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Search: WFRF:(Lindgren Rickard) > (2015-2019) > Gender differences ...

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FältnamnIndikatorerMetadata
00004565naa a2200541 4500
001oai:DiVA.org:uu-395786
003SwePub
008191028s2019 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:141918316
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3957862 URI
0247 a https://doi.org/10.1016/j.resuscitation.2019.07.0152 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1419183162 URI
040 a (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Lindgren, Eriku Uppsala universitet,Anestesiologi och intensivvård4 aut0 (Swepub:uu)erili635
2451 0a Gender differences in utilization of coronary angiography and angiographic findings after out-of-hospital cardiac arrest :b A registry study
264 1b Elsevier BV,c 2019
338 a print2 rdacarrier
520 a Introduction: We investigated the impact of gender in performance and findings of early coronary angiography (CAG) and percutaneous coronary intervention (PCI), comorbidity and outcome in a large population of out-of-hospital cardiac arrest (OHCA) patients with an initially shockable rhythm.Methods: Retrospective cohort study. Data retrieved 2008-2013 from the Swedish Register for Cardio-Pulmonary Resuscitation, Swedeheart Registry and National Patient Register.Results: We identified 1498 patients of whom 78% were men. Men and women had the same pathology on the first registered electrocardiogram (ECG): 30% vs. 29% had ST-elevation and 10% vs. 9% had left bundle branch block (LBBB) (P=0.97). Proportions of performed CAG did not differ between genders. Among patients without ST-elevation/LBBB men more often had at least one significant stenosis, 78% vs. 54% (P= 0.001), more multi-vessel disease (P= 0.01), had normal coronary angiography less often, 22% vs. 46% and PCI more often, 59% vs. 42% (P= 0.03). Among patients without STelevation/LBBB on the initial ECG, more men had previously known ischaemic heart disease, 27% vs. 19% (P=0.02) and a presumed cardiac origin of the cardiac arrest, 86% vs. 72% (P< 0.001). Multivariable analysis showed no association between gender and evaluation by early CAG. In men and women, 1-year survival was 56% vs. 50% (P= 0.22) in patients with ST-elevation/LBBB and 48% vs. 51% (P= 0.50) in patients without.Conclusion: Despite no gender differences in ECG findings indicating an early CAG, men had more severe coronary artery disease while women more frequently had normal coronary angiography. However, this did not influence 1-year survival.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Anestesi och intensivvård0 (SwePub)302012 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Anesthesiology and Intensive Care0 (SwePub)302012 hsv//eng
653 a Cardiac arrest
653 a Gender differences
653 a Out-of-hospital cardiac arrest
653 a Coronary angiography
653 a Percutaneous coronary intervention
653 a Ventricular fibrillation
653 a CPR
653 a Registry study
7001 a Covaciu, Lucian,d 1964-u Uppsala universitet,Anestesiologi och intensivvård4 aut0 (Swepub:uu)lucco342
7001 a Smekal, David,d 1971-u Uppsala Ctr Prehosp Res, Uppsala, Sweden4 aut0 (Swepub:uu)davsm531
7001 a Lagedal, Rickardu Uppsala universitet,Anestesiologi och intensivvård4 aut0 (Swepub:uu)ricla428
7001 a Nordberg, Peru Karolinska Institutet4 aut
7001 a Elfwen, Ludvigu Karolinska Institutet4 aut
7001 a Svensson, Leifu Karolinska Institutet4 aut
7001 a Jonsson, Martinu Karolinska Institutet4 aut
7001 a James, Stefan,d 1964-u Uppsala universitet,Kardiologi4 aut0 (Swepub:uu)stjam367
7001 a Rubertsson, Stenu Uppsala universitet,Anestesiologi och intensivvård4 aut0 (Swepub:uu)stenrube
7102 a Uppsala universitetb Anestesiologi och intensivvård4 org
7730 t Resuscitationd : Elsevier BVg 143, s. 189-195q 143<189-195x 0300-9572x 1873-1570
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-395786
8564 8u https://doi.org/10.1016/j.resuscitation.2019.07.015
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:141918316

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