Factors associated with poor survival in women experiencing cardiac arrest in a rural setting

Cline, Sharon L.; Lohe, Elisabeth von der; Newman, Mary M.; Groh, William J.

doi:10.1016/j.hrthm.2005.01.018

Cited by 18 publications

(12 citation statements)

References 22 publications

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“…14 In a cohort study from Seattle and King County, women had lower rates of VF than men (OR, 0.51 [0.46 to 0.56]). 22 Earlier evidence suggested that longer response times in women may explain their increased likelihood of presenting with PEA, 23 but in the present study, there were no gender-related differences in response time, indicating that delayed response in women may not entirely explain higher prevalence of PEA in women. Findings from the present study indicate that factors associated with PEA clearly extend beyond age and are gender specific.…”

Section: Discussioncontrasting

confidence: 80%

Factors Associated With Pulseless Electric Activity Versus Ventricular Fibrillation

et al. 2010

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Background— Corresponding with a continuing decline in the prevalence of sudden cardiac arrest cases presenting with ventricular fibrillation (VF), there has been a significant rise in the prevalence of pulseless electrical activity (PEA). Given significantly lower survival from PEA versus VF, we comprehensively investigated PEA correlates by incorporating first-responder data with lifetime clinical history information. Methods and Results— In the Portland, Ore, metropolitan area (population ≈1 million), cases of out-of-hospital sudden cardiac arrest who underwent attempted resuscitation were identified prospectively (2002–2007). Those presenting with PEA versus VF and asystole were compared with χ 2 tests, ANOVA, and logistic regression. A total of 1277 cases aged ≥18 years underwent resuscitation by first responders (mean age, 65±16 years; 67% male). Presenting arrhythmia was VF in 48%, PEA in 25%, and asystole/other in the remainder. Compared with VF cases, PEA cases were older (mean age, 68 versus 63 years; P =0.0002), more likely to be female (37% versus 26%; P =0.0008), and less likely to survive to hospital discharge (6% versus 25%; P <0.0001). A history of syncope was strongly associated with PEA (odds ratio, 2.6; confidence interval, 1.3 to 5.3) after adjustment for age, gender, response time, and arrest circumstances. Black race was also independently associated with PEA (odds ratio, 2.6; confidence interval, 1.3 to 5.4). Pulmonary disease and female gender were significant factors associated with PEA ( P for interaction=0.04). In a subgroup analysis of resting ECGs (n=391), there were no differences in cardiac clinical history or prevalence of cardiac conduction system disease (PEA, 31.6% versus VF, 32.2%; P =0.48). Conclusions— PEA cases had a significantly higher prevalence of syncope in their lifetime, with other correlates, including black race, that were distinct from VF cases. Potential mechanistic links between syncope and future manifestation with PEA warrant further exploration.

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Section: Discussioncontrasting

confidence: 80%

Factors Associated With Pulseless Electric Activity Versus Ventricular Fibrillation

et al. 2010

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“…Studies included 19-42% of women. Nine studies analyzed survival at hospital discharge [20][21][22][23]33,[35][36][37][38] and four at one-month after hospital discharge. 19,24,32,34 The databases were drawn mainly from emergency medical services, hospital admissions statistics or SCA registries.…”

Section: Resultsmentioning

confidence: 99%

Gender and survival after sudden cardiac arrest: A systematic review and meta-analysis

et al. 2015

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“…Prior work has revealed that there are differences in utilization of cardiac care and outcomes based on patient sex or gender [ 1 - 9 ], ethnicity [ 10 - 12 ], socioeconomic status [ 11 , 13 - 16 ], as well as geography (place of residence) [ 9 , 11 , 17 - 19 ]. Some have also speculated that patient preferences and approaches to decision-making are factors that contribute to the above mentioned differences [ 12 , 20 - 22 ].…”

Section: Introductionmentioning

confidence: 99%

Risk-taking attitudes and their association with process and outcomes of cardiac care: a cohort study

King

Norris

Knudtson

et al. 2009

BMC Cardiovasc Disord

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Background: Prior research reveals that processes and outcomes of cardiac care differ across sociodemographic strata. One potential contributing factor to such differences is the personality traits of individuals within these strata. We examined the association between risk-taking attitudes and cardiac patients' clinical and demographic characteristics, the likelihood of undergoing invasive cardiac procedures and survival.

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Factors associated with poor survival in women experiencing cardiac arrest in a rural setting

Cited by 18 publications

References 22 publications

Factors Associated With Pulseless Electric Activity Versus Ventricular Fibrillation

Factors Associated With Pulseless Electric Activity Versus Ventricular Fibrillation

Gender and survival after sudden cardiac arrest: A systematic review and meta-analysis

Risk-taking attitudes and their association with process and outcomes of cardiac care: a cohort study

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