Race, Ethnicity, Insurance Payer, and Pediatric Cardiac Arrest Survival

Are race and ethnicity or insurance payer associated with survival after pediatric in-hospital cardiopulmonary resuscitation (CPR) in the US?In this cohort study of 27 332 children receiving in-hospital CPR, children from racial and ethnic minority groups had significantly higher odds of in-hospital mortality. Children receiving CPR at hospitals treating the highest proportion of Black patients had 50% higher odds of in-hospital mortality than children receiving CPR at hospitals with the lowest proportion of Black patients.These findings suggest that elucidation of the mechanisms underlying differences in outcomes of pediatric in-hospital cardiac arrest is needed.

Corresponding Author: Amanda J. O’Halloran, MD, MSHP, Division of Critical Care Medicine, Children’s Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104 (ohallorana@chop.edu).

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