Table 2.

Ethnic variation for out-of-hospital cardiac arrest (OOHCA): age at event, witnessed cardiac arrest, initial arrest rhythm, response times and bystander CPR

AuthorAge, Years(mean), p value or ORWitnessed Arrest, p value or ORInitial arrest rhythm of VF/VT p value or ORResponse Time p value or ORBystander CPR, p value or OR
Studies Within the US
Becker et al., 199311NR/NMBlack – 42% White – 49% p < 0.001Black – 17% White – 26% p < 0.001Black – 6 min White – 6 min 18-sec difference between black and white patients (p < 0.001).Black –18% White – 25% p < 0.001
Cowie et al.,199341Black – 61.9 White – 68.2 p < 0.01Black – 53% White – 61% p < 0.12Black – VF 40%, VT 0% White – VF 49%, VT 2% p < 0.09Black – 3.4 min White – 3.4 min p > 0.71Black – 18% White – 32% p < 0.003
Brookoff et al., 199415Black – 61.9 White – 67.4 p = NRBlack – 60% White – 64% p = nsBlack – 44% White – 54% (referent) OR 0.82; 95%CI 0.73–0.93No statistically significant difference between blacks and whites (mean times not stated).Black – 10% White – 21% (referent) OR 0.46 95% CI 0.34–0.61; p < 0.001.
Chu et al., 199812Black – 62 White – 68 p < 0.001Black – 57% White – 61% p = 0.422Black – 37% White – 51% p < 0.01Black – 5.3 min White – 7.0 min p < 0.001Black – 11% White – 20% p = 0.003
Sayegh et al., 199916NR/NMBlack – 53% White – 56% p = 0.41Black – 43% White – 46% p = 0.286ALS ambulance response time <9 min: Black – 88% White – 83% p = 0.039Black – 7% White – 10% p = 0.215
Groeneveld et al., 200348Black – 76 White – 76 p = nsNR/NMNR/NMNR/NMNR/NM
Polentini et al., 2005460.56 (0.48 – 0.66), whites referent Proportions not reported
Fairbanks et al., 200720NR/NMNR/NMBlack – 35% White – 29% p = 0.038Black – 5 min White – 5 min p = NRNR/NM
Galea et al., 200717NR/NMHispanic – 43% Black – 36% White – 42% p < 0.01Hispanic – 15% Black – 12% White – 17% p = 0.06Hispanic – 5 min Black – 4.7 min White – 4.5 min p < 0.01Hispanic – 25% Black – 31% White – 31% p < 0.01
Vadeboncoeur et al., 200853Hispanic – 53.2 Non–Hispanic – 64.5 p = 0.005Hispanic – 44% Non–Hispanic – 50% p = 0.074VF Hispanic – 21% Non-Hispanic – 27% p = 0.036Hispanic – 5.1 min Non-Hispanic – 5.5 min p = 0.006Bystander CPR Hispanic – 32% Non-Hispanic – 42% p < 0.0001 Lay Bystander CPR Hispanic – 16% Non-Hispanic – 26% p = 0.001
Benson et al., 200918Latino – 59.6 African American – 64.7 Caucasian – 69.9 p < 0.05Latino – 40% African American – 36% Caucasian – 48% p < 0.05 – (Caucasian vs. African American) p = ns (Caucasian vs. Latino)Latino – 35% African American – 24% Caucasian – 31% p = nsNR/NMUnivariate %, OR (95% CI) Latino –13%, 0.48 (0.28–0.80) African American – 13%, 0.47 (0.3–0.74) Caucasian – 24% (referent) Multivariate OR (95% CI) Latino – 0.46, 0.23–0.92 African American – 0.67, 0.38 – 1.16
