Key result
Minority communities linked to lower prehospital antiarrhythmic rates for OHCA with varying administration times.
Why the study?
Antiarrhythmic administration is an important treatment for shockable out-of-hospital cardiac arrest, but little is known about disparities in these prehospital practices.
Are there community racial and ethnic disparities in prehospital antiarrhythmic administration rates and times for out-of-hospital cardiac arrest?
Observational
Yes
Are there community racial and ethnic disparities in prehospital antiarrhythmic administration rates and times for out-of-hospital cardiac arrest?
There are significant racial and ethnic disparities in the prehospital administration of antiarrhythmics for out-of-hospital cardiac arrest, with minority communities experiencing lower administration rates.
Answers are grounded in this paper and cite their sources.
Racial/ethnic disparities in prehospital OHCA antiarrhythmic care may reflect systemic inequities; leaves open causal mechanisms and equity-focused interventions.
OBJECTIVES: Antiarrhythmic administration is an important treatment for out-of-hospital cardiac arrest (OHCA) with a shockable rhythm, but a minimal amount is known about disparities in such antiarrhythmic practices. We sought to investigate the association between community race/ethnicity and prehospital antiarrhythmic administration for OHCA. METHODS: We conducted a retrospective study of a national prehospital database, National Emergency Medical Services Information System (NEMSIS), linked to Census data. We included OHCAs with a shockable rhythm from 2018 to 2021. We stratified patients based on majority (>50%) ZIP code race/ethnicity (non-Hispanic White (White), non-Hispanic Black (Black), and Hispanic/Latino). We then created two cohorts: (1) patients with a shockable rhythm at any point to study differences in antiarrhythmic administration rates, and (2) patients with an initial shockable rhythm to analyze differences in time to antiarrhythmic administration. For patients with a shockable rhythm at any point, we used logistic regressions to evaluate the association of community race to antiarrhythmic administration. For patients with an initial shockable rhythm, we compared the time from emergency medical services (EMS) dispatch to the first antiarrhythmic administration. CONCLUSIONS: While antiarrhythmic administration rate was lower for minority communities and time to antiarrhythmic was higher for Black OHCAs, time to antiarrhythmic administration was lower for Hispanic/Latino OHCAs.
No takes yet. Share an insight, caveat, or question.
Papin et al. (2024) conducted an observational in Out-of-hospital cardiac arrest (OHCA) with a shockable rhythm. Prehospital antiarrhythmic administration vs. Community race/ethnicity (White, Black, Hispanic/Latino) was evaluated on Antiarrhythmic administration rates and time from EMS dispatch to first antiarrhythmic administration (p=< 0.01). Prehospital antiarrhythmic administration rates for OHCA were lower in minority communities, with longer administration times for Black patients but shorter times for Hispanic/Latino patients.
Synapse has enriched 10 related papers. Consider them for comparative context: