Out-of-hospital cardiac arrest: racial differences in outcome in Seattle.
Why the study?
Does Black race compared to White race affect survival outcomes in out-of-hospital cardiac arrest?
Population
Victims of out-of-hospital sudden cardiac arrest in Seattle for which medical assistance was requested, aged…
Comparison
Black race (exposure) vs White race
Design
Cohort
Follow-up
Until hospital discharge
Authors
Discussion
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Member takes
Implication
Racial disparities in OHCA survival merit attention to prehospital equity; leaves open mechanisms and targeted interventions.
Structured PICO
Does Black race compared to White race affect survival outcomes in out-of-hospital cardiac arrest?
P
Population
Victims of out-of-hospital sudden cardiac arrest in Seattle for which medical assistance was requested, aged 20 and over.
I
Intervention
Black race (exposure)
C
Comparator
White race
O
Outcome
Survival to hospital dischargehard clinical
Out-of-hospital cardiac arrest incidence is higher and survival to hospital discharge is significantly lower in Black patients compared to White patients.
Limitations
- Differences in outcomes were not fully explained by features of the collapse or relevant service factors, leaving possible unmeasured confounders such as delays in therapy, bystander CPR, and underlying health.
Cite This Study
Cowie et al. (1993) studied this question.