Evidence map›Paper›PMID 34871755›Full record

ArticleResuscitation2022

The association of race with CPR quality following out-of-hospital cardiac arrest.

Robert H Schmicker, Audrey Blewer, Joshua R Lupton, Tom P Aufderheide, Henry E Wang, Ahamed H Idris, Elisabete Aramendi, Mohamed B Hagahmed, Owen T Traynor, M Riccardo Colella and 1 more

Open access · greenAbstract read
In one paragraph

Article in Resuscitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
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

11 authors at 8 institutions in 2 countries.

Robert H SchmickerDepartment of Biostatistics, University of Washington, Seattle, WA, United States. Electronic address: rschmick@uw.edu.
Audrey BlewerSchool of Medicine, Duke University, Durham, NC, United States.
Joshua R LuptonDepartment of Emergency Medicine, Oregon Health & Science University, Portland, OR, United States.
Tom P AufderheideDepartment of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI, United States.
Henry E WangDepartment of Emergency Medicine Ohio State University Columbus, OH, United States.
Ahamed H IdrisDepartment of Emergency Medicine, University of Texas Southwestern Medical Center, Dallas, TX, United States.
Elisabete AramendiCommunications Engineering Department, University of the Basque Country UPV/EHU, Bilbao, Spain.
Mohamed B HagahmedDepartment of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, United States.
Owen T TraynorDepartment of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, United States.
M Riccardo ColellaDepartment of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI, United States.
Mohamud R DayaDepartment of Emergency Medicine, Oregon Health & Science University, Portland, OR, United States.
Medical College of Wisconsin · USOregon Health & Science University · USUniversity of Pittsburgh Medical Center · USDuke University · USThe Ohio State University · USThe University of Texas Southwestern Medical Center · USUniversity of the Basque Country · ESUniversity 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
Extensions of an Automated Algorithm to Examine CPR Compliance on and off StudyR21HL145423 · NHLBI · UNIVERSITY OF WASHINGTON · PI SCHMICKER, ROBERT H. · 2019 to 2020
$233k
NHLBI NIH HHS R21 HL145423NHLBI NIH HHS U01 HL077863NHLBI NIH HHS U01 HL077866NHLBI NIH HHS U01 HL077871NHLBI NIH HHS U01 HL077873NHLBI NIH HHS U01 HL077881NHLBI NIH HHS U01 HL077887
6 · The paper itself

Abstract

introductionPrevious studies have shown racial disparities in outcomes after out-of-hospital cardiac arrest. Although several treatment factors may account for these differences, there is limited information regarding differences in CPR quality and its effect on survival in underrepresented racial populations.

methodsWe conducted a secondary analysis of data from patients enrolled in the Pragmatic Airway Resuscitation Trial (PART). We calculated compliance rates with AHA 2015 high quality CPR metrics as well as compliance to intended CPR strategy (30:2 or continuous chest compression) based on the protocol in place for the first responding EMS agency. The primary analysis used general estimating equations logistic regression to examine differences between black and white patients based on EMS-assessed race after adjustment for potential confounders. Sensitivity analyses examined differences using alternate race definitions.

resultsThere were 3004 patients enrolled in PART of which 1734 had > 2 minutes of recorded CPR data and an EMS-assessed race (1003 white, 555 black, 176 other). Black patients had higher adjusted odds of compression rate compliance (OR: 1.36, 95% CI: 1.02-1.81) and lower adjusted odds of intended CPR strategy compliance (OR: 0.78, 95% CI: 0.63-0.98) compared to white patients. Of 974 transported to the hospital, there was no difference in compliance metric estimates based on ED-reported race.

conclusionCompression rate compliance was higher in black patients however compliance with intended strategy was lower based on EMS-assessed race. The remaining metrics showed no difference suggesting that CPR quality differences are not important contributors to the observed outcome disparities by race.

Indexed as

Cardiopulmonary ResuscitationEmergency Medical ServicesOut-of-Hospital Cardiac ArrestHospitalsHumansThoraxChest compressionsEmergency medicineRacial disparities

Identifiers

PMID34871755
PMCPMC8799526
OpenAlexW4200276527

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.