دورية أكاديمية

Impact of Social Vulnerability on Cardiac Arrest Mortality in the United States, 2016 to 2020.

التفاصيل البيبلوغرافية
العنوان: Impact of Social Vulnerability on Cardiac Arrest Mortality in the United States, 2016 to 2020.
المؤلفون: Gonuguntla K; Division of Cardiology West Virginia University Heart and Vascular Institute Morgantown WV., Chobufo MD; Division of Cardiology West Virginia University Heart and Vascular Institute Morgantown WV., Shaik A; Department of Cardiology Hartford Hospital Hartford CT., Patel N; Department of Medicine New York Medical College/Landmark Medical Center Woonsocket RI., Penmetsa M; Department of Medicine University of Connecticut Farmington CT., Sattar Y; Division of Cardiology West Virginia University Heart and Vascular Institute Morgantown WV., Thyagaturu H; Division of Cardiology West Virginia University Heart and Vascular Institute Morgantown WV., Sama C; Division of Cardiology West Virginia University Heart and Vascular Institute Morgantown WV., Alharbi A; Division of Cardiology West Virginia University Heart and Vascular Institute Morgantown WV., Chan PS; Department of Cardiology Saint Luke's Mid-America Heart Institute Kansas City MO., Balla S; Division of Cardiology West Virginia University Heart and Vascular Institute Morgantown WV.
المصدر: Journal of the American Heart Association [J Am Heart Assoc] 2024 May 07; Vol. 13 (9), pp. e033411. Date of Electronic Publication: 2024 Apr 30.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101580524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2047-9980 (Electronic) Linking ISSN: 20479980 NLM ISO Abbreviation: J Am Heart Assoc Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford : Wiley-Blackwell
مواضيع طبية MeSH: Heart Arrest*/mortality , Heart Arrest*/ethnology , Social Vulnerability*, Humans ; United States/epidemiology ; Male ; Female ; Middle Aged ; Aged ; Cross-Sectional Studies ; Adult ; Young Adult ; Adolescent ; Social Determinants of Health ; Risk Factors ; Longitudinal Studies ; Aged, 80 and over ; Child, Preschool ; Child ; Infant ; Health Status Disparities ; Infant, Newborn
مستخلص: Background: Cardiac arrest is 1 of the leading causes of morbidity and mortality, with an estimated 340 000 out-of-hospital and 292 000 in-hospital cardiac arrest events per year in the United States. Survival rates are lower in certain racial and socioeconomic groups.
Methods and Results: We performed a county-level cross-sectional longitudinal study using the Centers for Disease Control and Prevention's Wide-Ranging Online Data for Epidemiologic Research multiple causes of death data set between 2016 and 2020 among individuals of all ages whose death was attributed to cardiac arrest. The Social Vulnerability Index is a composite measure that includes socioeconomic vulnerability, household composition, disability, individuals from racial and ethnic minority groups status and language, and housing and transportation domains. We examined the impact of social determinants on cardiac arrest mortality stratified by age, race, ethnicity, and sex in the United States. All age-adjusted mortality rate (cardiac arrest AAMRs) are reported as per 100 000. Overall cardiac arrest AAMR during the study period was 95.6. The cardiac arrest AAMR was higher for men compared with women (119.6 versus 89.9) and for the Black population compared with the White population (150.4 versus 92.3). The cardiac arrest AAMR increased from 64.8 in counties in quintile 1 of Social Vulnerability Index to 141 in quintile 5, with an average increase of 13% (95% CI, 9.8%-16.9%) in AAMR per quintile increase.
Conclusions: Mortality from cardiac arrest varies widely, with a >2-fold difference between the counties with the highest and lowest social vulnerability, highlighting the differential burden of cardiac arrest deaths throughout the United States based on social determinants of health.
التعليقات: Update of: medRxiv. 2023 Aug 04:2023.08.02.23293573. doi: 10.1101/2023.08.02.23293573. (PMID: 37577503)
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فهرسة مساهمة: Keywords: Social Vulnerability Index; United States; age‐adjusted mortality rate; cardiac arrest; mortality; racial differences; social determinants of health
تواريخ الأحداث: Date Created: 20240430 Date Completed: 20240507 Latest Revision: 20240618
رمز التحديث: 20240618
مُعرف محوري في PubMed: PMC11179923
DOI: 10.1161/JAHA.123.033411
PMID: 38686873
قاعدة البيانات: MEDLINE
الوصف
تدمد:2047-9980
DOI:10.1161/JAHA.123.033411