Abstract 96: Healthcare Disparity: Post--Cardiac Arrest Care Knows No Color Barriers
Background: A clinical manifestation of several diseases (e.g. Diabetes Mellitus, Hypertension, and Coronary Artery Disease) in African-Americans and other non-Caucasian populations is cardiac arrest. Since many studies have confirmed healthcare disparities in patients of color, we explored whether cardiac arrest care varied by race in a large metropolitan hospital drawing from a diverse population of over half a million (38% non-Caucasian 35% African-American) served by a diverse physician group.
Methods: We evaluated 170 survivors of non-traumatic out-of-hospital cardiac arrest (age 63 ± 16, 62.4% males). To index appropriateness and vigor of resuscitation and post-arrest care, we studied the factors listed in the table below together with: hypothermia therapy, withdrawal of care and survival to discharge in Caucasians vs. Non-Caucasians. Data were analyzed using Chi-square test and T-test. Data are reported as percentage, mean and standard deviation or median and 25th/75th quartiles.
Results: Of 170 patients, 47 were non-Caucasian with 44 being African-American and 3 Hispanic. The incidence of VF/VT was comparable in Caucasians and non Caucasians as was the time to Return of Spontaneous Circulation (ROSC), the use of epinephrine, or therapeutic hypothermia. Similarly, care delivery was comparable with no difference in the length of hospital stay, use of testing, withdrawal of support or early care withdrawal. There was a trend to a greater likelihood of bystander CPR in non Caucasians; however, survival to discharge or neurological status was not affected, and remained comparable in both patient groups.
Conclusion: These data demonstrate that irrespective of healthcare disparities that may exist early during disease, following cardiac arrest, therapy is color blind.
- © 2012 by American Heart Association, Inc.