cardiac Arrest

Published on Jun 1, 2020in Journal of racial and ethnic health disparities2.192
· DOI :10.1007/S40615-019-00668-8
Kenneth K. Woo1
Estimated H-index: 1
(UCLA: University of California, Los Angeles),
Argun Can1
Estimated H-index: 1
(UCLA: University of California, Los Angeles),
Dong W. Chang2
Estimated H-index: 2
(UCLA: University of California, Los Angeles)
Sources
Abstract
Background Racial and ethnic minorities are at risk for disparities in quality of care after out-of-hospital cardiopulmonary arrest (OHCA). As such, we examined associations between race and ethnicity and use of guideline-recommended and life-sustaining procedures during hospitalizations for OHCA.
References34
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#1Satoe Okabayashi (Kyoto University)H-Index: 8
#2Tasuku Matsuyama (Kyoto Prefectural University of Medicine)H-Index: 15
Last. Taku Iwami (Kyoto University)H-Index: 33
view all 11 authors...
Importance Out-of-hospital cardiac arrest (OHCA) is a major public health issue, and in recent years, the number of OHCAs among the elderly population, aged 65 years or older, has significantly increased in developed countries. Objective To evaluate the demographic and clinical characteristics and outcomes of patients 65 years or older who experienced OHCA based on the location—public, residential, or nursing home—where it occurred in Japan. Design, Setting, and Participants This prospective, na...
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#1Sun Young Lee (New Generation University College)H-Index: 20
#2Kyoung Jun Song (SNU: Seoul National University)H-Index: 30
Last. Seung Chul Lee (Seoul National University Hospital)H-Index: 11
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Abstract Background The objective of this study was to compare the temporal trends in good neurologic outcome after out-of-hospital cardiac arrest (OHCA) between communities with different socioeconomic status (SES). Methods A nationwide, population-based observational study was conducted in adult patients with OHCA of cardiac etiology from 2006 to 2015. Community SES was defined using the Carstairs index categorized into 5 groups, from Q1 (the least deprived) to Q5 (the most deprived). Outcomes...
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#1Shelby K. Shelton (University of Colorado Denver)H-Index: 9
#2Steve B. Chukwulebe (NU: Northwestern University)H-Index: 4
Last. Sarah M. Perman (University of Colorado Denver)H-Index: 23
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Abstract Aim International classification of disease (ICD-9) code 427.5 (cardiac arrest) is utilized to identify cohorts of patients who suffer out-of-hospital cardiac arrest (OHCA), though the use of ICD codes for this purpose has never been formally validated. We sought to validate the utility of ICD-9 code 427.5 by identifying patients admitted from the emergency department (ED) after OHCA. Methods Adult visits to a single ED between January 2007 and July 2012 were retrospectively examined an...
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#1Scott D. Casey (UC Davis: University of California, Davis)H-Index: 3
#2Bryn E. Mumma (UC Davis: University of California, Davis)H-Index: 11
Abstract Background Sex, race, and insurance status are associated with treatment and outcomes in several cardiovascular diseases. These disparities, however, have not been well-studied in out-of-hospital cardiac arrest (OHCA). Objective Our objective was to evaluate the association of patient sex, race, and insurance status with hospital treatments and outcomes following OHCA. Methods We studied adult patients in the 2011–2015 California Office of Statewide Health Planning and Development (OSHP...
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#1Kristian Kragholm (AU: Aarhus University)H-Index: 25
#2Mads Wissenberg (Rigshospitalet)H-Index: 27
Last. Bodil Steen Rasmussen (AU: Aarhus University)H-Index: 23
view all 16 authors...
BackgroundThe effect of bystander interventions on long-term functional outcomes among survivors of out-of-hospital cardiac arrest has not been extensively studied. MethodsWe linked nationwide data on out-of-hospital cardiac arrests in Denmark to functional outcome data and reported the 1-year risks of anoxic brain damage or nursing home admission and of death from any cause among patients who survived to day 30 after an out-of-hospital cardiac arrest. We analyzed risks according to whether byst...
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#1Shaker M. Eid (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 14
#2Marwan S. Abougergi (York Hospital)H-Index: 15
Last. Nisha Chandra-Strobos (JHUSOM: Johns Hopkins University School of Medicine)H-Index: 8
view all 4 authors...
Abstract Aims To investigate trends in survival to hospital discharge, in-hospital expenditures, and post-acute-care disposition following out-of-hospital cardiac arrest (OHCA) in the United States. Methods We performed this nationwide serial cross-sectional study using data from the National Inpatient Sample on all patients (age >18years) hospitalized with OHCA between January 1, 1995, and December 31, 2013. Our main outcome measure was survival to hospital discharge. We fitted multivariable re...
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#1Barret Rush (Harvard University)H-Index: 16
#2Mohammad Ashkanani (UBC: University of British Columbia)H-Index: 2
Last. Paul Hertz (UHN: University Health Network)H-Index: 3
view all 4 authors...
