Gender differences and survival after out of hospital cardiac arrest
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F22%3A10445740" target="_blank" >RIV/00064165:_____/22:10445740 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11110/22:10445740 RIV/00216208:11320/22:10445740
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=zhZrjvaE.E" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=zhZrjvaE.E</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.ajem.2022.02.032" target="_blank" >10.1016/j.ajem.2022.02.032</a>
Alternative languages
Result language
angličtina
Original language name
Gender differences and survival after out of hospital cardiac arrest
Original language description
Background: Published evidence regarding the effect of gender on outcome after out of hospital cardiac arrest (OHCA) is inconsistent. We aimed to investigate the association of gender to outcome and resuscitation characteristics in OHCA patients admitted to the cardiac arrest center. Methods: In this retrospective analysis of prospective registry data, all patients admitted for OHCA were included. The influence of gender on 30-day survival and good neurological outcome (cerebral performance category of 1 or 2) were examined using Kaplan-Meier estimates and multivariable logistic regression. Results: In total, 932 patients were analysed (239 women, 26%). Women were older (64 vs 60 years, p<0.001) and less commonly had a shockable rhythm(47% vs 65%, P<0.001) compared to men. Women were less likely to have a cardiac cause of arrest (54% vs. 75%, p<0.001), received less therapeutic hypothermia (74% vs 86%, p<0.001) and coronary angiography (63% vs. 79%, p<0.001). The overall 30-day survival was lower for women (45% vs. 53%, log-rank p = 0.005) as well as good neurological outcome (37% vs. 46%, p = 0.008). However, according to the multivariate logistic regression, gender was not associated with survival (OR 0.98, 95% CI 0.65-1.50, p = 0.94) nor with good neurological outcome (OR 0.91, 95% CI 0.59-1.40, p = 0.67). Conclusion: Women admitted for OHCA to a cardiac center had a different cause of arrest that had a different treatment and outcome compared to men. Survival and good neurological outcome were lower in women, however, after adjusting for baseline characteristics, gender was not associated with survival nor neurological outcome. (C) 2022 Elsevier Inc. All rights reserved.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2022
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
The American Journal of Emergency Medicine
ISSN
0735-6757
e-ISSN
1532-8171
Volume of the periodical
55
Issue of the periodical within the volume
May
Country of publishing house
US - UNITED STATES
Number of pages
5
Pages from-to
27-31
UT code for WoS article
000830080600005
EID of the result in the Scopus database
2-s2.0-85126826886