Bystander CPR occurrences in out of hospital cardiac arrest between sexes.
Resuscitation
; 166: 1-6, 2021 09.
Article
em En
| MEDLINE
| ID: mdl-34237358
ABSTRACT
BACKGROUND:
Bystander CPR (B-CPR) is known to be a critical action in treating out-of-hospital cardiac arrest (OHCA). Immediate CPR may double a patient's chance of survival. Only 40% of OHCA patients receive B-CPR (Cardiac Arrest Registry to Enhance Survival1). Civilians may be more comfortable performing CPR on male than female victims based on stereotyped training and the culture of cardiac disease treatment.OBJECTIVE:
We hypothesize that of OHCA patients receiving B-CPR, there is a gender disparity favoring males.METHODS:
This is a retrospective analysis of the National Emergency Medical Services Information System (NEMSIS) dataset. 149,734 cases were included in this analysis. Primary outcome was frequency of B-CPR between genders. Secondary analysis included gender disparity in AED pad placement, and subsets divided by type of bystander.RESULTS:
Among 149,734 OHCA, 78,738 received B-CPR. 28,485 of 55,215 females (51.59%) received B-CPR, compared to 50,253 of 94,519 males (53.17%, p < 0.001). Of OHCA with bystander AED pad placement, 22.9% of females had AED pads applied, compared to 24.6% of males (p < 0.001). In OHCA witnessed by family member, 57.80% of females versus 61.70% of males received B-CPR (p < 0.001). In OHCA witnessed by layperson, 62.50% of females versus 69.00% of males received B-CPR (p < 0.001).CONCLUSION:
There was a significantly lower rate of B-CPR in women experiencing OCHA in the population sample analyzed. Continued education and research are needed on the topic to address gender-specific differences in OHCA.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Reanimação Cardiopulmonar
/
Serviços Médicos de Emergência
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Parada Cardíaca Extra-Hospitalar
Tipo de estudo:
Observational_studies
Limite:
Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article