Ethnic Differences of the Care Pathway Following an Out-of-Hospital Cardiac Event: A Systematic Review

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aut.relation.articlenumber110017
aut.relation.journalResuscitation
aut.relation.startpage110017
aut.relation.volume193
dc.contributor.authorNewport, Rochelle
dc.contributor.authorGrey, Corina
dc.contributor.authorDicker, Bridget
dc.contributor.authorAmeratunga, Shanthi
dc.contributor.authorHarwood, Matire
dc.date.accessioned2023-11-23T03:52:40Z
dc.date.available2023-11-23T03:52:40Z
dc.date.issued2023-10-27
dc.description.abstractAIM: This systematic review aimed to determine to what extent and why the care pathways for acute cardiac events in the community might differ for minoritised ethnic populations compared to non-minoritised populations. It also sought to identify the barriers and enablers that could influence variations in access to care for minoritised populations. METHODS: A multi-database search was conducted for articles published between 1 January 2000 and 1 January 2023. A combination of MeSH terms and keywords was used. Inclusion criteria for papers were published in English, adult population, the primary health condition was an acute cardiac event, and the primary outcomes were disaggregated by ethnicity or race. A narrative review of extracted data was performed, and findings were reported according to the PRISMA 2020 guidelines. RESULTS: Of the 3552 articles identified using the search strategy, 40 were deemed eligible for the review. Studies identified a range of variables in the care pathway that differed by ethnicity or race. These could be grouped as time to care, transportation, event related-variables, EMS interactions and symptoms. A meta-analysis was not performed due to heterogeneity across the studies. CONCLUSION: The extent and reasons for differences in cardiac care pathways are considerable. There are several remediable barriers and enablers that require attention to achieve equitable access to care for minoritised populations.
dc.identifier.citationResuscitation, ISSN: 0300-9572 (Print); 1873-1570 (Online), Elsevier, 193, 110017-. doi: 10.1016/j.resuscitation.2023.110017
dc.identifier.doi10.1016/j.resuscitation.2023.110017
dc.identifier.issn0300-9572
dc.identifier.issn1873-1570
dc.identifier.urihttp://hdl.handle.net/10292/16991
dc.languageeng
dc.publisherElsevier
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S0300957223003325
dc.rights© 2023 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectEmergency medical services
dc.subjectOut of Hospital Cardiac Arrest
dc.subjectSystematic review
dc.subjectEmergency medical services
dc.subjectOut of Hospital Cardiac Arrest
dc.subjectSystematic review
dc.subject4203 Health Services and Systems
dc.subject32 Biomedical and Clinical Sciences
dc.subject42 Health Sciences
dc.subjectHealth Services
dc.subjectClinical Research
dc.subjectHeart Disease
dc.subjectCardiovascular
dc.subject8.1 Organisation and delivery of services
dc.subject8 Health and social care services research
dc.subjectCardiovascular
dc.subject1103 Clinical Sciences
dc.subject1110 Nursing
dc.subject1117 Public Health and Health Services
dc.subjectEmergency & Critical Care Medicine
dc.subject3202 Clinical sciences
dc.subject4205 Nursing
dc.subject4206 Public health
dc.titleEthnic Differences of the Care Pathway Following an Out-of-Hospital Cardiac Event: A Systematic Review
dc.typeJournal Article
pubs.elements-id527892
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