Bystander CPR in Out-of-Hospital Cardiac Arrest: The Role of Limited English Proficiency

Details

• Personal Author:
  Allen, James ; Bloomingdale M ; Bradley SM ; Fahrenbruch CE ; Meischke H ; Rea TD
• Description:
  Background: The proportion of non-native English speakers is increasing in the United States. We sought to determine if limited English proficiency in callers to 9-1-1 for out-of-hospital cardiac arrest is associated with provision of bystander cardiopulmonary resuscitation (CPR) and delays in telephone-assisted CPR. Materials and methods: We completed a secondary analysis of cohort data collected as part of a randomized trial of emergency dispatcher bystander CPR instructions. Included patients suffered confirmed cardiac arrest treated by emergency medical services. Callers were identified as limited English proficient through review of the dispatcher report. Results: Of 971 eligible cardiac arrest cases, 5.9% (n = 57) of 9-1-1 callers were limited English proficient. Comparing arrest events of limited English proficient 9-1-1 callers with English-fluent callers, a lower proportion of limited English proficient arrest cases received bystander CPR (64.3% [36/56] vs. 77.5% [702/906]; p = 0.02) or survived to hospital discharge (8.8% [5/57] vs. 16.5% [151/914]; p = 0.12). Dispatchers took longer to recognize cardiac arrest with limited English proficient callers compared with English-fluent callers (median 84 vs. 50 s; p < 0.001). Among callers attempting bystander CPR, the interval from call receipt to initiation of CPR was longer for limited English proficient compared with English-fluent callers (median 237 vs. 163 s; p < 0.001). Conclusion: In this observational study of dispatcher-identified cardiac arrest, limited English proficiency in 9-1-1 callers was associated with less frequent provision of bystander CPR and delays in arrest recognition and implementation of telephone CPR, underscoring the health challenges and potential disparities of pre-hospital care related to limited English proficiency. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Delivery Of Health Care Emergency Responders Occupational Health Safety
• Keywords:
  Author Keywords: Language Cardiac Arrest Cardiopulmonary Resuscitation Cardiopulmonary System Disorders Emergency Medical Services Emergency Treatment Language Barrier Medical Care
• ISSN:
  0300-9572
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  82
• Issue:
  6
• NIOSHTIC Number:
  nn:20055669
• Citation:
  Resuscitation 2011 Jun; 82(6):680-684
• Contact Point Address:
  Steven M. Bradley, University of Washington Division of Cardiology, 1959 N.E. Pacific Street, Box 356422, Seattle, WA 98101, United States
• Email:
  smbradle@u.washington.edu
• Federal Fiscal Year:
  2011
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Resuscitation
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:1effdc7ab31e6385b5c06fc922e4ec3b84753608021698d80c956734e89e50cf363654a5c1b25b15e839736436dbdbbca0fbe4b0c0a0b87faa0cbf6a8b9598c9
• Download URL:
  https://stacks.cdc.gov/view/cdc/213461/cdc_213461_DS1.pdf
• File Type:
  [PDF - 589.29 KB ]