While research into sex disparities in the provision of cardiac arrest care and patient-centered outcomes is a growing field of resuscitation science, the perennial question remains, once we have discovered differences or moreover, disparities, how can we remedy them? Differences in the phenotype of female out of hospital cardiac arrest (OHCA) versus male OHCA have been observed, where women tend to be older in age and suffer a greater proportion of non-shockable initial rhythms highlighting different etiologies for their arrest. While these sex differences are well documented, recent literature has shown a sex disparity with respect to layperson response to out of hospital cardiac arrest. Women who suffer a witnessed OHCA receive less bystander cardiopulmonary resuscitation (bCPR) than men.
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- McGovern S.
- Schmicker R.
- et al.
Gender disparities among adult recipients of bystander cardiopulmonary resuscitation in the public.
Circ Cardiovasc Qual Outcomes. 2018; 11: e004710https://doi.org/10.1161/CIRCOUTCOMES.118.004710
- Ahn K.O.
- Shin S.D.
- Hwang S.S.
Sex disparity in resuscitation efforts and outcomes in out-of-hospital cardiac arrest.
Am J Emerg Med. 2012; 30: 1810-1816https://doi.org/10.1016/j.ajem.2012.02.018
3While the disparity has been well documented, few studies have explored potential interventions to remedy the imbalance.
- Safdar B.
- Stolz U.
- Stiell I.G.
- et al.
Differential survival for men and women from out-of-hospital cardiac arrest varies by age: results from the OPALS study.
Acad Emerg Med. 2014; 21: 1503-1511https://doi.org/10.1111/acem.12540
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- Gender disparities among adult recipients of bystander cardiopulmonary resuscitation in the public.Circ Cardiovasc Qual Outcomes. 2018; 11: e004710https://doi.org/10.1161/CIRCOUTCOMES.118.004710
- Sex disparity in resuscitation efforts and outcomes in out-of-hospital cardiac arrest.Am J Emerg Med. 2012; 30: 1810-1816https://doi.org/10.1016/j.ajem.2012.02.018
- Differential survival for men and women from out-of-hospital cardiac arrest varies by age: results from the OPALS study.Acad Emerg Med. 2014; 21: 1503-1511https://doi.org/10.1111/acem.12540
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Published online: May 21, 2021
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