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Treatment and survival following in-hospital cardiac arrest: does patient ethnicity matter?
Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.ORCID iD: 0000-0001-6134-0058
Linnaeus University, School of Business and Economics, Department of Economics and Statistics.ORCID iD: 0000-0002-5620-4745
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. (iCARE)ORCID iD: 0000-0001-7865-3480
Sahlgrenska University Hospital, Sweden;University of Borås, Sweden.
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2022 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 21, no 4, p. 341-347Article in journal (Refereed) Published
Sustainable development
SDG 3: Ensure healthy lives and promote well-being for all at all ages
Abstract [en]

Aims 

Previous research on racial/ethnic disparities in relation to cardiac arrest has mainly focused on black vs. white disparities in the USA. The great majority of these studies concerns out-of-hospital cardiac arrest (OHCA). The current nationwide registry study aims to explore whether there are ethnic differences in treatment and survival following in-hospital cardiac arrest (IHCA), examining possible disparities towards Middle Eastern and African minorities in a European context.

Methods and results

In this retrospective registry study, 24 217 patients from the IHCA part of the Swedish Registry of Cardiopulmonary Resuscitation were included. Data on patient ethnicity were obtained from Statistics Sweden. Regression analysis was performed to assess the impact of ethnicity on cardiopulmonary resuscitation (CPR) delay, CPR duration, survival immediately after CPR, and the medical team’s reported satisfaction with the treatment. Middle Eastern and African patients were not treated significantly different compared to Nordic patients when controlling for hospital, year, age, sex, socioeconomic status, comorbidity, aetiology, and initial heart rhythm. Interestingly, we find that Middle Eastern patients were more likely to survive than Nordic patients (odds ratio = 1.52).

Conclusion

Overall, hospital staff do not appear to treat IHCA patients differently based on their ethnicity. Nevertheless, Middle Eastern patients are more likely to survive IHCA.

Place, publisher, year, edition, pages
Oxford University Press, 2022. Vol. 21, no 4, p. 341-347
Keywords [en]
Cardiac arrest, Ethnicity, Disparities, Survival
National Category
Medical Ethics
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-106994DOI: 10.1093/eurjcn/zvab079ISI: 000790204300001PubMedID: 34524428Scopus ID: 2-s2.0-85131270919Local ID: 2021OAI: oai:DiVA.org:lnu-106994DiVA, id: diva2:1594578
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2018-00256Available from: 2021-09-15 Created: 2021-09-15 Last updated: 2024-01-11Bibliographically approved

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Agerström, JensCarlsson, MagnusBremer, AndersÅrestedt, KristoferIsraelsson, Johan
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Medical Ethics

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