Evidence map›Paper›PMID 31887076›Full record

Trial reportCirculation2020

Variation in Bystander Cardiopulmonary Resuscitation Delivery and Subsequent Survival From Out-of-Hospital Cardiac Arrest Based on Neighborhood-Level Ethnic Characteristics.

Audrey L Blewer, Robert H Schmicker, Laurie J Morrison, Tom P Aufderheide, Mohamud Daya, Monique A Starks, Susanne May, Ahamed H Idris, Clifton W Callaway, Peter J Kudenchuk and 3 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Circulation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.1field-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

23 citing papers in PubMed, 50 citations in OpenAlex.

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  19. Article
  20. Survival After Out-of-Hospital Cardiac Arrest: The Role of Racial Residential Segregation.Journal of urban health : bulletin of the New York Academy of Medicine · 2022
    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

13 authors at 4 institutions in 1 country.

Audrey L BlewerDepartment of Family Medicine and Community Health (A.L.B.), Duke University, Durham, NC.
Robert H SchmickerThe Clinical Trial Center (R.H.S., S.M.), University of Washington, Seattle.
Laurie J MorrisonRescu, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Emergency Medicine, Department of Medicine, University of Toronto, Canada (L.J.M.).
Tom P AufderheideDepartment of Emergency Medicine, Medical College of Wisconsin, Milwaukee (T.P.A.).
Mohamud DayaDepartment of Emergency Medicine, Oregon Health and Science University, Portland (M.D.).
Monique A StarksDuke Clinical Research Institute (M.A.S.), Duke University, Durham, NC.
Susanne MayThe Clinical Trial Center (R.H.S., S.M.), University of Washington, Seattle.
Ahamed H IdrisDepartment of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas (A.H.I.).
Clifton W CallawayDepartment of Emergency Medicine, University of Pittsburgh, PA (C.W.C.).
Peter J KudenchukDepartment of Medicine (P.J.K.), University of Washington, Seattle.
Gary M VilkeDepartment of Emergency Medicine, University of California San Diego, La Jolla (G.M.V.).
Benjamin S AbellaDepartment of Emergency Medicine and Center for Resuscitation Science, University of Pennsylvania, Philadelphia (B.S.A.).
Resuscitation Outcomes Consortium Investigators
Medical College of Wisconsin · USThe University of Texas Southwestern Medical Center · USUniversity of Pittsburgh · USUniversity of Washington · US

Funding

Resuscitation Outcomes Consortium (ROC) Data Coordinating CenterU01HL077863 · NHLBI · UNIVERSITY OF WASHINGTON · PI MAY, SUSANNE · 2004 to 2015
$125.1M
Resuscitation Outcomes Consortium (ROC) Regional Clinical Center-PittsburghU01HL077871 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CALLAWAY, CLIFTON W. · 2004 to 2015
$4.0M
Southeastern Resucitation Research CenterU01HL077881 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KERBY, JEFFREY D, WANG, HENRY E. · 2004 to 2015
$3.9M
Resuscitation Outcomes Consortium (ROC) Regional Clinical Center-PortlandU01HL077873 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI DAYA, MOHAMUD RAMZANALI · 2004 to 2015
$3.9M
Resuscitation Outcomes Consortium Regional Clinical Center-DFW Center for ResusciU01HL077887 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI IDRIS, AHAMED H · 2004 to 2015
$3.2M
Resuscitation Outcomes Consortium (ROC) Regional Clinical Centers-MilwaukeeU01HL077866 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI AUFDERHEIDE, TOM PAUL · 2004 to 2015
$3.0M
Seattle-King County Center for Resuscitation ResearchU01HL077867 · NHLBI · UNIVERSITY OF WASHINGTON · PI KUDENCHUK, PETER JAMES · 2004 to 2015
$3.0M
The UCSD/San Diego Resuscitation Research CenterU01HL077908 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI VILKE, GARY · 2004 to 2015
$2.9M
Resuscitation Outcomes Consortium (ROC) Regional Clinical Center-OTTAWA-OPALS-BCRU01HL077885 · NHLBI · OTTAWA HOSPITAL RESEARCH INSTITUTE · PI STIELL, IAN G. · 2004 to 2015
$2.4M
Resuscitation Outcomes Consortium (ROC) Regional Clinical Center-Toronto RegionalU01HL077872 · NHLBI · ST. MICHAEL'S HOSPITAL · PI MORRISON, LAURIE · 2004 to 2015
$1.9M
American Heart Association-American Stroke Association 15MCPRP25090161NHLBI NIH HHS U01 HL077863NHLBI NIH HHS U01 HL077866NHLBI NIH HHS U01 HL077867NHLBI NIH HHS U01 HL077871NHLBI NIH HHS U01 HL077872NHLBI NIH HHS U01 HL077873NHLBI NIH HHS U01 HL077881NHLBI NIH HHS U01 HL077885NHLBI NIH HHS U01 HL077887NHLBI NIH HHS U01 HL077908
6 · The paper itself

Abstract

backgroundBystander cardiopulmonary resuscitation (B-CPR) delivery and survival after out-of-hospital cardiac arrest vary at the neighborhood level, with lower survival seen in predominantly black neighborhoods. Although the Hispanic population is the fastest-growing minority population in the United States, few studies have assessed whether the proportion of Hispanic residents in a neighborhood is associated with B-CPR delivery and survival from out-of-hospital cardiac arrest. We assessed whether B-CPR rates and survival vary by neighborhood-level ethnicity. We hypothesized that neighborhoods with a higher proportion of Hispanic residents have lower B-CPR rates and lower survival.

methodsWe conducted a retrospective cohort study using data from the Resuscitation Outcomes Consortium Epistry at US sites. Neighborhoods were classified by census tract based on percentage of Hispanic residents: <25%, 25% to 50%, 51% to 75%, or >75%. We independently modeled the likelihood of receipt of B-CPR and survival by neighborhood-level ethnicity controlling for site and patient-level confounding characteristics.

resultsFrom 2011 to 2015, the Resuscitation Outcomes Consortium collected 27 481 US arrest events; after excluding pediatric arrests, emergency medical services-witnessed arrests, or arrests occurring in a healthcare or institutional facility, 18 927 were included. B-CPR was administered in 37% of events. In neighborhoods with <25% Hispanic residents, B-CPR was administered in 39% of events, whereas it was administered in 27% of events in neighborhoods with >75% Hispanic residents. Compared with <25% Hispanic neighborhoods in a multivariable analysis, out-of-hospital cardiac arrest in predominantly Hispanic neighborhoods had lower B-CPR rates (51% to 75% Hispanic: odds ratio, 0.79 [CI, 0.65-0.95],

conclusionsIndividuals with out-of-hospital cardiac arrest in predominantly Hispanic neighborhoods were less likely to receive B-CPR and had lower likelihood of survival. These findings suggest a need to understand the underlying disparities in cardiopulmonary resuscitationdelivery and an unmet cardiopulmonary resuscitationtraining need in Hispanic communities.

Indexed as

Cardiopulmonary ResuscitationOut-of-Hospital Cardiac ArrestAgedAged, 80 and overFemaleHispanic or LatinoHumansMaleMiddle AgedProspective StudiesResidence CharacteristicsRetrospective StudiesUnited Statescardiopulmonary resuscitationHispanic Americansout-of-hospital cardiac arrest

Identifiers

PMID31887076
PMCPMC6993941
OpenAlexW2998356509

What OpenQuestion holds

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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.