Teodorescu et al., 201019NR/NMNR/NMMultivariate Analysis PEA vs. VF/VT, OR (95%CI): Other Race – 1.02, 0.23 – 4.59 Asian – 0.88, 0.2 – 3.98 Hispanic – 0.32, 0.05 – 2.13 Black – 2.64, 1.29 – 5.38 White – 1.0 (referent) PEA vs. Asystole – OR (95% CI): Other Race – 1.10, 0.17 – 7.05 Asian – 0.26, 0.07–1.03 Hispanic – 1.11, 0.15–8.38 Black – 1.3, 0.65–2.63 White – 1.0 (referent)NR/NMNR/NM
Wilde et al., 201147Black – 61.1 White – 68.5 p < 0.001NR/NMNR/NMBlack – 5.3 mins White – 7.3 mins p < 0.001Black – 72.5% White – 80.4% p < 0.001
McNally et al., 201114NR/NMNR/NMNR/NMNR/NMBlack – 32.8% White – 33.7% Hispanic – 40.2% p < 0.001
Merchant et al, 201154Blacks – 77.4* Whites – 78.1* p=0.01NR/NMVF Blacks – 8%* Whites – 12%* p<0.001NR/NMNR/NM
Studies Outside the US
Hamaad et al., 200645Indo-Asian – 66.0 Afro–Caribbean – 63.7 Caucasian – 68.7 p = nsNR/NMVF Indo -Asian – 30% Afro-Caribbean – 30% Caucasian – 45% p = NRCall to collection time (mins): Caucasian – 28.2 Afro-Caribbean – 31.7 Indo-Asian – 22.6NR/NM
Shah et al., 201051South Asian – 64.6 White – 69.5 p < 0.005South Asian −70% White – 62% (referent) OR = 1.1, 95%CI 1.0 – 1.2South Asian – 30% White –30% (referent) OR = 1.0, 95% CI 0.7–1.3South Asian – 7.46 min White – 7.48 min p = 0.335South Asian – 30% (referent) White – 34% OR = 1.2, 95%CI, 0.9–1.7
AuthorAge, Years(mean), p value or ORWitnessed Arrest, p value or ORInitial arrest rhythm of VF/VT p value or ORResponse Time p value or ORBystander CPR, p value or OR
Studies Within the US
Becker et al., 199311NR/NMBlack – 42% White – 49% p < 0.001Black – 17% White – 26% p < 0.001Black – 6 min White – 6 min 18-sec difference between black and white patients (p < 0.001).Black –18% White – 25% p < 0.001
Cowie et al.,199341Black – 61.9 White – 68.2 p < 0.01Black – 53% White – 61% p < 0.12Black – VF 40%, VT 0% White – VF 49%, VT 2% p < 0.09Black – 3.4 min White – 3.4 min p > 0.71Black – 18% White – 32% p < 0.003
Brookoff et al., 199415Black – 61.9 White – 67.4 p = NRBlack – 60% White – 64% p = nsBlack – 44% White – 54% (referent) OR 0.82; 95%CI 0.73–0.93No statistically significant difference between blacks and whites (mean times not stated).Black – 10% White – 21% (referent) OR 0.46 95% CI 0.34–0.61; p < 0.001.
Chu et al., 199812Black – 62 White – 68 p < 0.001Black – 57% White – 61% p = 0.422Black – 37% White – 51% p < 0.01Black – 5.3 min White – 7.0 min p < 0.001Black – 11% White – 20% p = 0.003
Sayegh et al., 199916NR/NMBlack – 53% White – 56% p = 0.41Black – 43% White – 46% p = 0.286ALS ambulance response time <9 min: Black – 88% White – 83% p = 0.039Black – 7% White – 10% p = 0.215
