Abstract
Background
Female out-of-hospital cardiac arrest (OHCA) patients have been reported to be less
likely to receive cardiopulmonary resuscitation by bystanders compared with male patients
in prehospital settings. However, no clinical studies have investigated gender disparities
in the application of public-access automated external defibrillator (AED) pads among
OHCA patients in public locations.
Methods
OHCA data from 2011 to 2018 were obtained from the OHCA registry in Osaka City, Japan
and OHCAs that occurred in public locations were included. Gender differences in receiving
public-access AED pad application by bystanders were assessed according to the age
of the OHCA patient (<15, 15–49, 50–74, and ≥75 years) after controlling confounders.
Results
The analysis included 4358 OHCA patients (3313 male and 1045 female patients). The
multivariable logistic regression analyses found no significant gender differences
in the likelihood of public-access AED pad application among patients aged <15 years
(5.3% in male patients vs 6.3% in female patients; adjusted OR = 1.00, p = 1.000), 50–74 years (16.8% vs 12.7%; adjusted OR = 0.96, p = 0.796), and ≥75 years (12.3% vs 14.8%; adjusted OR = 1.45, p = 0.098). In contrast, among patients aged 15–49 years, female patients were significantly
less likely to receive public-access AED pad application compared with male patients
(12.1% vs 5.2%; adjusted OR = 0.54, p = 0.032).
Conclusion
In this population, female OHCA patients of reproductive age (15–49 years) were less
likely to receive public-access AED pad application compared with male patients of
the same age group.
Keywords
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Article info
Publication history
Published online: March 18, 2020
Accepted:
February 29,
2020
Received in revised form:
February 21,
2020
Received:
December 12,
2019
Identification
Copyright
© 2020 Elsevier B.V. All rights reserved.
