Bystander cardiopulmonary resuscitation for out-of-hospital cardiac arrest in the Hispanic vs the non-Hispanic populations
| Autor: | Lani Clark, Vatsal Chikani, Michael Darkoh, Bentley J. Bobrow, Tyler F. Vadeboncoeur, Peter B. Richman |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male Emergency Medical Services medicine.medical_specialty Resuscitation Statistics Nonparametric Out of hospital cardiac arrest Intensive care medicine Hospital discharge Humans Bystander cardiopulmonary resuscitation Hispanic population Asystole Aged Aged 80 and over Chi-Square Distribution business.industry Arizona Hispanic or Latino General Medicine Middle Aged medicine.disease Cardiopulmonary Resuscitation Heart Arrest Surgery Survival Rate Logistic Models Ventricular fibrillation Emergency medicine Emergency Medicine Female business |
| Zdroj: | The American Journal of Emergency Medicine. 26:655-660 |
| ISSN: | 0735-6757 |
| DOI: | 10.1016/j.ajem.2007.10.002 |
| Popis: | Study Objective: The aim of this study is to compare rates of bystander cardiopulmonary resuscitation (CPR) for Hispanic and non-Hispanic out-of-hospital cardiac arrest (OOHCA) victims in Arizona. Methods: This is a secondary analysis of consecutive OOHCA victims prospectively enrolled into our statewide OOHCA quality improvement database between November 2004 and November 2006. Continuous data are presented as means ± SDs and analyzed using t tests; categorical data are presented as frequency of occurrence and analyzed using χ 2 . The primary outcome was whether bystander CPR rates were different for Hispanic vs non-Hispanic OOHCA victims. Secondary comparisons were initial cardiac rhythms and survival to hospital discharge. Results: There were 2411 OOHCA victims during the period of analysis. A total of 952 arrests were excluded because ethnicity was not documented; 80 arrests were excluded because they were traumatic. A total of 1379 arrests were included for analysis, of which 273 (19.8%) were Hispanic. Hispanics were less likely to receive bystander CPR than non-Hispanics (32.2% vs 41.5%; P b .0001). Hispanics and non-Hispanics were dissimilar with respect to age (53.2 ± 25 vs 64.5 ± 19.3 years; P = .0001), paramedic response time (5.1 vs 5.5 minutes; P = .0006), initial rhythm asystole (53.8% vs 44.5%; P = .005), and initial rhythm ventricular fibrillation (20.5% vs 26.7%; P = .036). Survival to hospital discharge (8.1% vs 7.1%) was not statistically different. Conclusion: In the state of Arizona, significantly fewer Hispanic OOHCA victims receive bystander CPR than non-Hispanics. |
| Databáze: | OpenAIRE |
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