Groeneveld et al., 200348Black – 76 White – 76 p = nsNR/NMNR/NMNR/NMNR/NM
Polentini et al., 2005460.56 (0.48 – 0.66), whites referent Proportions not reported
Fairbanks et al., 200720NR/NMNR/NMBlack – 35% White – 29% p = 0.038Black – 5 min White – 5 min p = NRNR/NM
Galea et al., 200717NR/NMHispanic – 43% Black – 36% White – 42% p < 0.01Hispanic – 15% Black – 12% White – 17% p = 0.06Hispanic – 5 min Black – 4.7 min White – 4.5 min p < 0.01Hispanic – 25% Black – 31% White – 31% p < 0.01
Vadeboncoeur et al., 200853Hispanic – 53.2 Non–Hispanic – 64.5 p = 0.005Hispanic – 44% Non–Hispanic – 50% p = 0.074VF Hispanic – 21% Non-Hispanic – 27% p = 0.036Hispanic – 5.1 min Non-Hispanic – 5.5 min p = 0.006Bystander CPR Hispanic – 32% Non-Hispanic – 42% p < 0.0001 Lay Bystander CPR Hispanic – 16% Non-Hispanic – 26% p = 0.001
Benson et al., 200918Latino – 59.6 African American – 64.7 Caucasian – 69.9 p < 0.05Latino – 40% African American – 36% Caucasian – 48% p < 0.05 – (Caucasian vs. African American) p = ns (Caucasian vs. Latino)Latino – 35% African American – 24% Caucasian – 31% p = nsNR/NMUnivariate %, OR (95% CI) Latino –13%, 0.48 (0.28–0.80) African American – 13%, 0.47 (0.3–0.74) Caucasian – 24% (referent) Multivariate OR (95% CI) Latino – 0.46, 0.23–0.92 African American – 0.67, 0.38 – 1.16
Teodorescu et al., 201019NR/NMNR/NMMultivariate Analysis PEA vs. VF/VT, OR (95%CI): Other Race – 1.02, 0.23 – 4.59 Asian – 0.88, 0.2 – 3.98 Hispanic – 0.32, 0.05 – 2.13 Black – 2.64, 1.29 – 5.38 White – 1.0 (referent) PEA vs. Asystole – OR (95% CI): Other Race – 1.10, 0.17 – 7.05 Asian – 0.26, 0.07–1.03 Hispanic – 1.11, 0.15–8.38 Black – 1.3, 0.65–2.63 White – 1.0 (referent)NR/NMNR/NM
Wilde et al., 201147Black – 61.1 White – 68.5 p < 0.001NR/NMNR/NMBlack – 5.3 mins White – 7.3 mins p < 0.001Black – 72.5% White – 80.4% p < 0.001
McNally et al., 201114NR/NMNR/NMNR/NMNR/NMBlack – 32.8% White – 33.7% Hispanic – 40.2% p < 0.001
Merchant et al, 201154Blacks – 77.4* Whites – 78.1* p=0.01NR/NMVF Blacks – 8%* Whites – 12%* p<0.001NR/NMNR/NM
Studies Outside the US
Hamaad et al., 200645Indo-Asian – 66.0 Afro–Caribbean – 63.7 Caucasian – 68.7 p = nsNR/NMVF Indo -Asian – 30% Afro-Caribbean – 30% Caucasian – 45% p = NRCall to collection time (mins): Caucasian – 28.2 Afro-Caribbean – 31.7 Indo-Asian – 22.6NR/NM
Shah et al., 201051South Asian – 64.6 White – 69.5 p < 0.005South Asian −70% White – 62% (referent) OR = 1.1, 95%CI 1.0 – 1.2South Asian – 30% White –30% (referent) OR = 1.0, 95% CI 0.7–1.3South Asian – 7.46 min White – 7.48 min p = 0.335South Asian – 30% (referent) White – 34% OR = 1.2, 95%CI, 0.9–1.7
*

