Evidence map›Paper›PMID 40250545›Full record

ArticleResuscitation2025

Race is not associated with medical emergency team evaluation prior to in-hospital cardiac arrest.

Cody-Aaron L Gathers, Ryan W Morgan, Jessica S Alvey, Ron Reeder, Zachary D Goldberger, Jessica Fowler, Maryam Y Naim, Amanda O'Halloran, Raina M Merchant, Martha Kienzle and 4 more

Abstract read
In one paragraph

Article in Resuscitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

14 authors.

Cody-Aaron L GathersDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, PA, United States. Electronic address: gathersc@chop.edu.
Ryan W MorganDepartment of Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Jessica S AlveyDepartment of Pediatrics, University of Utah, Salt Lake City, UT, United States.
Ron ReederDepartment of Pediatrics, University of Utah, Salt Lake City, UT, United States.
Zachary D GoldbergerDepartment of Medicine, Division of Cardiovascular Medicine, University of Wisconsin, Madison, WI, United States.
Jessica FowlerDepartment of Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Maryam Y NaimDepartment of Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Amanda O'HalloranDepartment of Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Raina M MerchantDepartment of Emergency Medicine, University of Pennsylvania, Philadelphia, PA, United States.
Martha KienzleDepartment of Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Vinay NadkarniDepartment of Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Robert A BergDepartment of Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
Robert M SuttonDepartment of Anesthesiology & Critical Care Medicine, Children's Hospital of Philadelphia and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States.
American Heart Association’s Get With The Guidelines®-Resuscitation Investigators

Funding

Training in Critical Care Health Policy ResearchT32HL098054 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Scott D Halpern · 2010 to 2026
$8.2M
Assessing the effectiveness of a digital platform to support the mental health of healthcare workers in the response and recovery phases of COVID-19R01MH127686 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI MERCHANT, RAINA · 2021 to 2023
$3.4M
Digital Phenotyping and Cardiovascular HealthR01HL141844 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI MERCHANT, RAINA · 2019 to 2022
$3.1M
Pulmonary Hypertension-Associated Pediatric Cardiac ArrestK23HL148541 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI MORGAN, RYAN WILLIAM · 2020 to 2024
$791k
Mentoring and Patient Oriented Research in Cardiovascular Health and Digital Data ScienceK24HL157621 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI MERCHANT, RAINA · 2021 to 2025
$615k
NHLBI NIH HHS K23 HL148541NHLBI NIH HHS K24 HL157621NHLBI NIH HHS R01 HL141844NHLBI NIH HHS T32 HL098054NIMH NIH HHS R01 MH127686
6 · The paper itself

Abstract

backgroundBlack patients have worse outcomes after in-hospital cardiac arrest (IHCA). Whether these racial disparities are associated with medical emergency team (MET) evaluation prior to IHCA remains unknown.

methodsA retrospective cohort study of adults age ≥ 18 years from the American Heart Association Get With The Guidelines® Resuscitation registry who had an IHCA between 2000 and 2021 with acute physiologic decline (modified early warning score [MEWS] ≥ 3) during the 24 h prior to IHCA. A propensity-weighted cohort was constructed to balance confounders between Black and White patients. The association between race and MET evaluation was quantified with weighted multivariable logistic regression.

resultsAmong 354,480 patients, 88,507 met the initial inclusion criteria, of which 29,714 patients (median age 69 [IQR 58-79] years, 42.5% female, and 26.9% Black) had acute physiologic decline during the 24 h prior to IHCA. Among patients with acute physiologic decline, 4102 (13.8%) patients had a preceding MET evaluation before IHCA. Rates of MET evaluation prior to cardiac arrest did not differ significantly between Black and White patients with acute physiologic decline (aOR 1.02, 95% CI 0.94-1.11, p = 0.62).

conclusionsThough racial disparities in IHCA outcomes exist, this study did not detect a difference in rates of MET evaluation prior to IHCA among patients with acute physiologic decline as a potential mechanism for these disparities.

Indexed as

Black or African AmericanHeart ArrestHospital Rapid Response TeamWhiteAgedCardiopulmonary ResuscitationEarly Warning ScoreFemaleHumansMaleMiddle AgedRegistriesRetrospective StudiesUnited StatesCardiac arrestHealth equityMedical emergency team

Identifiers

PMID40250545
PMCPMC13123872

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.