SUDDEN CARDIAC ARREST IN LATINO NEIGHBORHOODS
Michelle Llerena1, Marina Del Rios2.
1College of Medicine, University of Illinois at Chicago, Chicago, IL, 2University of Illinois at Chicago, Chicago, IL.
Sudden cardiac arrest is one of the top leading causes of death, accounting for approximately 450,000 fatalities each year. Survival is contingent upon the execution of the chain of survival: 1) activation of EMS, 2) bystander CPR, and 3) use of an AED. Previous studies have discovered that majority Black neighborhoods have a high incidence of cardiac arrest and low performance of bystander CPR. In contrast, majority non-Hispanic White neighborhoods have lower incidence of cardiac arrest and higher performance of bystander CPR. Some of the barriers to learning CPR quoted by previous studies include financial factors, informational factors, and motivational factors. While multiple studies have demonstrated marked disparities in cardiac arrest treatment and survival in Black vs. non-Hispanic White neighborhoods, there is limited data comparing cardiac arrest in Latinos with other ethnic groups. The specific aims of this study are to determine the incidence of sudden cardiac arrest and rates of bystander CPR and AED use in Latino neighborhoods. By associating census tract data with cardiac arrest registry databases, cardiac arrest incidence and bystander CPR rates in majority Latino neighborhoods can be estimated. We hypothesize that incidence in Latinos will mirror incidence of other cardiovascular diseases and that given the language, financial, and legal barriers there will be lower performance of bystander CPR compared to White neighborhoods. The results of this study will help to better understand how the Latino population is affected by cardiac arrest and will lead to better targeting of CPR and AED training programs and cardiac arrest prevention.