Abstract 109: Gender Differences in the Incidence, Risk Profiles and Outcome of In-Hospital Cardiac Arrest: A 20-Year Experience From a Middle-Eastern Country (1991-2010)
Objectives: Little is known about in-hospital cardiac arrest (IHCA) in the developing countries. In this study we examined gender differences in the incidence, risk profiles and outcome of in-hospital cardiac arrest using a 20-year national cardiology registry in a Middle-Eastern Country.
Methods: Retrospective analysis of all patients that developed IHCA in Qatar from 1991 through 2010 was made. Patients were divided into two groups according to gender. Clinical characteristics, management and outcomes were analyzed.
Results: During the 20-years period 41,436 patients were hospitalized to the cardiology service in Qatar from 1991 to end of 2010; 9756 women and 31680 men. Of these 1684 patients developed IHCA during hospitalization; 496 women (5.1%) and 1188 men (3.8%), p <0.05. Women with IHCA were 6 years older and had a higher body mass index compared to men. Women had significantly higher prevalence of hypertension, diabetes mellitus, chronic renal impairment and dyslipidemia while current smoking status and acute coronary syndromes were significantly more common in men. The in-hospital mortality and stroke rates were comparable between the two groups [table].
Conclusions: Our study demonstrates that in our region women have a higher incidence of IHCA compared to men. These women had more prevalent cardiovascular co-morbidities. Our study highlights the need to study gender differences in IHCA among other ethnicities.
- © 2013 by American Heart Association, Inc.