Cohort limited to patients resuscitated from cardiac arrest and subsequently hospitalised

Refers to EMS-provided CPR and not Bystander CPR; Percentages are reported to the nearest whole number

Abbreviations: CI: confidence interval, CPR: cardiopulmonary resuscitation, NM: not measured, NR: not reported, ns: non-significant, OR: odds ratio, VF/VT – ventricular fibrillation/ventricular tachycardia ED: emergency department, EMS: emergency medical services, OOHCA: out-of-hospital cardiac arrest, PEA: pulseless electrical activity, VF/VT ventricular fibrillation/ventricular tachycardia.

Table 2.

Ethnic variation for out-of-hospital cardiac arrest (OOHCA): age at event, witnessed cardiac arrest, initial arrest rhythm, response times and bystander CPR

AuthorAge, Years(mean), p value or ORWitnessed Arrest, p value or ORInitial arrest rhythm of VF/VT p value or ORResponse Time p value or ORBystander CPR, p value or OR
Studies Within the US
Becker et al., 199311NR/NMBlack – 42% White – 49% p < 0.001Black – 17% White – 26% p < 0.001Black – 6 min White – 6 min 18-sec difference between black and white patients (p < 0.001).Black –18% White – 25% p < 0.001
Cowie et al.,199341Black – 61.9 White – 68.2 p < 0.01Black – 53% White – 61% p < 0.12Black – VF 40%, VT 0% White – VF 49%, VT 2% p < 0.09Black – 3.4 min White – 3.4 min p > 0.71Black – 18% White – 32% p < 0.003
Brookoff et al., 199415Black – 61.9 White – 67.4 p = NRBlack – 60% White – 64% p = nsBlack – 44% White – 54% (referent) OR 0.82; 95%CI 0.73–0.93No statistically significant difference between blacks and whites (mean times not stated).Black – 10% White – 21% (referent) OR 0.46 95% CI 0.34–0.61; p < 0.001.
Chu et al., 199812Black – 62 White – 68 p < 0.001Black – 57% White – 61% p = 0.422Black – 37% White – 51% p < 0.01Black – 5.3 min White – 7.0 min p < 0.001Black – 11% White – 20% p = 0.003
Sayegh et al., 199916NR/NMBlack – 53% White – 56% p = 0.41Black – 43% White – 46% p = 0.286ALS ambulance response time <9 min: Black – 88% White – 83% p = 0.039Black – 7% White – 10% p = 0.215
Groeneveld et al., 200348Black – 76 White – 76 p = nsNR/NMNR/NMNR/NMNR/NM
Polentini et al., 2005460.56 (0.48 – 0.66), whites referent Proportions not reported
Fairbanks et al., 200720NR/NMNR/NMBlack – 35% White – 29% p = 0.038Black – 5 min White – 5 min p = NRNR/NM
Galea et al., 200717NR/NMHispanic – 43% Black – 36% White – 42% p < 0.01Hispanic – 15% Black – 12% White – 17% p = 0.06Hispanic – 5 min Black – 4.7 min White – 4.5 min p < 0.01Hispanic – 25% Black – 31% White – 31% p < 0.01
Vadeboncoeur et al., 200853Hispanic – 53.2 Non–Hispanic – 64.5 p = 0.005Hispanic – 44% Non–Hispanic – 50% p = 0.074VF Hispanic – 21% Non-Hispanic – 27% p = 0.036Hispanic – 5.1 min Non-Hispanic – 5.5 min p = 0.006Bystander CPR Hispanic – 32% Non-Hispanic – 42% p < 0.0001 Lay Bystander CPR Hispanic – 16% Non-Hispanic – 26% p = 0.001
