Brookoff D, Kellermann A L, Hackman B B, Somes G, Dobyns P
Department of Emergency Medicine, University of Tennessee, Memphis.
Ann Emerg Med. 1994 Dec;24(6):1147-50. doi: 10.1016/s0196-0644(94)70246-2.
To determine whether there is an association between the race of a victim of out-of-hospital cardiac arrest and the provision of bystander-initiated CPR.
Record review of 1,068 consecutive cases of nontraumatic out-of-hospital cardiac arrest.
Memphis, Tennessee, a city of more than 600,000 with roughly equal numbers of white and black residents.
Every adult who was seen by municipal emergency medical services personnel for nontraumatic cardiac arrest between March 1, 1989, and June 5, 1992.
None.
Although black and white cardiac arrest victims were similar in many respects, black victims received bystander CPR substantially less frequently than whites (9.8% versus 21.4%; odds ratio, 0.46; 95% confidence interval, 0.34 to 0.61). This difference was slightly more pronounced when the victim collapsed in a public place. In addition to race of the victim, location of the arrest outside the home and having the arrest witnessed were independent determinants of whether a victim was given bystander CPR. Multiple logistic regression analysis showed that the effect of race was independent of the other variables studied.
Black victims of out-of-hospital cardiac arrest receive bystander CPR less frequently than white victims. Targeted training programs may be needed to improve the rates of bystander CPR among certain groups.
确定院外心脏骤停受害者的种族与旁观者实施心肺复苏之间是否存在关联。
对1068例连续的非创伤性院外心脏骤停病例进行记录回顾。
田纳西州孟菲斯市，一个拥有60多万人口的城市，白人和黑人居民数量大致相等。
1989年3月1日至1992年6月5日期间，市政紧急医疗服务人员诊治的每一位非创伤性心脏骤停的成年人。
无。
尽管黑人和白人心脏骤停受害者在许多方面相似，但黑人受害者接受旁观者心肺复苏的频率明显低于白人（9.8%对21.4%；优势比为0.46；95%置信区间为0.34至0.61）。当受害者在公共场所倒地时，这种差异更为明显。除了受害者的种族外，在家外发生心脏骤停以及心脏骤停被人目睹也是受害者是否接受旁观者心肺复苏的独立决定因素。多元逻辑回归分析表明，种族的影响独立于所研究的其他变量。
院外心脏骤停的黑人受害者接受旁观者心肺复苏的频率低于白人受害者。可能需要有针对性的培训项目来提高特定群体中旁观者心肺复苏的比例。
