Stankovic Nikola, Høybye Maria, Lind Peter Carøe, Holmberg Mathias, Andersen Lars W
Research Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Palle Juul Jensens Boulevard 99, Aarhus N, 8200, Denmark.
Department of Anesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark.
Resusc Plus. 2020 Jul 9;3:100016. doi: 10.1016/j.resplu.2020.100016. eCollection 2020 Sep.
To perform a review of the literature on the association between socioeconomic status and risk of and outcomes after in-hospital cardiac arrest.
PubMed and Embase were searched on January 24, 2020 for studies evaluating the association between socioeconomic status and risk of and/or outcomes after in-hospital cardiac arrest. Two reviewers independently screened the titles/abstracts and selected full texts for relevance. Data were extracted from included studies. Risk of bias was assessed using the Quality In Prognosis Studies (QUIPS) tool.
The literature search yielded 4960 unique records. We included nine studies evaluating the association between socioeconomic status and risk of and/or outcomes after in-hospital cardiac arrest. All studies were observational cohort studies, of which seven were from the USA. Seven studies were in an adult population, while two studies were in a pediatric population. Results were overall inconsistent although some studies found a higher in-hospital cardiac arrest incidence in patients from low-income communities. There was no clear association between other socioeconomic factors (i.e. education, occupation, marital status, and insurance) and risk of or outcomes after in-hospital cardiac arrest. Due to the scarcity and heterogeneity of available studies, meta-analyses were not performed.
There are limited data regarding the association between socioeconomic status and risk of and outcomes after in-hospital cardiac arrest and further research is warranted. Understanding the association between socioeconomic status and in-hospital cardiac arrest may reveal strategies to mitigate potential inequalities.
对关于社会经济地位与院内心脏骤停风险及预后之间关联的文献进行综述。
于2020年1月24日在PubMed和Embase数据库中检索评估社会经济地位与院内心脏骤停风险及/或预后之间关联的研究。两名综述员独立筛选标题/摘要，并选择相关的全文。从纳入的研究中提取数据。使用预后研究质量（QUIPS）工具评估偏倚风险。
文献检索得到4960条独特记录。我们纳入了9项评估社会经济地位与院内心脏骤停风险及/或预后之间关联的研究。所有研究均为观察性队列研究，其中7项来自美国。7项研究针对成年人群，2项研究针对儿科人群。尽管一些研究发现低收入社区患者的院内心脏骤停发生率较高，但结果总体不一致。其他社会经济因素（即教育程度、职业、婚姻状况和保险）与院内心脏骤停风险或预后之间没有明确关联。由于现有研究的稀缺性和异质性，未进行荟萃分析。
关于社会经济地位与院内心脏骤停风险及预后之间关联的数据有限，有必要进一步研究。了解社会经济地位与院内心脏骤停之间的关联可能会揭示减轻潜在不平等的策略。
