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Is female sex assoc...
Is female sex associated with increased survival after out-of-hospital cardiac arrest?
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- Herlitz, Johan, 1949 (author)
- Gothenburg University,Göteborgs universitet,Hjärt-kärlinstitutionen,Cardiovascular Institute,[external],Prehospital akutsjukvård
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Engdahl, Johan, 1968 (author)
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- Svensson, Leif (author)
- Karolinska Institutet
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- Young, Marie (author)
- Lund University,Lunds universitet,Anestesiologi och intensivvård,Forskargrupper vid Lunds universitet,Anaesthesiology and Intensive Care Medicine,Lund University Research Groups
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- Ängquist, Karl-Axel (author)
- Umeå universitet,Kirurgi
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Holmberg, S. (author)
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(creator_code:org_t)
- Elsevier BV, 2004
- 2004
- English.
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In: Resuscitation. - : Elsevier BV. - 0300-9572 .- 1873-1570. ; 60:2, s. 197-203
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Abstract
Subject headings
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- AIM: To evaluate survival after out-of-hospital cardiac arrest in relation to sex. METHODS: All patients with out-of-hospital cardiac arrest included in the Swedish Cardiac Arrest Registry between 1990 and 2000 in whom cardiopulmonary resuscitation (CPR) was attempted and who did not have a crew witnessed arrest were included. The registry covers 85% of the inhabitants of Sweden (approximately 8 million inhabitants). P-values were adjusted to differences in age. Survival was defined as patients being hospitalised alive and being alive one month after cardiac arrest. In all, 23,797 patients participated in the survey of which 27.9% were women. RESULTS: Among women 16.4% were hospitalised alive versus 13.2% among men ( P<0.001). After one month 3.0% among women were alive versus 3.4% among men (NS). In a multivariate analysis considering differences in age and various factors at resuscitation female sex was an independent predictor for patients being hospitalised alive (odds ratio 1.66; 95% confidence limits 1.49-1.84) and for being alive after one month (odds ratio 1.27; 95% confidence limits 1.03-1.56). Women differed from men as they were older ( P<0.001 ), had a lower prevalence of witnessed cardiac arrest ( P=0.01), a lower occurrence of bystander CPR (P<0.001), a lower occurrence of ventricular fibrillation as initial arrhythmia (P<0.001) and a lower occurrence of cardiac disease judged to be the cause of cardiac arrest ( P<0.0001 ). On the other hand they had a cardiac arrest at home more frequently ( P<0.001 ). CONCLUSION: Among patients suffering out-of-hospital cardiac arrest in Sweden which was not crew witnessed and in whom resuscitation efforts were attempted, female sex was associated with an increased survival.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Keyword
- Adolescent
- Adult
- Age Factors
- Aged
- Aged
- 80 and over
- Cardiopulmonary Resuscitation/methods/*mortality
- Child
- Child
- Preschool
- Cohort Studies
- Emergency Medical Services
- Female
- Heart Arrest/*mortality/*therapy
- Humans
- Infant
- Logistic Models
- Male
- Middle Aged
- Multivariate Analysis
- Probability
- Registries
- Risk Assessment
- Sex Factors
- Survival Analysis
- Sweden
- prognosis
- cardiac arrest
- sex
- Adolescent
Publication and Content Type
- ref (subject category)
- art (subject category)
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