种族和复苏:在住院心脏骤停后生存的发展趋势
Amira Mohamed1, Luke Andrea1, Michelle Ng Gong1
1Montefiore Medical Center Albert Einstein College of Medicine Bronx NY USA.
Journal of the American Heart Association
|December 17, 2025
概括
心脏骤停后存活到出院的种族差异已经缩小. 然而,黑人患者的神经生存率较差,这表明需要改善心脏骤停后的护理.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 健康 公平 卫生 公平
背景情况:
- 医院内心脏骤停的生存率有所改善.
- 之前的研究表明,与白人患者相比,黑人患者的结果更差.
- 近年来种族差异的持续性仍然不清楚.
研究的目的:
- 调查最近在医院内心脏骤停后的结果中的种族差异趋势.
- 为了比较黑人和白人患者之间的存活率和医院出院和神经学结果.
主要方法:
- 使用来自Get With The Guidelines-Resuscitation注册表 (2015-2022) 的数据进行的观察性队列研究.
- 多变量通用估计方程模型评估了患者种族与生存之间的关联.
- 根据患者,逮捕和医院的特征进行调整,包括自发循环的恢复和有利的神经生存.
主要成果:
- 在156,528名患者中,有40,874人是黑人,115,654人是白人.
- 在黑人和白人患者 (23.2%对20.0%) 之间,调整后存活到出院的时间相似.
- 白人患者的神经生存率较高 (16.0%对12.6%).
结论:
- 在心脏骤停后存活到出院的种族差异在很大程度上得到解决.
- 在有利的神经结果的差异仍然存在,这表明在复苏后的护理中存在不平等.
- 需要进一步研究在复苏后护理中可修改的因素.
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