Abstract 18869: Characteristics and Outcomes of Out of Hospital Cardiac Arrest in Women
Introduction: A lower survival rate is observed among women in Out of Hospital Cardiac Arrest (OHCA).
Hypothesis: The lower survival rate observed among women is rather due to a worse management than to intrinsic factors.
Methods: Data was taken between May 2011 and May 2015 from the Paris Sudden Cardiac Death Expertise Center prospective registry that includes all patients who present OHCA in Paris and its suburbs (6.6 million inhabitants). OHCA related to non-cardiac causes such as trauma, respiratory failure, drowning, and drug overdose were excluded.
Results: During the study period, 12,426 OHCA were recorded, of which 38.5% occurred among women. Mean age was higher among women (mean (SD), 75.6 (16.4) vs 67.5 (16.6) years, P<0.001), and OHCA occurred more frequently at home (89.6% vs 75.1%, P<0.001). Bystanders were less often present (70.0% vs 74.4%, P<0.001) and bystanders’ CPR was less often initiated (35.7% vs 39.0%, P<0.001). Shockable initial rhythm was less often found at emergency medical systems arrival (10.3% vs 23.8%, P<0.001). Targeted temperature control, ECMO and coronary angiography were less frequent among women. Survival rate at hospital discharge was lower among women (3.16% vs 6.52%, P<0.001). However, after adjusting for the main prognostic factors, female gender was associated with a better survival at hospital discharge.
Conclusion: In this real life population of OHCA, survival rate was lower among women than among men. However, after adjusting for traditional prognostic factors, including initial management, female gender per se is associated with a higher survival rate, highlighting the need for improving OHCA management among women.
Author Disclosures: N. Karam: None. P. Louis: None. W. Bougouin: None. F. Beganton: None. L. Lamhaut: None. J. Empana: None. F. Dumas: None. A. Cariou: None. C. Spaulding: None. E. Marijon: None. X. Jouven: None.
- © 2016 by American Heart Association, Inc.