在5个种族/民族群体中,医院外心脏骤停结果的差异
Kenton L Anderson1, Monica R Saxena1, Loretta W Matheson1
1Department of Emergency Medicine, Stanford University School of Medicine, Palo Alto, California.
Prehospital emergency care
|April 3, 2024
概括
在非医院心脏骤停 (OHCA) 存活率方面,种族和民族差异仍然存在. 与白人患者相比,黑人,亚裔,西班牙裔和太平洋岛民患者的存活率较低,这表明对公平护理的关键需求.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 医院外心脏骤停 (OHCA) 是成年人死亡的一个重要原因.
- 现有的研究突出了OHCA的种族/民族生存差异,但往往集中在单个群体上.
- 了解多个群体之间的这些差异对于有针对性的干预至关重要.
研究的目的:
- 调查五个不同的种族/民族群体的OHCA变量和生存结果.
- 确定可能导致OHCA患者生存率差异的潜在因素.
- 提供OHCA结果中种族/民族差异的全面分析.
主要方法:
- 从心脏骤停注册以提高生存率 (CARES) 的成年OHCA病例的回顾性审查.
- 从旧金山湾区的三个不同的城市县收集的数据 (2009年5月 - 2021年10月).
- 通过人口统计学,EMS反应,逮捕特征和医院干预来分析生存结果,并计算调整后的风险比率.
主要成果:
- 分析包括10757名OHCA患者,包括白人,黑人,亚洲人,西班牙裔和太平洋岛民.
- 与白人患者相比,在黑人 (0.79),亚洲 (0.78),西班牙裔 (0.79) 和太平洋岛民 (0.78) 组中观察到生存到出院的调整后风险比率明显较低.
- 所有四个少数群体也显示了较低的风险差异的积极的神经结果.
结论:
- 与白人相比,患有OHCA的黑人,亚洲人,西班牙裔和太平洋岛民的生存到出院的可能性降低了.
- 没有任何特定的变量一致解释了这四个种族/民族群体的生存率下降.
- 这些发现强调了OHCA护理和结果的持续不平等,需要进一步调查和有针对性的解决方案.
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