Race and ethnicity data in the cardiac arrest registry to enhance survival: Insights from medicare self-reported data.
Race and ethnicity data in the cardiac arrest registry to enhance survival: Insights from medicare self-reported data.
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DOI：
10.1016/j.resuscitation.2022.09.011
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发表时间：
2022-11
期刊：
影响因子：
6.5
通讯作者：
McNally, Bryan
中科院分区：
文献类型：
--
作者：
Chan, Paul S.;Merritt, Robert;Chang, Anping;Girotra, Saket;Kotini-Shah, Pavitra;Al-Araji, Rabab;McNally, Bryan
对于院外心脏骤停（OHCA），人种/种族数据的分配可能具有挑战性。使用患者自我报告的人种/种族验证登记数据中的人种/种族将提供关于错误分类的见解。使用最近链接的2013-2019心脏骤停登记以提高生存率（CARES）数据与医疗保险文件，我们检查了CARES中种族/民族与医疗保险中自我报告的种族/民族的一致性。在CARES中人种/种族未知的患者中，报告了来自Medicare文件的人种/种族数据。在关联数据中的26，875例患者中，5757例（21.4%）的CARES人种/种族未知。在其余21，118例患者中，CARES确定14，284例（67.6%）为非西班牙裔白色人，4771例（22.6%）为非西班牙裔黑人，1213例（5.7%）为西班牙裔，760例（3.6%）为亚洲人或太平洋岛民，90例（0.4%）为美洲印第安人或阿拉斯加原住民。CARES和Medicare之间的人种/种族一致率为93.4%（CARES中报告为非西班牙裔白色患者）、89.1%（非西班牙裔黑人患者）、74.6%（西班牙裔患者）、69.6%（亚洲人和太平洋岛民患者）和37.8%（美洲印第安人或阿拉斯加原住民患者）。对于CARES中人种/种族未知的5757例患者，3973例（69.0%）在Medicare中自我报告为非西班牙裔白色人，617例（10.7%）为非西班牙裔黑人，425例（7.4%）为西班牙裔，491例（8.5%）为亚洲人或太平洋岛民，52例（0.9%）为美洲印第安人或阿拉斯加原住民。199例（3.5%）患者的人种/种族仍然未知。CARES中的种族/民族与Medicare中自我报告的种族/民族高度一致，尤其是非西班牙裔白色和黑人个体。对于CARES中人种/种族数据未知的患者，绝大多数为白色人种。
For out-of-hospital cardiac arrest (OHCA), assignment of race/ethnicity data can be challenging. Validation of race/ethnicity in registry data with patients’ self-reported race/ethnicity would provide insights regarding misclassification. Using recently linked 2013–2019 Cardiac Arrest Registry to Enhance Survival (CARES) data with Medicare files, we examined the concordance of race/ethnicity in CARES with self-reported race/ethnicity in Medicare. Among patients with unknown race/ethnicity in CARES, race/ethnicity data from Medicare files were reported. Of 26,875 patients in the linked data, 5757 (21.4%) had unknown race/ethnicity in CARES. Of the remaining 21,118 patients, 14,284 (67.6%) were identified in CARES as non-Hispanic White, 4771 (22.6%) as non-Hispanic Black, 1213 (5.7%) as Hispanic, 760 (3.6%) as Asian or Pacific Islander, and 90 (0.4%) as American Indian or Alaskan Native. The concordance rate for race/ethnicity between CARES and Medicare was 93.4% for patients reported as non-Hispanic White in CARES, 89.1% for non-Hispanic Blacks, 74.6% for Hispanics, 69.6% for Asians and Pacific Islanders, and 37.8% for American Indian or Alaskan Natives. For the 5757 patients with unknown race/ethnicity in CARES, 3973 (69.0%) self-reported in Medicare as non-Hispanic White, 617 (10.7%) as non-Hispanic Black, 425 (7.4%) as Hispanic, 491 (8.5%) as Asian or Pacific Islander, and 52 (0.9%) as American Indian or Alaskan Native. Race/ethnicity remained unknown in 199 (3.5%) of patients. Race/ethnicity in CARES was highly concordant with self-reported race/ethnicity in Medicare, especially for non-Hispanic White and Black individuals. For patients with unknown race/ethnicity data in CARES, the vast majority were of White race.
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影响因子：
4.8
作者：
Hammill, Bradley G.;Hernandez, Adrian F.;Curtis, Lesley H.
通讯作者：
Curtis, Lesley H.
DOI：
10.1056/nejmoa1200657
发表时间：
2013-03-14
期刊：
The New England journal of medicine
影响因子：
--
作者：
Chan PS;Nallamothu BK;Krumholz HM;Spertus JA;Li Y;Hammill BG;Curtis LH;American Heart Association Get with the Guidelines–Resuscitation Investigators
通讯作者：
American Heart Association Get with the Guidelines–Resuscitation Investigators
影响因子：
5.4
作者：
Chan, Paul S.;McNally, Bryan;Curtis, Lesley H.
通讯作者：
Curtis, Lesley H.
影响因子：
5.4
作者：
Chan, Paul S.;McNally, Bryan;Spertus, John A.
通讯作者：
Spertus, John A.
影响因子：
6.2
作者：
McNally, Bryan;Stokes, Allen;Kellermann, Arthur L.
通讯作者：
Kellermann, Arthur L.