Racial Disparities in Inpatient Cardiac Arrest Outcomes.
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All Authors
Sharma, R.
Jaafar, N.
Selvam, P.
Atallah, J.
Bertacchi, J.
Porterfield, J.
LTHT Author
Bertacchi, Jacopo
LTHT Department
Cardio-Respiratory
Cardiology
Cardiology
Non Medic
Publication Date
2025
Item Type
Journal Article
Language
Subject
Subject Headings
Abstract
INTRODUCTION: In this article, we aim to study the effects of racial disparities on inpatient cardiac arrest (IPCA) outcomes in the USA.
METHODS: We have utilized the 2021 National Inpatient Sample, an all-payer inpatient database based in the USA, to identify IPCA nationwide. Multivariate linear and logistic regressions were performed to study the effects of racial and socioeconomic disparities on IPCA. The primary outcome was inpatient mortality, and secondary outcomes were length of stay (LOS), total hospital charges (THC), discharge to subacute rehab, and rates of advanced cardiac interventions. We have additionally performed subgroup analysis looking into healthcare utilization based on mortality in the predefined races.
RESULTS: We identified 177,645 IPCAs, with 133,995 (75.4%) resulting in inpatient mortality. Using the White population as a reference, the Hispanic population had the highest rates of inpatient mortality, with an adjusted odds ratio (aOR) of 1.57 (CI 1.43-1.72), followed by the unassigned races, aOR of 1.31 (CI 1.17-1.47), the Black population with an aOR of 1.24 (CI 1.16-1.33), and the Asian population with an aOR of 1.16 (CI 1.01-1.33). Among the secondary outcomes tested, the Black population had the highest LOS, and the Hispanic patients had the highest THC.
CONCLUSIONS: We underscore the potential effects of racial disparities on IPCA outcomes. Further studies should be directed towards narrowing the disparity gaps and providing equal care in IPCA among different races and social classes.
Journal
Journal of Racial & Ethnic Health Disparities