@article{060cac4fd8e1412fb9ea2aef58f92b6c,
title = "The association of race with CPR quality following out-of-hospital cardiac arrest",
abstract = "Introduction: Previous studies have shown racial disparities in outcomes after out-of-hospital cardiac arrest. Although several treatment factors may account for these differences, there is limited information regarding differences in CPR quality and its effect on survival in underrepresented racial populations. Methods: We conducted a secondary analysis of data from patients enrolled in the Pragmatic Airway Resuscitation Trial (PART). We calculated compliance rates with AHA 2015 high quality CPR metrics as well as compliance to intended CPR strategy (30:2 or continuous chest compression) based on the protocol in place for the first responding EMS agency. The primary analysis used general estimating equations logistic regression to examine differences between black and white patients based on EMS-assessed race after adjustment for potential confounders. Sensitivity analyses examined differences using alternate race definitions. Results: There were 3004 patients enrolled in PART of which 1734 had > 2 minutes of recorded CPR data and an EMS-assessed race (1003 white, 555 black, 176 other). Black patients had higher adjusted odds of compression rate compliance (OR: 1.36, 95% CI: 1.02–1.81) and lower adjusted odds of intended CPR strategy compliance (OR: 0.78, 95% CI: 0.63–0.98) compared to white patients. Of 974 transported to the hospital, there was no difference in compliance metric estimates based on ED-reported race. Conclusion: Compression rate compliance was higher in black patients however compliance with intended strategy was lower based on EMS-assessed race. The remaining metrics showed no difference suggesting that CPR quality differences are not important contributors to the observed outcome disparities by race.",
keywords = "Chest compressions, Emergency medicine, Racial disparities",
author = "Schmicker, {Robert H.} and Audrey Blewer and Lupton, {Joshua R.} and Aufderheide, {Tom P.} and Wang, {Henry E.} and Idris, {Ahamed H.} and Elisabete Aramendi and Hagahmed, {Mohamed B.} and Traynor, {Owen T.} and Colella, {M. Riccardo} and Daya, {Mohamud R.}",
note = "Funding Information: This study was supported by grant 5R21HL145423-02 from National Heart Lung and Blood Institute . The Resuscitation Outcomes Consortium institutions participating in the studies were supported by a series of cooperative agreements from the NHLBI, including 5U01 HL077863 ( University of Washington Data Coordinating Center ), HL077866 ( Medical College of Wisconsin ), HL077871 ( University of Pittsburgh ), HL077873 ( Oregon Health and Science University ), HL077881 ( University of Alabama at Birmingham ), and HL077887 ( University of Texas Southwestern Medical Center /Dallas). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung and Blood Institute or the National Institutes of Health. The NHLBI did not have any role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. Funding Information: This study was supported by grant 5R21HL145423-02 from National Heart Lung and Blood Institute. The Resuscitation Outcomes Consortium institutions participating in the studies were supported by a series of cooperative agreements from the NHLBI, including 5U01 HL077863 (University of Washington Data Coordinating Center), HL077866 (Medical College of Wisconsin), HL077871 (University of Pittsburgh), HL077873 (Oregon Health and Science University), HL077881 (University of Alabama at Birmingham), and HL077887 (University of Texas Southwestern Medical Center/Dallas). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung and Blood Institute or the National Institutes of Health. The NHLBI did not have any role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. Robert Schmicker had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Publisher Copyright: {\textcopyright} 2021 Elsevier B.V.",
year = "2022",
month = jan,
doi = "10.1016/j.resuscitation.2021.11.038",
language = "English (US)",
volume = "170",
pages = "194--200",
journal = "Resuscitation",
issn = "0300-9572",
publisher = "Elsevier Ireland Ltd",
}