STUDY OBJECTIVE: To determine whether there is an association between the race of a victim of out-of-hospital cardiac arrest and the provision of bystander-initiated CPR. DESIGN: Record review of 1,068 consecutive cases of nontraumatic out-of-hospital cardiac arrest. SETTING: Memphis, Tennessee, a city of more than 600,000 with roughly equal numbers of white and black residents. PARTICIPANTS: Every adult who was seen by municipal emergency medical services personnel for nontraumatic cardiac arrest between March 1, 1989, and June 5, 1992. INTERVENTION: None. RESULTS: Although black and white cardiac arrest victims were similar in many respects, black victims received bystander CPR substantially less frequently than whites (9.8% versus 21.4%; odds ratio, 0.46; 95% confidence interval, 0.34 to 0.61). This difference was slightly more pronounced when the victim collapsed in a public place. In addition to race of the victim, location of the arrest outside the home and having the arrest witnessed were independent determinants of whether a victim was given bystander CPR. Multiple logistic regression analysis showed that the effect of race was independent of the other variables studied. CONCLUSION: Black victims of out-of-hospital cardiac arrest receive bystander CPR less frequently than white victims. Targeted training programs may be needed to improve the rates of bystander CPR among certain groups.
STUDY OBJECTIVE: To determine whether there is an association between the race of a victim of out-of-hospital cardiac arrest and the provision of bystander-initiated CPR. DESIGN: Record review of 1,068 consecutive cases of nontraumatic out-of-hospital cardiac arrest. SETTING: Memphis, Tennessee, a city of more than 600,000 with roughly equal numbers of white and black residents. PARTICIPANTS: Every adult who was seen by municipal emergency medical services personnel for nontraumatic cardiac arrest between March 1, 1989, and June 5, 1992. INTERVENTION: None. RESULTS: Although black and white cardiac arrest victims were similar in many respects, black victims received bystander CPR substantially less frequently than whites (9.8% versus 21.4%; odds ratio, 0.46; 95% confidence interval, 0.34 to 0.61). This difference was slightly more pronounced when the victim collapsed in a public place. In addition to race of the victim, location of the arrest outside the home and having the arrest witnessed were independent determinants of whether a victim was given bystander CPR. Multiple logistic regression analysis showed that the effect of race was independent of the other variables studied. CONCLUSION: Black victims of out-of-hospital cardiac arrest receive bystander CPR less frequently than white victims. Targeted training programs may be needed to improve the rates of bystander CPR among certain groups.
Authors: Comilla Sasson; David J Magid; Paul Chan; Elisabeth D Root; Bryan F McNally; Arthur L Kellermann; Jason S Haukoos Journal: N Engl J Med Date: 2012-10-25 Impact factor: 91.245
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Authors: Comilla Sasson; Jason S Haukoos; Leila Ben-Youssef; Lorenzo Ramirez; Sheana Bull; Brian Eigel; David J Magid; Ricardo Padilla Journal: Ann Emerg Med Date: 2014-12-03 Impact factor: 5.721
Authors: Samuel A Hofacker; Matthew E Dupre; Kimberly Vellano; Bryan McNally; Monique Anderson Starks; Myles Wolf; Laura P Svetkey; Patrick H Pun Journal: Resuscitation Date: 2020-08-27 Impact factor: 5.262
Authors: Elisabeth Dowling Root; Louis Gonzales; David E Persse; Paul R Hinchey; Bryan McNally; Comilla Sasson Journal: Resuscitation Date: 2013-01-11 Impact factor: 5.262
Authors: M Austin Johnson; Jason S Haukoos; Todd M Larabee; Stacie Daugherty; Paul S Chan; Bryan McNally; Comilla Sasson Journal: Resuscitation Date: 2012-09-15 Impact factor: 5.262