Benson et al., 200918Latino – 59.6 African American – 64.7 Caucasian – 69.9 p < 0.05Latino – 40% African American – 36% Caucasian – 48% p < 0.05 – (Caucasian vs. African American) p = ns (Caucasian vs. Latino)Latino – 35% African American – 24% Caucasian – 31% p = nsNR/NMUnivariate %, OR (95% CI) Latino –13%, 0.48 (0.28–0.80) African American – 13%, 0.47 (0.3–0.74) Caucasian – 24% (referent) Multivariate OR (95% CI) Latino – 0.46, 0.23–0.92 African American – 0.67, 0.38 – 1.16
Teodorescu et al., 201019NR/NMNR/NMMultivariate Analysis PEA vs. VF/VT, OR (95%CI): Other Race – 1.02, 0.23 – 4.59 Asian – 0.88, 0.2 – 3.98 Hispanic – 0.32, 0.05 – 2.13 Black – 2.64, 1.29 – 5.38 White – 1.0 (referent) PEA vs. Asystole – OR (95% CI): Other Race – 1.10, 0.17 – 7.05 Asian – 0.26, 0.07–1.03 Hispanic – 1.11, 0.15–8.38 Black – 1.3, 0.65–2.63 White – 1.0 (referent)NR/NMNR/NM
Wilde et al., 201147Black – 61.1 White – 68.5 p < 0.001NR/NMNR/NMBlack – 5.3 mins White – 7.3 mins p < 0.001Black – 72.5% White – 80.4% p < 0.001
McNally et al., 201114NR/NMNR/NMNR/NMNR/NMBlack – 32.8% White – 33.7% Hispanic – 40.2% p < 0.001
Merchant et al, 201154Blacks – 77.4* Whites – 78.1* p=0.01NR/NMVF Blacks – 8%* Whites – 12%* p<0.001NR/NMNR/NM
Studies Outside the US
Hamaad et al., 200645Indo-Asian – 66.0 Afro–Caribbean – 63.7 Caucasian – 68.7 p = nsNR/NMVF Indo -Asian – 30% Afro-Caribbean – 30% Caucasian – 45% p = NRCall to collection time (mins): Caucasian – 28.2 Afro-Caribbean – 31.7 Indo-Asian – 22.6NR/NM
Shah et al., 201051South Asian – 64.6 White – 69.5 p < 0.005South Asian −70% White – 62% (referent) OR = 1.1, 95%CI 1.0 – 1.2South Asian – 30% White –30% (referent) OR = 1.0, 95% CI 0.7–1.3South Asian – 7.46 min White – 7.48 min p = 0.335South Asian – 30% (referent) White – 34% OR = 1.2, 95%CI, 0.9–1.7
AuthorAge, Years(mean), p value or ORWitnessed Arrest, p value or ORInitial arrest rhythm of VF/VT p value or ORResponse Time p value or ORBystander CPR, p value or OR
Studies Within the US
Becker et al., 199311NR/NMBlack – 42% White – 49% p < 0.001Black – 17% White – 26% p < 0.001Black – 6 min White – 6 min 18-sec difference between black and white patients (p < 0.001).Black –18% White – 25% p < 0.001
Cowie et al.,199341Black – 61.9 White – 68.2 p < 0.01Black – 53% White – 61% p < 0.12Black – VF 40%, VT 0% White – VF 49%, VT 2% p < 0.09Black – 3.4 min White – 3.4 min p > 0.71Black – 18% White – 32% p < 0.003
Brookoff et al., 199415Black – 61.9 White – 67.4 p = NRBlack – 60% White – 64% p = nsBlack – 44% White – 54% (referent) OR 0.82; 95%CI 0.73–0.93No statistically significant difference between blacks and whites (mean times not stated).Black – 10% White – 21% (referent) OR 0.46 95% CI 0.34–0.61; p < 0.001.
Chu et al., 199812Black – 62 White – 68 p < 0.001Black – 57% White – 61% p = 0.422Black – 37% White – 51% p < 0.01Black – 5.3 min White – 7.0 min p < 0.001Black – 11% White – 20% p = 0.003
Sayegh et al., 199916NR/NMBlack – 53% White – 56% p = 0.41Black – 43% White – 46% p = 0.286ALS ambulance response time <9 min: Black – 88% White – 83% p = 0.039Black – 7% White – 10% p = 0.215
Groeneveld et al., 200348Black – 76 White – 76 p = nsNR/NMNR/NMNR/NMNR/NM
Polentini et al., 2005460.56 (0.48 – 0.66), whites referent Proportions not reported
