Disparities in Emergency Medical Services Intra-Arrest Transport by Neighborhood Socioeconomic Vulnerability

Is neighborhood socioeconomic vulnerability index (SVI) associated with emergency medical services (EMS) intra-arrest transport for adults with out-of-hospital cardiac arrest (OHCA)?In this cohort study of 61 524 patient encounters for nontraumatic OHCA, patients in neighborhoods with the most vulnerable SVI quartile had greater adjusted odds of receiving intra-arrest transport than patients in neighborhoods with the least vulnerable SVI quartile.The findings suggest that EMS transport practices for OHCA may contribute to socioeconomic disparities in OHCA outcomes.

Corresponding Author: Meghan M. Hewlett, MD, MPH, Department of Emergency Medicine, University of California, San Francisco, 521 Parnassus Ave, San Francisco, CA 94143 (meghan.hewlett@ucsf.edu).

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