Evidence map›Paper›PMID 39109427›Full record

Observational studyCirculation2024

Race and Sex Differences in the Association of Bystander CPR for Cardiac Arrest.

Paul S Chan, Saket Girotra, Audrey Blewer, Kevin F Kennedy, Bryan F McNally, Justin L Benoit, Monique A Starks, CARES Surveillance Group

Abstract readObservational Study
In one paragraph

Observational study in Circulation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
  4. Observational
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  14. Closing the Gap: Addressing Racial Bias in Bystander CPR Administration.Inquiry : a journal of medical care organization, provision and financing
    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

8 authors.

Paul S ChanSaint Luke's Mid America Heart Institute, Kansas City, MO (P.S.C., K.F.K.).ORCID 0000-0002-5185-3367
Saket GirotraUniversity of Texas Southwestern Medical Center, Dallas (S.G.).ORCID 0000-0002-4784-4513
Audrey BlewerDuke University School of Medicine, Durham, NC (A.B., M.A.S.).ORCID 0000-0003-2830-5191
Kevin F KennedySaint Luke's Mid America Heart Institute, Kansas City, MO (P.S.C., K.F.K.).
Bryan F McNallyEmory University School of Medicine, Rollins School of Public Health, Atlanta, GA (B.F.M).ORCID 0000-0003-3532-1931
Justin L BenoitUniversity of Cincinnati, OH (J.L.B.).ORCID 0000-0002-0669-2963
Monique A StarksDuke University School of Medicine, Durham, NC (A.B., M.A.S.).ORCID 0000-0003-4719-399X
CARES Surveillance Group

Funding

Interdisciplinary Research Careers in Women's HealthK12HD043446 · NICHD · DUKE UNIVERSITY · PI AMUNDSEN, CINDY · 2002 to 2023
$9.6M
Reducing Ethnic-racial Disparities in Cardiac Arrest Survival Outcomes (RED-CASO)R01HL160734 · NHLBI · SAINT LUKE'S HOSPITAL · PI CHAN, PAUL SHEUNG-YAN, GIROTRA, SAKET · 2022 to 2025
$2.6M
Peripheral Artery Disease: Long-term Survival & Outcomes Study (PEARLS)R01HL166305 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI Saket Girotra · 2023 to 2026
$2.5M
Evaluation of the Requirements and Critical Features of a Drone-Deployed AED Network to Improve Community-Level Survival after OHCAK23HL153889 · NHLBI · DUKE UNIVERSITY · PI STARKS, MONIQUE ANDERSON · 2020 to 2024
$833k
Peripheral Artery Disease: Long-term Survival & Outcomes Study (PEARLS)R56HL158803 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI GIROTRA, SAKET · 2021 to 2021
$633k
NHLBI NIH HHS K23 HL153889NHLBI NIH HHS R01 HL160734NHLBI NIH HHS R01 HL166305NHLBI NIH HHS R56 HL158803NICHD NIH HHS K12 HD043446
6 · The paper itself

Abstract

backgroundBystander cardiopulmonary resuscitation (CPR) is associated with higher survival for out-of-hospital cardiac arrest, but whether its association with survival differs by patients' sex and race and ethnicity is less clear.

methodsWithin a large US registry, we identified 623 342 nontraumatic out-of-hospital cardiac arrests during 2013 to 2022 for this observational cohort study. Using hierarchical logistic regression, we examined whether there was a differential association between bystander CPR and survival outcomes by patients' sex and race and ethnicity, overall and by neighborhood strata.

resultsMean age was 62.1±17.1 years, and 35.9% were women. Nearly half of patients (49.8%) were non-Hispanic White; 20.6% were non-Hispanic Black; 7.3% were Hispanic; 2.9% were Asian; and 0.4% were Native American. Overall, 58 098 (9.3%) survived to hospital discharge. Although bystander CPR was associated with higher survival in each race and ethnicity group, the association of bystander CPR compared with patients without bystander CPR in each racial and ethnic group was highest in individuals who were White (adjusted odds ratio [OR], 1.33 [95% CI, 1.30-1.37]) and Native American (adjusted OR, 1.40 [95% CI, 1.02-1.90]) and lowest in individuals who were Black (adjusted OR, 1.09 [95% CI, 1.04-1.14];

conclusionsAlthough bystander CPR was associated with higher survival in all patients, its association with survival was weakest for Black individuals and women with out-of-hospital cardiac arrest.

Indexed as

Cardiopulmonary ResuscitationOut-of-Hospital Cardiac ArrestAgedAged, 80 and overCohort StudiesFemaleHumansMaleMiddle AgedRacial GroupsRegistriesSex FactorsUnited Statescardiopulmonary resuscitationheart arrestracial groupssexsurvival

Identifiers

PMID39109427
PMCPMC11347084

What OpenQuestion holds

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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.