Observational studyJournal of the American Heart Association2026
Race and Resuscitation: Evolving Trends in Survival After In-Hospital Cardiac Arrest.
Observational study in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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10 authors.
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Abstract
backgroundSurvival after in-hospital cardiac arrest has improved over the past 2 decades, yet prior studies have documented worse outcomes among Black compared with White patients. Although the racial survival gap narrowed through 2014, it remains unclear whether disparities persist in more recent years.
methodsWe conducted an observational cohort study using in-hospital cardiac arrest data from the Get With The Guidelines-Resuscitation registry from 2015 to 2022. Multivariable models using generalized estimating equations evaluated the association between patient race (White versus Black) and survival to hospital discharge, accounting for clustering by hospital. Secondary outcomes included return of spontaneous circulation and favorable neurological survival (ie, survival without severe neurologic disability). Models were adjusted for patient, arrest, and hospital characteristics.
resultsAmong 156 528 patients, 40 874 were Black and 115 654 were White. Black patients were younger, more often female, and had higher rates of diabetes, renal insufficiency, and respiratory insufficiency, whereas White patients had more prior myocardial infarctions. After adjustment, survival to discharge was similar between races (23.2% versus 20.0%; adjusted odds ratio [aOR], 1.03 [95% CI, 0.99-1.00],
conclusionsAlthough racial differences in survival to discharge have largely resolved, disparities in favorable neurological outcomes persist, suggesting potentially modifiable differences in postresuscitation care.
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