A higher social vulnerability index was associated with greater mortality risks related to cardiac arrest in individuals aged 35 years and younger (RR 1.82; 95% CI 1.77-1.87).
Cross-Sectional (n=4,792)
Yes
What are the mortality trends, disparities, and impact of the social vulnerability index on cardiac arrest outcomes in individuals aged 35 years and younger in the US?
Cardiac arrest mortality in young individuals in the US decreased from 1999 to 2020, but significant demographic and regional disparities persist, with higher social vulnerability strongly correlating with increased mortality risk.
Effect estimate: RR 1.82 (95% CI 1.77-1.87)
BACKGROUND: Cardiac arrest (CA) is a leading cause of death in the United States (US). Social determinants of health may impact CA outcomes. We aimed to assess mortality trends, disparities, and the influence of the social vulnerability index (SVI) on CA outcomes in the young. METHODS: We conducted a cross-sectional analysis of age-adjusted mortality rates (AAMRs) related to CA in the United States from the Years 1999 to 2020 in individuals aged 35 years and younger. Data were obtained from death certificates and analyzed using log-linear regression models. We examined disparities in mortality rates based on demographic variables. We also explored the impact of the SVI on CA mortality. RESULTS: A total of 4792 CA deaths in the young were identified. Overall AAMR decreased from 0.20 in 1999 to 0.14 in 2020 with an average annual percentage change of -1.3% (p = .001). Black (AAMR: 0.30) and male populations (AAMR: 0.14) had higher AAMR compared with White (AAMR: 0.11) and female (AAMR: 0.11) populations, respectively. Nonmetropolitan (AAMR: 0.29) and Southern (AAMR: 0.26) regions were also impacted by higher AAMR compared with metropolitan (AAMR: 0.11) and other US census regions, respectively. A higher SVI was associated with greater mortality risks related to CA (risk ratio: 1.82 95% CI, 1.77-1.87). CONCLUSIONS: Our analysis of CA in the young revealed disparities based on demographics, with a decline in AAMR from 1999 to 2020. There is a correlation between a higher SVI and increased CA mortality risk, highlighting the importance of targeted interventions to address these disparities effectively.
Ibrahim et al. (Fri,) conducted a cross-sectional in Cardiac arrest (n=4,792). Social vulnerability index (SVI) was evaluated on Cardiac arrest mortality risk (RR 1.82, 95% CI 1.77-1.87). A higher social vulnerability index was associated with greater mortality risks related to cardiac arrest in individuals aged 35 years and younger (RR 1.82; 95% CI 1.77-1.87).