ICU assessments before cardiac arrest increase
DALLAS, October 31, 2022 – While racial disparities in survival after in-hospital cardiac arrest among blacks and whites are known, both groups had similar odds of receiving an intensive care unit (ICU) evaluation. before cardiac arrest. Receiving an ICU assessment before cardiac arrest improved survival rates by 15% in black people, according to preliminary research to be presented at the American Heart Association’s 2022 Symposium on the Science of Resuscitation. The 2022 meeting will be held in person in Chicago, November 5-6. , 2022, and will present the most recent advances related to the treatment of cardiorespiratory arrests and life-threatening traumatic injuries.
For this study, researchers analyzed data from more than 28,000 adults, ages 18 and older, who suffered cardiac arrest in a part of the hospital outside the ICU between 2000 and 2021, from ‘American Heart Association Get With The Guidelines®-Resuscitation Record. Before having a cardiac arrest, all people had been identified (by a standardized system) as being at risk of requiring more interventions to prevent cardiac arrest.
The study compared the frequency with which a specialized ICU assessment was performed in blacks versus whites. Additionally, the researchers assessed whether this ICU assessment may have had an impact on the survival of black patients. They did not perform the same analysis on survival in whites, since survival after cardiac arrest is known to be worse in black adults than in white adults.
Of all registry participants, with an average age of 68 and 42% female, approximately 2,400 (9 out of 100) received specialist assessment by the intensive care team. The researchers found no difference in how often the intensive care team assessed black or white patients before cardiac arrest. Specifically, they found that ICU assessment before cardiac arrest improved survival in black people by 15%.
“Assessment of intensive care for black people at risk of cardiac arrest is important because it is already known that black people have overall lower survival rates from cardiac arrest than white people. If there is little difference in the rates at which these ICU assessments are performed, further exploration of what might be driving these survival disparities is critical,” said the study’s lead author. Cody Gathers, MD, critical care researcher in the pediatric intensive care unit at Children’s Hospital of Philadelphia. “And the medical community should continue to appropriately recognize patient needs and prioritize early critical care assessment before cardiac arrest, especially since our results indicate that such assessments can significantly improve adult survival. black.”
The results of the study are not generalizable to people from other diverse racial or ethnic groups. In addition, the study results apply only to hospitals that participate in the database used for this study.
Get With The Guidelines is the American Heart Association/American Stroke Association’s hospital quality improvement program that provides hospitals with the latest research-based guidelines to facilitate the delivery of consistent quality care. Developed with the goal of saving lives and speeding recovery, Get With The Guidelines has touched the lives of more than 10 million patients since 2001.
Co-authors are Ryan W. Morgan, MD, MTR; Jessica Alvey, MS; Ron Reeder, Ph.D.; Zachary D. Goldberger, MD, FAHA; Jessica Fowler, MD, MPH; Maryam Naim, MD, MSCE; Amanda O’Halloran, MD; Raina Merchant, MD, MSHP, FAHA; Martha Kienzle, MD; Vinay M. Nadkarni, MD, FAHA; Robert A. Berg, MD, FAHA; and Robert M. Sutton, MD, MSCE, FAHA. Author disclosures are listed in the abstract.
The study was funded in part by a 2020 American Heart Association Early Career Investigator Award to Dr. Gathers.
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The American Heart Association’s 2022 Resuscitation Science Symposium (ReSS) is an international forum for basic, translational, clinical, and population scientists and healthcare professionals to discuss recent advances related to the treatment of cardiorespiratory arrest and injury life-threatening injuries. The meeting will take place Saturday-Sunday November 5-6, 2022 in Chicago and will feature the latest scientific research focused on understanding the shared pathophysiology between cardiac arrest and traumatic injury. The 2022 Resuscitation Science Symposium program is planned by the American Heart Association’s Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation. The meeting is of particular interest to emergency physicians, trauma surgeons, neurosurgeons, cardiologists, critical care nurses, intensivists, emergency medical care providers, resuscitation educators and researchers with basic experience. , in bioengineering, clinical or otherwise related to the treatment of cardiac arrest and trauma. . Follow the conference on Twitter at @ReSS22.
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