Gender-related differences in adults concerning frequency, survival and treatment quality after out-of-hospital cardiac arrest (OHCA): An observational cohort study from the German resuscitation registry.
Gender
Matched pairs
Out-of-hospital cardiac arrest
Quality of care
Regression analysis
Resuscitation
Survival rate
Journal
Resuscitation
ISSN: 1873-1570
Titre abrégé: Resuscitation
Pays: Ireland
ID NLM: 0332173
Informations de publication
Date de publication:
25 Nov 2023
25 Nov 2023
Historique:
received:
02
10
2023
revised:
16
11
2023
accepted:
20
11
2023
pubmed:
28
11
2023
medline:
28
11
2023
entrez:
28
11
2023
Statut:
aheadofprint
Résumé
In Germany approximately 20,500 women and 41,000 men were resuscitated after out-of-hospital cardiac arrest (OHCA) each year. We are currently experiencing a discussion about the possible undersupply of women in healthcare. The aim of the present study was to examine the prevalence of OHCA in Germany, as well as the outcome and quality of resuscitation care for both women and men. We present a cohort study from the German Resuscitation Registry (2006-2022). The quality of care was assessed for both EMS and hospital care based on risk-adjusted survival rates with the endpoints: "hospital admission with return of spontaneous circulation" (ROSC 58,798 patients aged ≥ 18 years with OHCA and resuscitation were included (men = 65.2%, women = 34.8%). In the prehospital phase the male gender was associated with lower ROSC In Germany, 80% more men than women experience OHCA. The prognosis for CPC1/2
Sections du résumé
BACKGROUND
BACKGROUND
In Germany approximately 20,500 women and 41,000 men were resuscitated after out-of-hospital cardiac arrest (OHCA) each year. We are currently experiencing a discussion about the possible undersupply of women in healthcare. The aim of the present study was to examine the prevalence of OHCA in Germany, as well as the outcome and quality of resuscitation care for both women and men.
METHODS
METHODS
We present a cohort study from the German Resuscitation Registry (2006-2022). The quality of care was assessed for both EMS and hospital care based on risk-adjusted survival rates with the endpoints: "hospital admission with return of spontaneous circulation" (ROSC
RESULTS
RESULTS
58,798 patients aged ≥ 18 years with OHCA and resuscitation were included (men = 65.2%, women = 34.8%). In the prehospital phase the male gender was associated with lower ROSC
CONCLUSION
CONCLUSIONS
In Germany, 80% more men than women experience OHCA. The prognosis for CPC1/2
Identifiants
pubmed: 38013146
pii: S0300-9572(23)00796-7
doi: 10.1016/j.resuscitation.2023.110060
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
110060Informations de copyright
Copyright © 2023 Elsevier B.V. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: MF, JTG, JW, SS are members of the steering committee of the GRR. MF and JTG are co-founder of the GRR. MF is 1st chairman of agswn. JTG is spokesman for the DGAI Emergency Medicine Working Group. JTG is member of the Editorial Board of Resuscitation. All other authors have no conflict of interest.