Bystander cardiopulmonary resuscitation for out-of-hospital cardiac arrest in the Hispanic vs the non-Hispanic populations

Tyler F. Vadeboncoeur, Peter B. Richman, Michael Darkoh, Vatsal Chikani, Lani Clark, Bentley J Bobrow

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

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 χ2. 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 < .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.

Original languageEnglish (US)
Pages (from-to)655-660
Number of pages6
JournalAmerican Journal of Emergency Medicine
Volume26
Issue number6
DOIs
StatePublished - Jul 2008

Fingerprint

Out-of-Hospital Cardiac Arrest
Cardiopulmonary Resuscitation
Hispanic Americans
Population
Allied Health Personnel
Ventricular Fibrillation
Quality Improvement
Heart Arrest
Reaction Time
Demography
Databases

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Bystander cardiopulmonary resuscitation for out-of-hospital cardiac arrest in the Hispanic vs the non-Hispanic populations. / Vadeboncoeur, Tyler F.; Richman, Peter B.; Darkoh, Michael; Chikani, Vatsal; Clark, Lani; Bobrow, Bentley J.

In: American Journal of Emergency Medicine, Vol. 26, No. 6, 07.2008, p. 655-660.

Research output: Contribution to journalArticle

Vadeboncoeur, Tyler F. ; Richman, Peter B. ; Darkoh, Michael ; Chikani, Vatsal ; Clark, Lani ; Bobrow, Bentley J. / Bystander cardiopulmonary resuscitation for out-of-hospital cardiac arrest in the Hispanic vs the non-Hispanic populations. In: American Journal of Emergency Medicine. 2008 ; Vol. 26, No. 6. pp. 655-660.
@article{232405a5c78744d0875ae6d0d6a5464f,
title = "Bystander cardiopulmonary resuscitation for out-of-hospital cardiac arrest in the Hispanic vs the non-Hispanic populations",
abstract = "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 χ2. 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 < .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.",
author = "Vadeboncoeur, {Tyler F.} and Richman, {Peter B.} and Michael Darkoh and Vatsal Chikani and Lani Clark and Bobrow, {Bentley J}",
year = "2008",
month = "7",
doi = "10.1016/j.ajem.2007.10.002",
language = "English (US)",
volume = "26",
pages = "655--660",
journal = "American Journal of Emergency Medicine",
issn = "0735-6757",
publisher = "W.B. Saunders Ltd",
number = "6",

}

TY - JOUR

T1 - Bystander cardiopulmonary resuscitation for out-of-hospital cardiac arrest in the Hispanic vs the non-Hispanic populations

AU - Vadeboncoeur, Tyler F.

AU - Richman, Peter B.

AU - Darkoh, Michael

AU - Chikani, Vatsal

AU - Clark, Lani

AU - Bobrow, Bentley J

PY - 2008/7

Y1 - 2008/7

N2 - 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 χ2. 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 < .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.

AB - 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 χ2. 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 < .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.

UR - http://www.scopus.com/inward/record.url?scp=46249103581&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=46249103581&partnerID=8YFLogxK

U2 - 10.1016/j.ajem.2007.10.002

DO - 10.1016/j.ajem.2007.10.002

M3 - Article

C2 - 18606316

AN - SCOPUS:46249103581

VL - 26

SP - 655

EP - 660

JO - American Journal of Emergency Medicine

JF - American Journal of Emergency Medicine

SN - 0735-6757

IS - 6

ER -