Gender Disparities Among Adult Recipients of Bystander Cardiopulmonary Resuscitation in the Public

Abstract

Background: Bystander cardiopulmonary resuscitation (BCPR) improves survival from out-of-hospital cardiac arrest (OHCA), yet BCPR rates remain low. It is unknown whether BCPR delivery disparities exist based on victim gender. We measured BCPR rates by gender in private and public environments, hypothesizing that females would be less likely than males to receive BCPR in public settings, with an associated difference in survival to hospital discharge. Methods and Results: We analyzed data from adult, non-traumatic OHCA events within the Resuscitation Outcomes Consortium registry (2011–2015). Using logistic regression, we modeled the likelihood of receiving BCPR by gender, including patient-level variables, stratified by location. A cohort of 19,331 OHCAs were assessed. Mean age was 64±17 years, and 63% (12,225/19,331) were male. Overall, 37% of OHCA victims received bystander CPR. In public locations, 39% (272/694) of females and 45% (1,170/2,600) of males received BCPR (p<0.01), whereas in private settings, 35% (2,198/6,328) of females and 36% (3,364/9,449) of males received BCPR (p=ns). Among public OHCAs, males had significantly increased odds of receiving BCPR compared to females (OR: 1.27, 95% CI: 1.05–1.53, p=0.01); this was not the case in the private setting (OR: 0.93, 95% CI: 0.87–1.01, p=ns). Controlling for site, age, and race, BCPR was significantly associated with survival to hospital discharge (OR:1.69, 95% CI: 1.54–1.85, p<0.01); in this model, males had 29% increased odds of survival compared to females (OR:1.29, 95% CI: 1.17–1.42, p<0.01). Conclusions: Males had an increased likelihood of receiving BCPR compared to females in public. BCPR improved survival to discharge, with greater survival among males compared to females.

Factors associated with return of spontaneous circulation after out-of-hospital cardiac arrest in Poland: a one-year retrospective study

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Outcomes for Hemodialysis Patients Given Cardiopulmonary Resuscitation for Cardiac Arrest at Outpatient Dialysis Clinics

“…Similar gender disparities in bystander CPR have also been observed in the general population. 23 Overall, further study on the challenges and dilemmas that dialysis clinic personnel face in managing cardiac arrest is needed to guide the development of programs and interventions to improve CPR use in dialysis clinics.…”

Transvaginal mesh, gender and the ethics of clinical innovation

“…With this understanding of vulnerability in mind, it is clear that women have long been susceptible to harm in the context of medical practice and research . In clinical practice, men are more likely to receive comprehensive investigation and treatment, including for hypercholesterolaemia, ischaemic heart disease, heart failure, cardiorespiratory arrest, atrial fibrillation, rheumatoid arthritis, end‐stage renal disease and dementia . Women are also more likely to have their illness disregarded and their pain pathologised, or ignored .…”