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Editorial| Volume 164, P139-141, July 2021

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Closing the Gap: How Telephone Assisted Cardiopulmonary Resuscitation (TA-CPR) Can Aid in Reducing the Sex Disparity in the Provision of Bystander CPR

Published:May 21, 2021DOI:https://doi.org/10.1016/j.resuscitation.2021.05.010
Closing the Gap: How Telephone Assisted Cardiopulmonary Resuscitation (TA-CPR) Can Aid in Reducing the Sex Disparity in the Provision of Bystander CPR
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      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.
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      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
      , 
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      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
      While the disparity has been well documented, few studies have explored potential interventions to remedy the imbalance.
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      Article info

      Publication history

      Published online: May 21, 2021

      Identification

      DOI: https://doi.org/10.1016/j.resuscitation.2021.05.010

      Copyright

      © 2021 Elsevier B.V. All rights reserved.

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