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Out-of-Hospital Cardiac Arrest in Men and Women
- Source :
- Circulation. 104:2699-2703
- Publication Year :
- 2001
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2001.
-
Abstract
- Background The incidence of sudden cardiac death is roughly 3 times greater in men than in women. However, in patients treated for out-of-hospital cardiac arrest, the relationships between sex and survival after adjustment for age and cardiac rhythm are unclear. Methods and Results In this retrospective cohort study, we examined 7069 men and 2582 women who were treated for out-of-hospital cardiac arrest in Seattle and suburban King County between 1990 and 1998. We compared successful prehospital resuscitation (hospital admission) and survival from event to discharge in men and women. Women had markedly reduced rates of ventricular fibrillation (VF), slightly older age, fewer witnessed arrests, and fewer arrests in public locations than men. Although their unadjusted resuscitation rate was lower (29% versus 32%, P P P Conclusions The lower unadjusted resuscitation and survival rates observed in women were primarily due to women’s lower incidence of VF, a relatively favorable cardiac rhythm. After adjustment for VF and other factors, women had higher resuscitation rates than men, but similar rates of survival from event to discharge.
- Subjects :
- Adult
Male
Washington
medicine.medical_specialty
Resuscitation
Comorbidity
Sudden death
Sudden cardiac death
Cohort Studies
Electrocardiography
Age Distribution
Sex Factors
Heart Rate
Physiology (medical)
Internal medicine
Odds Ratio
medicine
Humans
Sex Distribution
Survival rate
Aged
Retrospective Studies
business.industry
Incidence
Retrospective cohort study
Odds ratio
Middle Aged
medicine.disease
Cardiopulmonary Resuscitation
Heart Arrest
Surgery
Survival Rate
Treatment Outcome
Ventricular Fibrillation
Ventricular fibrillation
Cardiology
Female
Cardiology and Cardiovascular Medicine
business
Cohort study
Subjects
Details
- ISSN :
- 15244539 and 00097322
- Volume :
- 104
- Database :
- OpenAIRE
- Journal :
- Circulation
- Accession number :
- edsair.doi.dedup.....66c2c150d2fbd65eebfa489eb8984212