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Invited Commentary
October 2017

Neighborhood-Level Disparities in Resuscitation and the Potential of Connected Health

Author Affiliations
  • 1Penn Medicine Center for Digital Health, University of Pennsylvania, Philadelphia
  • 2Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia
  • 3Department of Veterans Affairs’ Center for Health Equity Research and Promotion, Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania
  • 4Division of General Internal Medicine, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia
  • 5Center for Cardiovascular Outcomes, Quality, and Evaluative Research, University of Pennsylvania, Philadelphia
JAMA Cardiol. 2017;2(10):1118-1119. doi:10.1001/jamacardio.2017.2763

In 1999, Iwashyna et al1 reported significant variation in rates of cardiopulmonary resuscitation (CPR) delivery based on the racial composition of neighborhoods in Chicago, Illinois. Patients with out-of-hospital cardiac arrest (OHCA) living in racially integrated neighborhoods had the highest likelihood of receiving CPR, followed by those living in predominately white neighborhoods. Conversely, patients with OHCA living in predominantly black neighborhoods had the lowest rates of CPR provision. At the time, these findings raised fundamental questions concerning unequal access to the life-saving treatment of CPR. Nearly 20 years later, little has changed and considerable racial disparities in OHCA resuscitation care and outcomes persist.

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