Racial, ethnic, and socioeconomic disparities in out-of-hospital cardiac arrest within the United States: Now is the time for change

被引：17
|
作者：
Mehta, Nishaki K. [1 ,2 ]
Allam, Sahitya [3 ]
Mazimba, Sula [2 ]
Karim, Saima [4 ]
机构：
[1] Oakland Univ, William Beaumont Hosp, Sch Med, Dept Cardiovasc Med, Royal Oak, MI USA
[2] Univ Virginia, Sch Med, Univ Virginia Med Ctr, Div Cardiovasc Med, Charlottesville, VA USA
[3] Univ Maryland, Sch Med, Univ Maryland Med Ctr, Dept Internal Med, Baltimore, MD USA
[4] Case Western Reserve Univ, Sch Med, MetroHlth Med Ctr, Div Cardiovasc Med, Cleveland, OH USA
来源：
HEART RHYTHM O2 | 2022年 / 3卷 / 06期
关键词：
Out-of-hospital cardiac arrest; Racial disparities; Ethnic disparities; Socioeconomic disparities; Cardiopulmonary resuscitation; Defibrillation; Postresuscitation care; Health care delivery; PERFORMING CARDIOPULMONARY-RESUSCITATION; BYSTANDER CPR; REGIONAL-VARIATION; SURVIVAL; NEIGHBORHOOD; PROVISION; RATES; ASSOCIATION; BARRIERS; DENVER;
D O I：
10.1016/j.hroo.2022.07.009
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
This review highlights the current evidence on racial, ethnic, and socioeconomic disparities in cardiac arrest outcomes within the United States. Several studies demonstrate that patients from Black, Hispanic, or lower socioeconomic status backgrounds suffer the most from disparities at multiple levels of the resuscitation pathway, including in the provision of bystander cardiopulmonary resuscitation, defibrillator usage, and postresuscitation therapies. These gaps in care may altogether lead to lower survival rates and worse neurological outcomes for these patients. A multisystem, culturally sensitive approach to improving cardiac arrest outcomes is suggested in this article. KEYWORDS Out-of-hospital cardiac arrest; Racial disparities; Ethnic disparities; Socioeconomic disparities; Cardiopulmonary resuscitation; Defibrillation; Postresuscitation care; Health care delivery
引用
收藏
页码：857 / 863
页数：7
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