Introduction

Prior research shows a greater disease burden, lower BCPR rates, and worse outcomes in Black and Hispanic patients after OHCA. Female OHCA patients have lower rates of BCPR compared to men and other survival outcomes vary. The influence of the COVID-19 pandemic on OHCA incidence and outcomes in different health disparity populations is unknown.

Methods

We used data from the Texas Cardiac Arrest Registry to Enhance Survival (CARES). We determined the association of both prehospital characteristics and survival outcomes with the pandemic period in each study group through Pearson’s χ² test or Fisher’s exact tests. We created mixed multivariable logistic regression models to compare odds of cardiac arrest care and outcomes between 2019 and 2020 for the study groups.

Results

Black OHCA patients (aOR = 0.73; 95% CI: 0.65 – 0.82) had significantly lower odds of BCPR compared to White OHCA patients, were less likely to achieve ROSC (aOR = 0.86; 95% CI: 0.74 – 0.99) or have a good CPC score (aOR = 0.47; 95% CI: 0.29 – 0.75). Compared to White patients with OHCA, Hispanic persons were less likely to have a field TOR (aOR = 0.86; 95% CI: 0.75 – 0.99) or receive BCPR (aOR = 0.78; 95% CI: 0.69 – 0.87). Female OHCA patients had higher odds of surviving to hospital admission compared to males (aOR = 1.29; 95% CI: 1.15 – 1.44).

Conclusion

Many OHCA outcomes worsened for Black and Hispanic patients. While some aspects of care worsened for women, their odds of survival improved compared to males.

中文翻译：

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COVID-19 大流行对德克萨斯州院外心脏骤停 (OHCA) 影响的种族/民族和性别差异

 介绍

先前的研究表明，黑人和西班牙裔患者接受 OHCA 后，疾病负担更大，BCPR 率更低，预后更差。与男性相比，女性 OHCA 患者的 BCPR 率较低，并且其他生存结果也有所不同。 COVID-19 大流行对不同健康差异人群中 OHCA 发病率和结果的影响尚不清楚。

 方法

我们使用来自德克萨斯州心脏骤停登记处以提高生存率 (CARES) 的数据。我们通过 Pearson χ ²检验或 Fisher 精确检验确定了每个研究组的院前特征和生存结果与大流行时期的关联。我们创建了混合多变量逻辑回归模型，以比较研究组 2019 年至 2020 年心脏骤停护理的几率和结果。

 结果

与白人 OHCA 患者相比，黑人 OHCA 患者（aOR = 0.73；95% CI：0.65 – 0.82）的 BCPR 几率显着较低，实现 ROSC 的可能性较小（aOR = 0.86；95% CI：0.74 – 0.99）或有良好的每次点击费用得分（aOR = 0.47；95% CI：0.29 – 0.75）。与患有 OHCA 的白人患者相比，西班牙裔患者进行现场 TOR（aOR = 0.86；95% CI：0.75 – 0.99）或接受 BCPR（aOR = 0.78；95% CI：0.69 – 0.87）的可能性较小。与男性相比，女性 OHCA 患者入院后存活的几率更高（aOR = 1.29；95% CI：1.15 – 1.44）。

 结论

黑人和西班牙裔患者的许多 OHCA 结局恶化。虽然女性的某些方面的护理情况恶化，但与男性相比，她们的生存几率有所提高。