Characteristics and outcome among 14,933 adult cases of in-hospital cardiac arrest: A nationwide study with the emphasis on gender and age

Al-Dury, Nooraldeen; Rawshani, Araz; Israelsson, Johan; Strömsöe, Anneli; Aune, Solveig; Agerström, Jens; Karlsson, Thomas; Ravn-Fischer, Annica; Herlitz, Johan

doi:10.1016/j.ajem.2017.06.012

Cited by 48 publications

(35 citation statements)

References 38 publications

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“…Characteristics of women and men were compared using the two-sided Chi [2] test and a p -value of ≤0.05 was interpreted as statistically significant. Missing data were not excluded or imputed, yet instead kept as an own category per variable.…”

Section: Methodsmentioning

confidence: 99%

“…This decreased survival for men has been shown despite unfavourable prehospital factors among out-of-hospital cardiac arrests (OHCA) such as higher age, fewer witnessed arrests and less likely to receive bystander-CPR for women [3]. Also, women with in-hospital cardiac arrest (IHCA) have both higher age and prevalence of non-shockable first rhythm [2]. The phenomenon that these studies demonstrate has been described as the ‘gender paradox’, where women survive cardiac arrests to a greater extent despite disadvantageous prerequisites [4].…”

Section: Introductionmentioning

confidence: 99%

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Survival of in-hospital cardiac arrest in men and women in a large Swedish cohort

Qvick

Radif

Brever

et al. 2018

Scand J Trauma Resusc Emerg Med

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BackgroundCardiac arrest is more common in men than women and a few studies have shown inferior 30-day survival for men than for women. The difference might relate to patient characteristics, intra arrest factors or post arrest care.AimTo assess differences in 30-day survival between men and women after an in-hospital cardiac arrest (IHCA).Material and methodsAll patients ≥18 years suffering an IHCA at Karolinska University Hospital between 2007 and 2017 were included. Data regarding the IHCA, patient characteristics, Charlson co-morbidity index (CCI) and 30-day survival were obtained from electronic patient records. Differences in survival between men and women were assessed with adjusted logistic regression models and presented as Odds Ratios with 95% Confidence Intervals (OR, 95% CI). Adjustments included age, CCI, place of cardiac arrest, first rhythm, ECG-surveillance and witnessed or not.ResultsIn all, 1639 patients suffered an IHCA, of whom 650 (40%) were women and 193 (30%) of them survived to 30 days compared to 28% of the men. No differences were found in the studied patient characteristics, intra arrest factors or post-ROSC treatments. Men had similar survival as women (crude OR 0.93 95% CI 0.74–1.15 and adjusted OR 0.77 95% CI 0.58–1.03 respectively).ConclusionThis cohort study illuminates an almost equal distribution in characteristics and treatment as well as outcome, 30-day survival after IHCA between men and women. However, our study confirms previous findings of disadvantageous prerequisites among women, but also indicates that preceeding vital signs differ which might indicate residual confounding.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Survival of in-hospital cardiac arrest in men and women in a large Swedish cohort

Qvick

Radif

Brever

et al. 2018

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

show abstract

“…This finding indicates that a longer delay to start CPR on men has a larger detrimental effect on survival compared to women. This could be due to the fact that men who suffer from OHCA tend to already have higher rates of cardiovascular disease [16,17,23], which would then increase the risk that a longer delay to CPR may have a greater net effect on survival. It is also worth noting that a contributing factor to this finding may have been a different etiology behind the cardiac arrest when women are compared with men [16,24].…”

Section: Discussionmentioning

confidence: 99%

The influence of age and gender on delay to treatment and its association with survival after out of hospital cardiac arrest

Al-Dury

Rawshani

Karlsson

et al. 2021

The American Journal of Emergency Medicine

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“…Cardiac illnesses, such as myocardial infarctions (MI), coronary diseases, and cardiac arrests are most common among adults over 55 years old, yet since congenital heart defects can be discovered as early as during childhood, young people might also find themselves coping with a cardiac illness (HAS, 2016 ; Al-Dury et al, 2017 ; Inserm, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

What Do We Know About Young Adult Cardiac Patients' Experience? A Systematic Review

et al. 2020

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Background: Studies interested in patients coping with a cardiac illness usually focus on children, teenagers, and adults above the age of 55. Apart from the field of congenital heart diseases, there is a general lack of literature regarding young adult cardiac patients (18-55 years old) who seem to cope with psychosocial issues. Therefore, the objective of this paper was to gather all the research carried out concerning the psychological experiences of young adult cardiac patients. Methods and Results: A comprehensive, systematic review was conducted on quantitative, qualitative, and mixed-method studies in PsycINFO, PubMed, ScienceDirect, and Cochrane Library databases. Out of the 10,747 articles found, 32 were included. While we aimed to include many cardiac diseases, coronary patients dominated the data. Five main themes emerged: emotional states (depression, anxiety, emotional distress, and stress), quality of life (health-related quality of life, physical functioning, and sexuality), adjusting to the medical environment (coping with the disease, health behavior change, financial barriers, and interactions with medical professionals), social life (social support and work), and identity (parenthood, new challenges, and new meanings). The results highlighted that their levels of depression, anxiety, stress, and quality of life were sometimes worse than in the general population and than in older and younger patients coping with a cardiac illness. Social isolation, identity changes, work, and parenthood were the specific challenges that this population had to face. Furthermore, young adult cardiac patients showed worse health behavior profiles than the general population and felt that they lacked information from professionals, especially regarding sexuality. Compared to men, women had worse psychosocial outcomes, especially regarding depression, stress, emotional distress, and quality of life. Conclusions: Young adult cardiac patients are to be considered with their own identity and challenges. They may be in need of specific interventions, some dedicated to women, and better communication is necessary with their families and professional caregivers so as to improve the patient's mental health, quality of life, coping skills, and adherence.

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Characteristics and outcome among 14,933 adult cases of in-hospital cardiac arrest: A nationwide study with the emphasis on gender and age

Cited by 48 publications

References 38 publications

Survival of in-hospital cardiac arrest in men and women in a large Swedish cohort

Survival of in-hospital cardiac arrest in men and women in a large Swedish cohort

The influence of age and gender on delay to treatment and its association with survival after out of hospital cardiac arrest

What Do We Know About Young Adult Cardiac Patients' Experience? A Systematic Review

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