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Background: Sudden cardiac arrest in the young is a rare event. Survival in this population has been demonstrated to be low. We sought to determine the relationship between out of hospital cardiac arrest survival and insurance status in the young.
Methods: This was a pooled cross-sectional analysis using data from the National Emergency Database Sample from 2006-2012 evaluating for patients under 21 years of age presenting to the emergency room for a primary diagnosis of cardiac arrest or ventricular fibrillation/flutter. Survival to hospital discharge was evaluated among socioeconomic factors including median income, home location, and insurance status.
Results: There is a declining trend in out of hospital cardiac arrest in pediatric patients with an estimated 19.2% survival to hospital discharge. Patients with private insurance and Medicaid patients had comparable odds of survival, but the uninsured patients had lower odds of survival (OR 0.64 [0.48- 0.81], p < 0.01) than their privately insured counterparts. Patients younger than 1 year had lower odds of survival than patients who were 11 years or older (OR 0.88 [0.74- 1.00], p = 0.04).
Conclusions: Uninsured pediatric patients suffering an out of hospital cardiac arrest are less likely to survive to hospital discharge than patients with Medicaid or commercial insurance. Efforts to educate the uninsured regarding cardiac arrest, expand coverage, and focus on prevention may lead to improved outcomes.
Poster Hall, Hall C
Sunday, March 19, 2017, 9:45 a.m.-10:30 a.m.
Session Title: Arrhythmias and Clinical EP: Syncope and Other EP Issues
Abstract Category: 6. Arrhythmias and Clinical EP: Other
Presentation Number: 1279-086
- 2017 American College of Cardiology Foundation