Fairbanks et al., 200720NR/NMNR/NMBlack – 35% White – 29% p = 0.038Black – 5 min White – 5 min p = NRNR/NM
Galea et al., 200717NR/NMHispanic – 43% Black – 36% White – 42% p < 0.01Hispanic – 15% Black – 12% White – 17% p = 0.06Hispanic – 5 min Black – 4.7 min White – 4.5 min p < 0.01Hispanic – 25% Black – 31% White – 31% p < 0.01
Vadeboncoeur et al., 200853Hispanic – 53.2 Non–Hispanic – 64.5 p = 0.005Hispanic – 44% Non–Hispanic – 50% p = 0.074VF Hispanic – 21% Non-Hispanic – 27% p = 0.036Hispanic – 5.1 min Non-Hispanic – 5.5 min p = 0.006Bystander CPR Hispanic – 32% Non-Hispanic – 42% p < 0.0001 Lay Bystander CPR Hispanic – 16% Non-Hispanic – 26% p = 0.001
Benson et al., 200918Latino – 59.6 African American – 64.7 Caucasian – 69.9 p < 0.05Latino – 40% African American – 36% Caucasian – 48% p < 0.05 – (Caucasian vs. African American) p = ns (Caucasian vs. Latino)Latino – 35% African American – 24% Caucasian – 31% p = nsNR/NMUnivariate %, OR (95% CI) Latino –13%, 0.48 (0.28–0.80) African American – 13%, 0.47 (0.3–0.74) Caucasian – 24% (referent) Multivariate OR (95% CI) Latino – 0.46, 0.23–0.92 African American – 0.67, 0.38 – 1.16
Teodorescu et al., 201019NR/NMNR/NMMultivariate Analysis PEA vs. VF/VT, OR (95%CI): Other Race – 1.02, 0.23 – 4.59 Asian – 0.88, 0.2 – 3.98 Hispanic – 0.32, 0.05 – 2.13 Black – 2.64, 1.29 – 5.38 White – 1.0 (referent) PEA vs. Asystole – OR (95% CI): Other Race – 1.10, 0.17 – 7.05 Asian – 0.26, 0.07–1.03 Hispanic – 1.11, 0.15–8.38 Black – 1.3, 0.65–2.63 White – 1.0 (referent)NR/NMNR/NM
Wilde et al., 201147Black – 61.1 White – 68.5 p < 0.001NR/NMNR/NMBlack – 5.3 mins White – 7.3 mins p < 0.001Black – 72.5% White – 80.4% p < 0.001
McNally et al., 201114NR/NMNR/NMNR/NMNR/NMBlack – 32.8% White – 33.7% Hispanic – 40.2% p < 0.001
Merchant et al, 201154Blacks – 77.4* Whites – 78.1* p=0.01NR/NMVF Blacks – 8%* Whites – 12%* p<0.001NR/NMNR/NM
Studies Outside the US
Hamaad et al., 200645Indo-Asian – 66.0 Afro–Caribbean – 63.7 Caucasian – 68.7 p = nsNR/NMVF Indo -Asian – 30% Afro-Caribbean – 30% Caucasian – 45% p = NRCall to collection time (mins): Caucasian – 28.2 Afro-Caribbean – 31.7 Indo-Asian – 22.6NR/NM
Shah et al., 201051South Asian – 64.6 White – 69.5 p < 0.005South Asian −70% White – 62% (referent) OR = 1.1, 95%CI 1.0 – 1.2South Asian – 30% White –30% (referent) OR = 1.0, 95% CI 0.7–1.3South Asian – 7.46 min White – 7.48 min p = 0.335South Asian – 30% (referent) White – 34% OR = 1.2, 95%CI, 0.9–1.7
*

Cohort limited to patients resuscitated from cardiac arrest and subsequently hospitalised

Refers to EMS-provided CPR and not Bystander CPR; Percentages are reported to the nearest whole number

Abbreviations: CI: confidence interval, CPR: cardiopulmonary resuscitation, NM: not measured, NR: not reported, ns: non-significant, OR: odds ratio, VF/VT – ventricular fibrillation/ventricular tachycardia ED: emergency department, EMS: emergency medical services, OOHCA: out-of-hospital cardiac arrest, PEA: pulseless electrical activity, VF/VT ventricular fibrillation/ventricular tachycardia.

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