A childs race, ethnicity and/or neighborhood may influence survival after cardiac arrest
- The rate of out-of-hospital cardiac arrest in Black children was more than four times higher (15.5 per 100,000) than in white (3.8 per 100,000) or Hispanic (3.3 per 100,000) children. The majority of out-of-hospital cardiac arrests occurred in children younger than 5 years old.
- Hispanic and white children had similar odds of survival and neurologically favorable outcomes. In contrast, Black children were 26% less likely to survive to hospital discharge and 36% less likely to survive without neurological issues that impaired them to resume their daily activities.
- 41% of out-of-hospital cardiac arrests occurred in the highest-risk neighborhoods, with an incidence of 11.6 per 100,000 children in the highest-risk neighborhoods vs. 4.3 per 100,000 children in the lowest-risk neighborhoods.
- Compared to children in the highest-risk neighborhoods, those from the lowest-risk neighborhoods were 45% more likely to survive to hospital discharge, and 65% more likely to survive with little or no neurological impairment.
- The current report, from the Cardiac Arrest Registry to Enhance Survival, evaluates racial, ethnic and socioeconomic disparities in survival after 6,945 out-of-hospital cardiac arrests in children less than 18 years old between 2015 and 2019.
- Cardiac Arrest Registry to Enhance Survival is a multicenter registry across the U.S. for out-of-hospital cardiac arrests, established by the U.S. Centers for Disease Control and Prevention (CDC) and Emory University.
- The CARES database captures health information for more than 115 million people in 41 states. The investigators looked at the incidence of out-of-hospital cardiac arrests, survival to the point of hospital discharge, and survival with little to no significant neurological impairment in daily functioning. The socioeconomic status of neighborhoods was ranked using a previously validated risk score that incorporates race, ethnicity, household income, high school graduations rates and unemployment rates, and divided the neighborhoods into 5 categories of risk from 0 (lowest risk) to 4 (highest risk).
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