Reframing Our Approach to Disparities in Cardiac Arrest Outcomes: The Importance of Systems and Structures in Patient Outcomes

Salhi, Rama A.; Zachrison, Kori S.

doi:10.1161/jaha.123.032052

Cited by 1 publication

(4 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Black and Latino patients have poorer outcomes compared with White patients and also receive lower rates of cardiopulmonary resuscitation and fewer postarrest interventions. 106 Gender differences in post-cardiac arrest outcomes also are present. Compared with men, women are less likely to survive to hospital discharge.…”

Section: Key Pointsmentioning

confidence: 99%

“…107 An ongoing area of research is elucidating the mechanisms that lead to these wide disparities in order to mitigate them. 106 Patients who survive to hospital discharge can have a wide range of outcomes. At one site, 20% of hospitalized patients who survived to discharge had an mRS of 5.…”

Section: Key Pointsmentioning

confidence: 99%

“…Health disparities exist for post–cardiac arrest patient outcomes. Black and Latino patients have poorer outcomes compared with White patients and also receive lower rates of cardiopulmonary resuscitation and fewer postarrest interventions 106 . Gender differences in post–cardiac arrest outcomes also are present.…”

Section: Long-term Outcomesmentioning

confidence: 99%

“…Compared with men, women are less likely to survive to hospital discharge 107 . An ongoing area of research is elucidating the mechanisms that lead to these wide disparities in order to mitigate them 106 …”

Section: Long-term Outcomesmentioning

confidence: 99%

See 3 more Smart Citations

Emergent Management of Hypoxic-Ischemic Brain Injury

Steinberg

2024

CONTINUUM: Lifelong Learning in Neurology

View full text Add to dashboard Cite

OBJECTIVE This article outlines interventions used to improve outcomes for patients with hypoxic-ischemic brain injury after cardiac arrest. LATEST DEVELOPMENTS Emergent management of patients after cardiac arrest requires prevention and treatment of primary and secondary brain injury. Primary brain injury is minimized by excellent initial resuscitative efforts. Secondary brain injury prevention requires the detection and correction of many pathophysiologic processes that may develop in the hours to days after the initial arrest. Key physiologic parameters important to secondary brain injury prevention include optimization of mean arterial pressure, cerebral perfusion, oxygenation and ventilation, intracranial pressure, temperature, and cortical hyperexcitability. This article outlines recent data regarding the treatment and prevention of secondary brain injury. Different patients likely benefit from different treatment strategies, so an individualized approach to treatment and prevention of secondary brain injury is advisable. Clinicians must use multimodal sources of data to prognosticate outcomes after cardiac arrest while recognizing that all prognostic tools have shortcomings. ESSENTIAL POINTS Neurologists should be involved in the postarrest care of patients with hypoxic-ischemic brain injury to improve their outcomes. Postarrest care requires nuanced and patient-centered approaches to the prevention and treatment of primary and secondary brain injury and neuroprognostication.

show abstract

Section: Key Pointsmentioning

confidence: 99%

Section: Key Pointsmentioning

confidence: 99%

Section: Long-term Outcomesmentioning

confidence: 99%

Section: Long-term Outcomesmentioning

confidence: 99%

See 2 more Smart Citations