Disparities in CPR Training and. Survival

Disparities in CPR Training and Survival Monique L. Anderson, MD, MHS Assistant Professor of Medicine Division of Cardiology Duke Clinical Research In...
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Disparities in CPR Training and Survival Monique L. Anderson, MD, MHS Assistant Professor of Medicine Division of Cardiology Duke Clinical Research Institute Duke University School of Medicine

November 14, 2016

Objectives • Review literature on racial/ethnic disparities in treatment and outcomes of OHCA. • Describe barriers to performing bystander CPR in high-risk communities. • Present opportunities for closing the gap in treatment and outcomes of OHCA.

Introduction • More than 350,000 Americans experience cardiac arrest per year.1 • Regional variation in treatment and outcome of OHCA across the United States.2 • Bystander CPR rate of 31-33% in large multisite databases.2,3 • A majority of observational studies confirm the benefits of timely bystander CPR. • Every 24-36 persons who receive CPR, 1 life saved.4 1.Circulation. 2015;132. 2/ JAMA 2008. 3. MMWR Surveill Summ. 2011 29;60(8):1-19. 4. Circ Q&O 2010, 3(1):63-81.

Becker LB et al. NEJM 1993; 329:600-6

1980s: Out-Of-Hospital Cardiac Arrest: Racial Differences in Treatment and Outcome in Seattle

Survival to discharge 17.1% for whites versus 9.1% for blacks, p