There is a difference in characteristics and outcome between women and men who suffer out of hospital cardiac arrest

Resuscitation. Apr-May 1999;40(3):133-40. doi: 10.1016/s0300-9572(99)00022-2.

Abstract

Objective: To evaluate whether there is a difference in characteristics and outcome in relation to gender among patients who suffer out of hospital cardiac arrest.

Design: Observational study.

Setting: The community of Göteborg.

Patients: All patients in the community of Göteborg who suffered out of hospital cardiac arrest between 1980 and 1996, and in whom cardiopulmonary resuscitation (CPR) was initiated.

Main outcome measures: Factors at resuscitation and the proportion of patients being hospitalized and discharged from hospital. P values were corrected for age.

Results: The women were older than the men (median of 73 vs. 69 years; P < 0.0001), they received bystander-CPR less frequently (11 vs. 15%; P = 0.003), they were found in ongoing ventricular fibrillation less frequently (28 vs. 44%; P < 0.0001), and their arrests were judged to be of cardiac origin less frequently. In a multivariate analysis considering age, gender, arrest being due to a cardiac etiology, initial arrhythmia and by-stander initiated CPR, female gender appeared as an independent predictor for patients being brought to hospital alive (odds ratio 1.37; P = 0.001) but not for patients being discharged from hospital.

Conclusion: Among patients who suffer out of hospital cardiac arrest with attempted CPR women differ from men being older, receive bystander CPR less frequently, have a cardiac etiology less frequently and are found in ventricular fibrillation less frequently. Finally female gender is associated with an increased chance of arriving at hospital alive.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Cardiopulmonary Resuscitation / methods
  • Cardiopulmonary Resuscitation / statistics & numerical data*
  • Child
  • Child, Preschool
  • Emergency Treatment / methods*
  • Emergency Treatment / statistics & numerical data
  • Female
  • Health Surveys
  • Heart Arrest / epidemiology*
  • Heart Arrest / therapy*
  • Hospitalization
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Patient Discharge
  • Predictive Value of Tests
  • Risk Factors
  • Sex Distribution
  • Survival Rate
  • Sweden / epidemiology
  • Treatment Outcome*