RACIAL-DIFFERENCES IN THE INCIDENCE OF CARDIAC-ARREST AND SUBSEQUENT SURVIVAL
RACIAL-DIFFERENCES IN THE INCIDENCE OF CARDIAC-ARREST AND SUBSEQUENT SURVIVAL
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DOI：
10.1056/nejm199308263290902
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发表时间：
1993-08-26
影响因子：
158.5
通讯作者：
BARRETT, J
中科院分区：
文献类型：
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作者：
BECKER, LB;HAN, BH;BARRETT, J
背景。据报道，黑人和白人在几种心血管疾病的发病率上存在差异，包括高血压和中风。我们研究了大城市人群中心脏骤停发生率的种族差异以及随后的生存率。我们收集了1987年1月1日至1988年12月31日期间芝加哥所有非创伤性院外心脏骤停的数据，并比较了黑人和白人的发病率和存活率。我们通过逻辑回归分析检验了生存与种族和其他七个已知危险因素之间的关系。我们通过将我们的数据与美国人口普查数据相结合来计算发病率。我们的研究人群包括6451名患者：白人3207人，黑人2910人，其他种族334人。在每个年龄组中，黑人心脏骤停的发生率都明显高于白人。白人心脏骤停后的存活率为2.6%，而黑人为0.8%
Background. Differences between blacks and whites have been reported in the incidence of several forms of cardiovascular disease, including hypertension and stroke. We examined racial differences in the incidence of cardiac arrest in a large urban population and in subsequent survival.Methods. We collected data on all nontraumatic, out-of-hospital cardiac arrests in Chicago from January 1, 1987, through December 31, 1988, and compared the incidence and survival rates for blacks and whites. We examined the association between survival and race and seven other known risk factors by logistic-regression analysis. We computed incidence rates by coupling our data with U.S. Census population data.Results. Our study population comprised 6451 patients: 3207 whites, 2910 blacks, and 334 persons of other races. The incidence of cardiac arrest was significantly higher tor blacks than for whites in every age group. The survival rate after cardiac arrest was 2.6 percent in whites as compared with 0.8 percent in blacks (P