Socioeconomic status and outcomes after in-hospital cardiac arrest

Stanković, Nikola; Holmberg, Mathias J.; Granfeldt, Asger; Andersen, Lars W.

doi:10.1016/j.resuscitation.2022.08.014

Cited by 4 publications

(1 citation statement)

References 38 publications

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“…Most of this difference could be attributed to many black patients being treated in hospitals with worse overall cardiac arrest outcomes. A DANNAREST registry study showed higher household assets were associated with increased survival to 30 days [aOR (adjusted odds ratio) 1.49, 95% CI 1.14–1.96] and one year (aOR 1.40, 95% CI 1.04–1.90) and a 2.8 min longer duration of resuscitation attempt in those with ROSC [16]. Not all the disparities observed in studies can be explained by underlying disease processes – where they exist, tackling conscious and unconscious biases and deficiencies in care at an individual, team and organizational level to remove disparities should be an essential part of improving outcomes from IHCA.…”

Section: Disparities In Carementioning

confidence: 99%

In-hospital cardiac arrest

Soar

2023

Current Opinion in Critical Care

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Purpose of reviewTo describe our knowledge about in-hospital cardiac arrest (IHCA) including recent developments.Recent findingsImproving trends in IHCA outcomes appear to have stalled or reversed since the COVID-19 pandemic. There are disparities in care based on patient sex, ethnicity and socioeconomic status that need to be tackled. The increased use of emergency treatment plans that include do-not attempt cardiopulmonary resuscitation recommendations will help to decrease the number of resuscitation attempts. System approaches and strong local leadership through resuscitation champions can improve patient outcomes.SummaryIn-hospital cardiac arrest is a global health problem with a 25% survival in high-income settings. There remain significant opportunities to both decrease the incidence of, and outcomes from IHCA.

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Section: Disparities In Carementioning

confidence: 99%