Outcomes after out-of-hospital cardiac arrest in immigrants vs natives in Denmark
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Outcomes after out-of-hospital cardiac arrest in immigrants vs natives in Denmark. / Rajan, Deepthi; Garcia, Rodrigue; Barcella, Carlo A.; Svane, Jesper; Warming, Peder E.; Jabbari, Reza; Gislason, Gunnar H.; Torp-Pedersen, Christian; Folke, Fredrik; Tfelt-Hansen, Jacob.
I: Resuscitation, Bind 190, 109872, 2023.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Outcomes after out-of-hospital cardiac arrest in immigrants vs natives in Denmark
AU - Rajan, Deepthi
AU - Garcia, Rodrigue
AU - Barcella, Carlo A.
AU - Svane, Jesper
AU - Warming, Peder E.
AU - Jabbari, Reza
AU - Gislason, Gunnar H.
AU - Torp-Pedersen, Christian
AU - Folke, Fredrik
AU - Tfelt-Hansen, Jacob
N1 - Publisher Copyright: © 2023 The Author(s)
PY - 2023
Y1 - 2023
N2 - Aims: Ethnic disparities subsist in out-of-hospital cardiac arrest (OHCA) outcomes in the US, yet it is unresolved whether similar inequalities exist in European countries. This study compared survival after OHCA and its determinants in immigrants and non-immigrants in Denmark. Methods: Using the nationwide Danish Cardiac Arrest Register, 37,622 OHCAs of presumed cardiac cause between 2001 and 2019 were included, 95% in non-immigrants and 5% in immigrants. Univariate and multiple logistic regression was used to assess disparities in treatments, return of spontaneous circulation (ROSC) at hospital arrival, and 30-day survival. Results: Immigrants were younger at OHCA (median 64 [IQR 53–72] vs 68 [59–74] years; p < 0.05), had more prior myocardial infarction (15% vs 12%, p < 0.05), more diabetes (27% vs 19%, p < 0.05), and were more often witnessed (56% vs 53%; p < 0.05). Immigrants received similar bystander cardiopulmonary resuscitation and defibrillation rates to non-immigrants, but more coronary angiographies (15% vs 13%; p < 0.05) and percutaneous coronary interventions (10% vs 8%, p < 0.05), although this was insignificant after age-adjustment. Immigrants had higher ROSC at hospital arrival (28% vs 26%; p < 0.05) and 30-day survival (18% vs 16%; p < 0.05) compared to non-immigrants, but adjusting for age, sex, witness status, first observed rhythm, diabetes, and heart failure rendered the difference non-significant (odds ratios (OR) 1.03, 95% confidence interval (CI) 0.92–1.16 and OR 1.05, 95% CI 0.91–1.20, respectively). Conclusions: OHCA management was similar between immigrants and non-immigrants, resulting in similar ROSC at hospital arrival and 30-day survival after adjustments.
AB - Aims: Ethnic disparities subsist in out-of-hospital cardiac arrest (OHCA) outcomes in the US, yet it is unresolved whether similar inequalities exist in European countries. This study compared survival after OHCA and its determinants in immigrants and non-immigrants in Denmark. Methods: Using the nationwide Danish Cardiac Arrest Register, 37,622 OHCAs of presumed cardiac cause between 2001 and 2019 were included, 95% in non-immigrants and 5% in immigrants. Univariate and multiple logistic regression was used to assess disparities in treatments, return of spontaneous circulation (ROSC) at hospital arrival, and 30-day survival. Results: Immigrants were younger at OHCA (median 64 [IQR 53–72] vs 68 [59–74] years; p < 0.05), had more prior myocardial infarction (15% vs 12%, p < 0.05), more diabetes (27% vs 19%, p < 0.05), and were more often witnessed (56% vs 53%; p < 0.05). Immigrants received similar bystander cardiopulmonary resuscitation and defibrillation rates to non-immigrants, but more coronary angiographies (15% vs 13%; p < 0.05) and percutaneous coronary interventions (10% vs 8%, p < 0.05), although this was insignificant after age-adjustment. Immigrants had higher ROSC at hospital arrival (28% vs 26%; p < 0.05) and 30-day survival (18% vs 16%; p < 0.05) compared to non-immigrants, but adjusting for age, sex, witness status, first observed rhythm, diabetes, and heart failure rendered the difference non-significant (odds ratios (OR) 1.03, 95% confidence interval (CI) 0.92–1.16 and OR 1.05, 95% CI 0.91–1.20, respectively). Conclusions: OHCA management was similar between immigrants and non-immigrants, resulting in similar ROSC at hospital arrival and 30-day survival after adjustments.
KW - Cardiopulmonary resuscitation
KW - Disparity
KW - Ethnicity
KW - Immigrants
KW - Out-of-hospital cardiac arrest
KW - Survival
U2 - 10.1016/j.resuscitation.2023.109872
DO - 10.1016/j.resuscitation.2023.109872
M3 - Journal article
C2 - 37327849
AN - SCOPUS:85164609461
VL - 190
JO - Resuscitation
JF - Resuscitation
SN - 0300-9572
M1 - 109872
ER -
ID: 360245253