Abstract Objective The use of electroencephalogram (EEG) has been demonstrated to have diagnostic and prognostic value in cardiac arrest patients. The use of this modality across the United States in this population is unknown. Methods The Nationwide Inpatient Sample (NIS) is a federal database capturing 20% of all US hospital admissions. A cohort of patients who suffered both in and out of hospital cardiac arrests from the 2006 to 2012 NIS datasets was created. Results The records of 55,208,382...
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#1Saket Girotra (Roy J. and Lucille A. Carver College of Medicine)H-Index: 28
#2Sean van Diepen (U of A: University of Alberta)H-Index: 31
Last. Paul S. Chan (MU: University of Missouri)H-Index: 50
view all 10 authors...
Background —Although previous studies have shown marked variation in out-of-hospital cardiac arrest survival across U.S. regions, factors underlying this survival variation remain incompletely explained. Methods and Results —Using data from the Cardiac Arrest Registry to Enhance Survival, we identified 96,662 adult patients with out-of-hospital cardiac in 132 U.S. counties. We used hierarchical regression models to examine county-level variation in rates of survival and survival with functional ...
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#1Dariush MozaffarianH-Index: 154
#2Emelia J. BenjaminH-Index: 149
Last. Heather J. FullertonH-Index: 62
view all 42 authors...
Author(s): Writing Group Members; Mozaffarian, Dariush; Benjamin, Emelia J; Go, Alan S; Arnett, Donna K; Blaha, Michael J; Cushman, Mary; Das, Sandeep R; de Ferranti, Sarah; Despres, Jean-Pierre; Fullerton, Heather J; Howard, Virginia J; Huffman, Mark D; Isasi, Carmen R; Jimenez, Monik C; Judd, Suzanne E; Kissela, Brett M; Lichtman, Judith H; Lisabeth, Lynda D; Liu, Simin; Mackey, Rachel H; Magid, David J; McGuire, Darren K; Mohler, Emile R; Moy, Claudia S; Muntner, Paul; Mussolino, Michael E; N...
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#1Janet J. Lee (UW: University of Washington)H-Index: 1
#2Ann C. Long (UW: University of Washington)H-Index: 14
Last. Ruth A. Engelberg (UW: University of Washington)H-Index: 66
view all 4 authors...
Abstract Context Racial and ethnic differences in end-of-life care may be attributable to both patient preferences and health-care disparities. Identifying factors that differentiate preferences from disparities may enhance end-of-life care for critically ill patients and their families. Objectives To understand the association of minority race/ethnicity and education with family ratings of the quality of dying and death, taking into consideration possible markers of patient and family preferenc...
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Cited By3
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#1Katherine N. Slain (Boston Children's Hospital)H-Index: 3
#2Amie Barda (Boston Children's Hospital)
Last. J. Daryl Thornton (Case Western Reserve University)H-Index: 13
view all 4 authors...
Objective: Technology-dependent children with medical complexity (CMC) are frequently admitted to the pediatric intensive care unit (PICU). The social risk factors for high PICU utilization in these children are not well described. The objective of this study was to describe the relationship between race, ethnicity, insurance status, estimated household income, and PICU admission following the placement of a tracheostomy and/or gastrostomy (GT) in CMC. Study Design: This was a retrospective mult...
Source
#1Krista R. Schaefer (Southcentral Foundation)H-Index: 1
#2Amber L Fyfe-Johnson (WSU: Washington State University)H-Index: 3
Last. Renee Robinson (UAA: University of Alaska Anchorage)H-Index: 1
view all 11 authors...
Objectives: Home blood pressure monitoring (HBPM) is an important component of blood pressure (BP) management. We assessed performance of two HBPM devices among Alaska Native and American Indian people (ANAIs). Methods: We measured BP using Omron BP786 arm cuff, Omron BP654 wrist cuff, and Baum aneroid sphygmomanometer in 100 ANAIs. Performance was assessed with intraclass correlation, paired t-tests, and calibration models. Results: Compared to sphygmomanometer, average BP was higher for wrist ...
Source
#1Anna V. Subramaniam (Mayo Clinic)H-Index: 6
#2Sri Harsha Patlolla (Mayo Clinic)H-Index: 9
Last. Saraschandra Vallabhajosyula (Mayo Clinic)H-Index: 25
view all 9 authors...
Background The role of race and ethnicity in the outcomes of cardiac arrest (CA) complicating acute myocardial infarction (AMI) is incompletely understood. Methods and Results This was a retrospective cohort study of adult admissions with AMI-CA from the National Inpatient Sample (2012-2017). Self-reported race/ethnicity was classified as White, Black, and others (Hispanic, Asian or Pacific Islander, Native American, Other). Outcomes of interest included in-hospital mortality, coronary angiograp...
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