Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 May;14(5):e009646.
doi: 10.1161/CIRCEP.120.009646. Epub 2021 Apr 9.

The Association of Structural Inequities and Race With Out-of-Hospital Sudden Death During the COVID-19 Pandemic

Affiliations

The Association of Structural Inequities and Race With Out-of-Hospital Sudden Death During the COVID-19 Pandemic

Stavros E Mountantonakis et al. Circ Arrhythm Electrophysiol. 2021 May.

Abstract

[Figure: see text].

Keywords: biometry; death, sudden, cardiac; health disparities; population density; poverty.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Out-of-Hospital Sudden Death Increase during First COVID-19 Pandemic Outbreak in New York City. Geographic distribution of out-of-hospital sudden death ratio 2020:2019 in New York City zip codes (A). Graphic representation of sudden death ratios from low to high (B).
Figure 2.
Figure 2.
Correlation analysis between percentage of race/ethnicity and percentage less than high school education in ZIP codes. Spearman correlation coefficient, r, is reported.
Figure 3.
Figure 3.
Displays the lower predicted rate of increase (effect of β) in ZIP code level out of hospital sudden death (OHSD) with higher proportion of (10%–90%) Black population (angle with x axis) compared with the higher predicted rate of increase in OHSD with higher (10%–90%) of people with less than high school in a ZIP code (angle with y axis). Rate of increase in ZIP code ratio of OHSD with increasing % of both Black and less than high school (angle with xy surface) in a ZIP code.

Comment in

  • Pandemic Highlights Disparities in Health Care.
    Chrispin J, Frazier-Mills C, Sogade F, Wan EY, Clair WK. Chrispin J, et al. Circ Arrhythm Electrophysiol. 2021 May;14(5):e009908. doi: 10.1161/CIRCEP.121.009908. Epub 2021 May 17. Circ Arrhythm Electrophysiol. 2021. PMID: 33993701 No abstract available.

References

    1. Braveman P, Gottlieb L. The social determinants of health: it’s time to consider the causes of the causes. Public Health Rep. 2014;129suppl 219–31.. doi: 10.1177/00333549141291S206 - PMC - PubMed
    1. Stecker EC, Reinier K, Rusinaru C, Uy-Evanado A, Jui J, Chugh SS. Health Insurance Expansion and Incidence of out-of-hospital cardiac arrest: a pilot study in a US Metropolitan Community. J Am Heart Assoc. 2017;6:e005667. doi: 10.1161/JAHA.117.005667 - PMC - PubMed
    1. Huikuri HV, Castellanos A, Myerburg RJ. Sudden death due to cardiac arrhythmias. N Engl J Med. 2001;345:1473–1482.. doi: 10.1056/NEJMra000650 - PubMed
    1. Baldi E, Sechi GM, Mare C, Canevari F, Brancaglione A, Primi R, Klersy C, Palo A, Contri E, Ronchi V, et al. ; Lombardia CARe Researchers. Out-of-hospital cardiac arrest during the Covid-19 outbreak in Italy. N Engl J Med. 2020;383:496–498.. doi: 10.1056/NEJMc2010418 - PMC - PubMed
    1. Mountantonakis SE, Saleh M, Coleman K, Kuvin J, Singh V, Jauhar R, Ong L, Qiu M, Epstein LM. Out-of-hospital cardiac arrest and acute coronary syndrome hospitalizations during the COVID-19 surge. J Am Coll Cardiol. 2020;76:1271–1273.. doi: 10.1016/j.jacc.2020.07.021 - PMC - PubMed

Publication types

MeSH terms