CPR is less likely to be used in black children than in white children in poor areas

Researchers reported that black children from inner city neighborhoods were about half as likely to receive CPR per viewer as children under the age of one.

"When badyzing the epidemiology of CPR per viewer among children in the United States [in 2017], we found that per-viewer CPR rates were lower among Black and Hispanic children compared to white children, but we did not know whether this was due entirely to racial disparities or whether it was also badociated with Neighborhood socio-economic factors such as income, employment and educational status. Maryam Y. Naim, MD, a pediatric physician specializing in cardiac intensive care at the Philadelphia Children's Hospital, said in a press release. "Most viewers are responsible for CPR by family members, so lower response rates are likely due to a lack of CPR training and recognition of cardiac arrest."

Naim and colleagues badyzed 7,086 pediatric patients (61% infants, 60% boys, 31% black, 31% white, 11% Hispanic, 3% other breeds, 24% unknown race) from the CARES register with out-of-hospital cardiac arrest. 2013 and 2017.

Researchers created an index of 0 to 4 on neighborhood characteristics, with 1 point attributed to more than 80% of black residents, more than 10% of unemployment, less than 80% with at least a diploma of studies and a median income of less than $ 50,000.

The primary endpoint was per-spect CPR, which occurred in 48% of patients.

Compared to white patients, CPR per viewer was less likely in black patients (adjusted OR = 0.59, 95% CI, 0.52-0.68), Hispanic patients (AOR = 0.78, CI to 95%, 0.66-0.94) and patients of other races (AOR = 0.54, 95% CI, 0.4-0.72), according to the researchers.

In addition, compared to events in neighborhoods with a score of 0, CPR per viewer was less common for events occurring in neighborhoods with a score of 1 (aOR = 0.8, 95% CI, 0.7 -0.91), 2 (aOR = 0.75, 95% CI, 0.65-0.86), 3 (aOR = 0.52, 95% CI, 0.45-0.61) and 4 ( aOR = 0.46, 95% CI, 0.36-0.59), wrote Naim and his colleagues.

With the increase in the neighborhood index score, black children were less likely to have occasional CPR, but the trend was not seen in white children, according to the researchers.

Black children in neighborhoods with a score of 4 were about half as likely to receive CPR per viewer as white neighborhood children with a score of 0, the researchers found.

"We believe it is the first study to describe the possible role of racial and socio-demographic factors in providing occasional CPR to pediatric cardiac arrest in the United States," Naim said in a statement. . – by Erik Swain

Disclosures: The authors do not report any relevant financial information.