Evidence map›Paper›PMID 28342956›Full record

Observational studyResuscitation2017

Disparities in telephone CPR access and timing during out-of-hospital cardiac arrest.

Tomas Nuño, Bentley J Bobrow, Karen A Rogge-Miller, Micah Panczyk, Terry Mullins, Wayne Tormala, Antonio Estrada, Samuel M Keim, Daniel W Spaite

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Resuscitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Telephone CPR: Current Status, Challenges, and Future Perspectives.Open access emergency medicine : OAEM · 2020
    Review
  16. Review
  17. Review
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Tomas NuñoArizona Emergency Medicine Research Center, College of Medicine, University of Arizona, Phoenix, AZ, United States; Department of Emergency Medicine, College of Medicine, University of Arizona, Tucson, AZ, United States; Division of Public Health Practice & Translational Research, Mel and Enid Zuckerman College of Public Health, University of Arizona, Phoenix, AZ, United States. Electronic address: tnuno@email.arizona.edu.
Bentley J BobrowArizona Emergency Medicine Research Center, College of Medicine, University of Arizona, Phoenix, AZ, United States; Department of Emergency Medicine, College of Medicine, University of Arizona, Tucson, AZ, United States; Bureau of Emergency Medicine and Trauma System, Arizona Department of Health Services, Phoenix, AZ, United States.
Karen A Rogge-MillerArizona Emergency Medicine Research Center, College of Medicine, University of Arizona, Phoenix, AZ, United States.
Micah PanczykBureau of Emergency Medicine and Trauma System, Arizona Department of Health Services, Phoenix, AZ, United States.
Terry MullinsBureau of Emergency Medicine and Trauma System, Arizona Department of Health Services, Phoenix, AZ, United States.
Wayne TormalaBureau of Emergency Medicine and Trauma System, Arizona Department of Health Services, Phoenix, AZ, United States.
Antonio EstradaDepartment of Mexican-American Studies, College of Social & Behavioral Sciences, University of Arizona, Tucson, AZ, United States.
Samuel M KeimArizona Emergency Medicine Research Center, College of Medicine, University of Arizona, Phoenix, AZ, United States; Department of Emergency Medicine, College of Medicine, University of Arizona, Tucson, AZ, United States.
Daniel W SpaiteArizona Emergency Medicine Research Center, College of Medicine, University of Arizona, Phoenix, AZ, United States; Department of Emergency Medicine, College of Medicine, University of Arizona, Tucson, AZ, United States.
University of Arizona · USArizona Department of Health Services · US

Funding

Translational Approaches to Health Disparities in Lung, Sleep, and PandemicsR25HL126140 · NHLBI · UNIVERSITY OF ARIZONA · PI FRANCISCO A MORENO, JANKO Z. NIKOLICH · 2014 to 2026
$4.6M
NHLBI NIH HHS R25 HL126140
6 · The paper itself

Abstract

aimSpanish-only speaking residents in the United States face barriers to receiving potentially life-saving 911 interventions such as Telephone -cardiopulmonary resuscitation (TCPR) instructions. Since 2015, 911 dispatchers have placed an increased emphasis on rapid identification of potential cardiac arrest. The purpose of this study was to describe the utilization and timing of the 911 system during suspected out-of-hospital cardiac arrest (OHCA) by Spanish-speaking callers in Metropolitan Phoenix, Arizona.

methodsThe dataset consisted of suspected OHCA from 911 centers from October 10, 2010 through December 31, 2013. Review of audio TCPR process data included whether the need for CPR was recognized by telecommunicators, whether CPR instructions were provided, and the time elements from call receipt to initiation of compressions.

resultsA total of 3398 calls were made to 911 for suspected OHCA where CPR was indicated. A total of 39 (1.2%) were determined to have a Spanish language barrier. This averages to 18 calls per year with a Spanish language barrier during the study period, compared with 286 OHCAs expected per year among this population. The average time until telecommunicators recognized CPR need was 87.4s for the no language barrier group compared to 160.6s for the Spanish-language barrier group (p<0.001).Time to CPR instructions started was significantly different between these groups (144.4s vs 231.3s, respectively) (p<0.001), as was time to first compression, (174.4s vs. 290.9s, respectively) (p<0.001).

conclusionsOur study suggests that Hispanic callers under-utilize the 911 system, and when they do call 911, there are significant delays in initiating CPR.

Indexed as

Communication BarriersOut-of-Hospital Cardiac ArrestAdultAgedAged, 80 and overArizonaCardiopulmonary ResuscitationCohort StudiesEmergency Medical Service Communication SystemsFemaleHealthcare DisparitiesHispanic or LatinoHumansLanguageMaleMiddle AgedCardiac arrestDisparitiesProcess outcomesTelephone cardiopulmonary resuscitation

Identifiers

PMID28342956
PMCPMC5459486
OpenAlexW2597555725

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.