New research finds black and Hispanic people less likely to receive bystander CPR than white people during cardiac arrest

Following a review of six years of national data collected by the Cardiac Arrest Registry for Better Survival (CARES) at Emory University School of Medicine, a diverse team of researchers found that black and Hispanics were significantly less likely than whites to receive life-saving care. cardiopulmonary resuscitation (CPR) during cardiac arrest. The new study published on Wednesday in the New England Journal of Medicine (NEJM).

The full analysis showed that black and Hispanic people were 26% less likely to receive CPR at home than white people. Those odds dropped significantly in public cardiac arrest cases, where black and Hispanic people were 37% less likely to experience bystander CPR than white people experiencing the exact same emergency event.

The new paper, which examined CARES data collected from 2013 to 2019, builds on previous studies of health equity and cardiac arrest in several key ways, including additional examination of the level neighborhood income and racial and ethnic composition where individuals originally collapsed.

What the researchers found was that the disparity between the response of black and Hispanic individuals compared to white individuals remained constant regardless of neighborhood income level or racial and ethnic makeup and regardless of gender. of public place. Inequity was consistent even in public areas that might have had a larger pool of lay responders with available CPR training, such as recreation facilities and transit hubs.

Close-to-home CPR can double or triple survival rates for people with cardiac arrest. The sooner CPR is administered, ideally within the first two minutes after a patient collapses, the better the outcome. And nearby CPR not only impacts a person’s life or death, but can also dramatically improve a person’s quality of life once they have received treatment and recovered.

“As an emergency physician, I know how extremely important CPR is for patients in cardiac arrest,” says Bryan McNally, MD, professor in the Department of Emergency Medicine and executive director of CARES. “Our research team hopes this publication can be a catalyst for change to help reduce racial and ethnic differences in cardiac resuscitation and improve outcomes for all communities.” McNally is co-author of the NEJM publication.

Founded by Emory and the Centers for Disease Control and Prevention (CDC) in 2004, CARES serves as a multi-center registry of people who have experienced non-traumatic cardiac arrest out of hospital in the United States. Nationally distinguished, the registry covers an area of ​​more than 175 million people, or approximately 53% of the US population, representing 32 participating states and the District of Columbia. To date, the registry has captured over 850,000 cardiac arrest event records, with over 2,400 EMS agencies and over 2,600 participating hospitals nationwide.

CARES is housed at Emory’s Woodruff Health Sciences Center and is managed by McNally and a team of 10 Emory employees. The registry is funded by the American Red Cross, the American Heart Association, and state-based subscription fees.

Looking ahead, McNally says there are additional studies underway that will use CARES data to investigate racial and ethnic disparities in CPR rates between Asian and white individuals as well as Native American and Native American populations. Alaska versus white populations.

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