Titre :

Effect of gender on out-of-hospital cardiac arrest survival: a registry-based study.

Auteur(s) :

Hubert, Hervé [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Jaeger, Déborah [Auteur]
Centre Hospitalier Régional Universitaire de Nancy [CHRU Nancy]
Canon, Valentine [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Vilhelm, Christian [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Genin, Michaël [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Manzo-Silberman, Stéphane [Auteur]
Marqueurs cardiovasculaires en situation de stress [MASCOT (UMR_S_942 / U942)]
Sadoune, Sonia [Auteur]
Centre Hospitalier Régional Universitaire de Nancy [CHRU Nancy]
Denayer, Franck-Olivier [Auteur]
IMPact de l'Environnement Chimique sur la Santé humaine (IMPECS) - ULR 4483
Javaudin, François [Auteur]
Microbiotes, Hôtes, Antibiotiques et Résistances bactériennes (MiHAR) [MiHAR]
Gueugniaud, Pierre Yves [Auteur]
Hôpital Edouard Herriot [CHU - HCL]
Tazarourte, Karim [Auteur]
Health Service and Performance Research [HESPER]
Mounier Vehier, Claire [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
El Khoury, Carlos [Auteur]
Health Service and Performance Research [HESPER]
Chouihed, Tahar [Auteur]
Centre Hospitalier Régional Universitaire de Nancy [CHRU Nancy]

Titre de la revue :

European Journal of Emergency Medicine

Nom court de la revue :

Eur J Emerg Med

Numéro :

28

Pagination :

50-57

Date de publication :

2020-09-19

ISSN :

1473-5695

Mot(s)-clé(s) en anglais :

gender
out-of-hospital cardiac arrest
prognosis
survival rates

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Objective The aim of the study was to compare outcomes after out-of-hospital cardiac arrest (OHCA) between comparable female and male OHCA cohorts in a large nationwide registry. Methods This was a national ...
Lire la suite >Objective The aim of the study was to compare outcomes after out-of-hospital cardiac arrest (OHCA) between comparable female and male OHCA cohorts in a large nationwide registry. Methods This was a national multicentre retrospective, case-control propensity score-matched study based on French National Cardiac Arrest Registry data from 1 July 2011 to 21 September 2017. Female and male survival rates at D30 were compared. Results At baseline 66 395 OHCA victims were included, of which 34.3% were women. At hospital admission, survival was 18.2% for female patients and 20.2% for male patients [odds ratio (OR), 1.138 (1.092−1.185)]; at 30 days, survival was 4.3 and 5.9%, respectively [OR, 1.290 (1.191−1.500)]. After matching (14 051 patients within each group), female patients received less advanced life support by mobile medical team (MMT), they also had a longer no-flow duration and shorter resuscitation effort by MMT than male patients. However, 15.3% of female patients vs. 9.1% of male patients were alive at hospital admission [OR, 0.557 (0.517−0.599)] and 3.2 vs. 2.6% at D30 [OR, 0.801 (0.697−0.921)], with no statistically significant difference in neurological outcome [OR, 0.966 (0.664−1.407)]. Conclusions In this large nationwide matched OHCA study, female patients had a better chance of survival with no significant difference in neurological outcome. We also noticed that female patients received delayed care with a shorter resuscitation effort compared to men; these complex issues warrant further specific investigation. Encouraging bystanders to act as quickly as possible and medical teams to care for female patients in the same way as male patients should increase survival rates.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
CHU Lille

Collections :

• METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Date de dépôt :

2023-11-15T08:09:37Z
2023-12-18T17:05:06Z