Socioeconomic status and in-hospital cardiac arrest: A systematic review

Aim: To perform a review of the literature on the association between socioeconomic status and risk of and outcomes after in-hospital cardiac arrest. Data sources: PubMed and Embase were searched on January 24, 2020 for studies evaluating the association between socioeconomic status and risk of and/...

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Main Authors: Nikola Stankovic, Maria Høybye, Peter Carøe Lind, Mathias Holmberg, Lars W. Andersen
Format: Article
Language:English
Published: Elsevier 2020-09-01
Series:Resuscitation Plus
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666520420300163
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author Nikola Stankovic
Maria Høybye
Peter Carøe Lind
Mathias Holmberg
Lars W. Andersen
author_facet Nikola Stankovic
Maria Høybye
Peter Carøe Lind
Mathias Holmberg
Lars W. Andersen
author_sort Nikola Stankovic
collection DOAJ
description Aim: To perform a review of the literature on the association between socioeconomic status and risk of and outcomes after in-hospital cardiac arrest. Data sources: PubMed and Embase were searched on January 24, 2020 for studies evaluating the association between socioeconomic status and risk of and/or outcomes after in-hospital cardiac arrest. Two reviewers independently screened the titles/abstracts and selected full texts for relevance. Data were extracted from included studies. Risk of bias was assessed using the Quality In Prognosis Studies (QUIPS) tool. Results: The literature search yielded 4960 unique records. We included nine studies evaluating the association between socioeconomic status and risk of and/or outcomes after in-hospital cardiac arrest. All studies were observational cohort studies, of which seven were from the USA. Seven studies were in an adult population, while two studies were in a pediatric population. Results were overall inconsistent although some studies found a higher in-hospital cardiac arrest incidence in patients from low-income communities. There was no clear association between other socioeconomic factors (i.e. education, occupation, marital status, and insurance) and risk of or outcomes after in-hospital cardiac arrest. Due to the scarcity and heterogeneity of available studies, meta-analyses were not performed. Conclusion: There are limited data regarding the association between socioeconomic status and risk of and outcomes after in-hospital cardiac arrest and further research is warranted. Understanding the association between socioeconomic status and in-hospital cardiac arrest may reveal strategies to mitigate potential inequalities.
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spelling doaj.art-8fed764f89e043be98e4c873125fe4c42022-12-21T22:42:17ZengElsevierResuscitation Plus2666-52042020-09-013100016Socioeconomic status and in-hospital cardiac arrest: A systematic reviewNikola Stankovic0Maria Høybye1Peter Carøe Lind2Mathias Holmberg3Lars W. Andersen4Research Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Palle Juul Jensens Boulevard 99, Aarhus N, 8200, DenmarkResearch Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Palle Juul Jensens Boulevard 99, Aarhus N, 8200, DenmarkDepartment of Anesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, DenmarkResearch Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Palle Juul Jensens Boulevard 99, Aarhus N, 8200, DenmarkResearch Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Palle Juul Jensens Boulevard 99, Aarhus N, 8200, Denmark; Department of Anesthesiology and Intensive Care, Aarhus University Hospital, Aarhus, Denmark; Prehospital Emergency Medical Services, Central Denmark Region, Olof Palmes Allé 34, Aarhus N, 8200, Denmark; Corresponding author. Research Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Palle Juul Jensens Boulevard 99, Bygning J, Plan 1, Aarhus N, 8200, Denmark.Aim: To perform a review of the literature on the association between socioeconomic status and risk of and outcomes after in-hospital cardiac arrest. Data sources: PubMed and Embase were searched on January 24, 2020 for studies evaluating the association between socioeconomic status and risk of and/or outcomes after in-hospital cardiac arrest. Two reviewers independently screened the titles/abstracts and selected full texts for relevance. Data were extracted from included studies. Risk of bias was assessed using the Quality In Prognosis Studies (QUIPS) tool. Results: The literature search yielded 4960 unique records. We included nine studies evaluating the association between socioeconomic status and risk of and/or outcomes after in-hospital cardiac arrest. All studies were observational cohort studies, of which seven were from the USA. Seven studies were in an adult population, while two studies were in a pediatric population. Results were overall inconsistent although some studies found a higher in-hospital cardiac arrest incidence in patients from low-income communities. There was no clear association between other socioeconomic factors (i.e. education, occupation, marital status, and insurance) and risk of or outcomes after in-hospital cardiac arrest. Due to the scarcity and heterogeneity of available studies, meta-analyses were not performed. Conclusion: There are limited data regarding the association between socioeconomic status and risk of and outcomes after in-hospital cardiac arrest and further research is warranted. Understanding the association between socioeconomic status and in-hospital cardiac arrest may reveal strategies to mitigate potential inequalities.http://www.sciencedirect.com/science/article/pii/S2666520420300163In-hospital cardiac arrestSocioeconomic statusIncomeEducationInsuranceOccupation
spellingShingle Nikola Stankovic
Maria Høybye
Peter Carøe Lind
Mathias Holmberg
Lars W. Andersen
Socioeconomic status and in-hospital cardiac arrest: A systematic review
Resuscitation Plus
In-hospital cardiac arrest
Socioeconomic status
Income
Education
Insurance
Occupation
title Socioeconomic status and in-hospital cardiac arrest: A systematic review
title_full Socioeconomic status and in-hospital cardiac arrest: A systematic review
title_fullStr Socioeconomic status and in-hospital cardiac arrest: A systematic review
title_full_unstemmed Socioeconomic status and in-hospital cardiac arrest: A systematic review
title_short Socioeconomic status and in-hospital cardiac arrest: A systematic review
title_sort socioeconomic status and in hospital cardiac arrest a systematic review
topic In-hospital cardiac arrest
Socioeconomic status
Income
Education
Insurance
Occupation
url http://www.sciencedirect.com/science/article/pii/S2666520420300163
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