Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysis
<h3>Background</h3><p dir="ltr">Previous studies conducted in North America, Europe, and East Asia (Liu et al., EClinicalMedicine 44:101293, 2022; Matsui et al., JAMA Netw Open 2:e195111, 2019; Awad et al., J Am Coll Emerg Physicians Open 4:e12957, 2023; Yoon et al., Preh...
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| مؤلفون آخرون: | , , , , , |
| منشور في: |
2023
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| الموضوعات: | |
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إضافة وسم
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| _version_ | 1864513535776653312 |
|---|---|
| author | Emad Awad (17541264) |
| author2 | Guillaume Alinier (6952004) Hassan Farhat (9000509) Niki Rumbolt (17541267) Adnaan Azizurrahman (17541270) Buthaina Mortada (17541273) Rakan Shami (17541276) |
| author2_role | author author author author author author |
| author_facet | Emad Awad (17541264) Guillaume Alinier (6952004) Hassan Farhat (9000509) Niki Rumbolt (17541267) Adnaan Azizurrahman (17541270) Buthaina Mortada (17541273) Rakan Shami (17541276) |
| author_role | author |
| dc.creator.none.fl_str_mv | Emad Awad (17541264) Guillaume Alinier (6952004) Hassan Farhat (9000509) Niki Rumbolt (17541267) Adnaan Azizurrahman (17541270) Buthaina Mortada (17541273) Rakan Shami (17541276) |
| dc.date.none.fl_str_mv | 2023-09-26T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1186/s12245-023-00537-6 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Provision_of_bystander_CPR_for_out-of-hospital_cardiac_arrest_in_the_Middle_East_a_retrospective_gender-based_analysis/24717081 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Cardiovascular medicine and haematology Clinical sciences Health sciences Public health Cardiac arrest Cardiopulmonary resuscitation Gender differences Middle East |
| dc.title.none.fl_str_mv | Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysis |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">Previous studies conducted in North America, Europe, and East Asia (Liu et al., EClinicalMedicine 44:101293, 2022; Matsui et al., JAMA Netw Open 2:e195111, 2019; Awad et al., J Am Coll Emerg Physicians Open 4:e12957, 2023; Yoon et al., Prehosp Emerg Care :1–7, 2022) reported gender disparities in the provision of bystander CPR for patients with out-of-hospital cardiac arrest (OHCA). However, it remains unknown whether similar disparities exist in the Middle Eastern and Gulf regions. The primary objective of this study is to evaluate gender differences in the provision of bystander CPR for patients with OHCA in Qatar.</p><h3>Methods</h3><p dir="ltr">Retrospective analysis of data obtained from Hamad Medical Corporation OHCA registry in the State of Qatar (2016–2022). We included adults with non-traumatic and EMS-attended OHCA. We used multilevel logistic regression to examine the association between gender and provision of bystander CPR.</p><h3>Results</h3><p dir="ltr">In total, 4283 patients were included. Of those, 3414 (79.7%) were males, 1639 (38.3%) arrested in public locations, and 1463 (34.2%) received bystander CPR. Unadjusted comparisons showed that females were significantly older than males (mean age: 62.2 vs. 52.7). Females had a lower proportion of OHCA occurring in public locations (15.1% vs. 44.2%) and a lower proportion of shockable rhythm (11.9 vs. 27.5%). Regarding the outcome variable (provision of bystander CPR), the unadjusted analysis showed that the proportion of females who received bystander CPR was lower than that of males (29.2% vs. 35.4%, p < 0.001). However, after adjustment, we found no significant difference in provision of bystander CPR by gender (adjusted OR female vs. male 0.99, 95% CI 0.84–1.20, p = 0.97). In the subgroup who arrested in public locations, the analysis revealed females had greater odds of receiving bystander CPR (adjusted OR female vs. male 1.47, 95% CI 1.10–1.82, p = 0.04).</p><h3>Conclusions</h3><p dir="ltr">Overall, bystander CPR was less common in female gender; after adjustment for other covariates, including arrest location, we found no significant gender differences in provision of bystander CPR. We also observed that females were found to have a lower incidence of cardiac arrest in public locations. Nevertheless, if females were to experience cardiac arrest in a public location, they would be more likely to receive CPR. Further research is required to explain the observed differences in provision of bystander CPR.</p><h2>Other Information</h2><p dir="ltr">Published in: International Journal of Emergency Medicine<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1186/s12245-023-00537-6" target="_blank">https://dx.doi.org/10.1186/s12245-023-00537-6</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_50ca32cce9a517d9bb02ad72189e389c |
| identifier_str_mv | 10.1186/s12245-023-00537-6 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24717081 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysisEmad Awad (17541264)Guillaume Alinier (6952004)Hassan Farhat (9000509)Niki Rumbolt (17541267)Adnaan Azizurrahman (17541270)Buthaina Mortada (17541273)Rakan Shami (17541276)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesHealth sciencesPublic healthCardiac arrestCardiopulmonary resuscitationGender differencesMiddle East<h3>Background</h3><p dir="ltr">Previous studies conducted in North America, Europe, and East Asia (Liu et al., EClinicalMedicine 44:101293, 2022; Matsui et al., JAMA Netw Open 2:e195111, 2019; Awad et al., J Am Coll Emerg Physicians Open 4:e12957, 2023; Yoon et al., Prehosp Emerg Care :1–7, 2022) reported gender disparities in the provision of bystander CPR for patients with out-of-hospital cardiac arrest (OHCA). However, it remains unknown whether similar disparities exist in the Middle Eastern and Gulf regions. The primary objective of this study is to evaluate gender differences in the provision of bystander CPR for patients with OHCA in Qatar.</p><h3>Methods</h3><p dir="ltr">Retrospective analysis of data obtained from Hamad Medical Corporation OHCA registry in the State of Qatar (2016–2022). We included adults with non-traumatic and EMS-attended OHCA. We used multilevel logistic regression to examine the association between gender and provision of bystander CPR.</p><h3>Results</h3><p dir="ltr">In total, 4283 patients were included. Of those, 3414 (79.7%) were males, 1639 (38.3%) arrested in public locations, and 1463 (34.2%) received bystander CPR. Unadjusted comparisons showed that females were significantly older than males (mean age: 62.2 vs. 52.7). Females had a lower proportion of OHCA occurring in public locations (15.1% vs. 44.2%) and a lower proportion of shockable rhythm (11.9 vs. 27.5%). Regarding the outcome variable (provision of bystander CPR), the unadjusted analysis showed that the proportion of females who received bystander CPR was lower than that of males (29.2% vs. 35.4%, p < 0.001). However, after adjustment, we found no significant difference in provision of bystander CPR by gender (adjusted OR female vs. male 0.99, 95% CI 0.84–1.20, p = 0.97). In the subgroup who arrested in public locations, the analysis revealed females had greater odds of receiving bystander CPR (adjusted OR female vs. male 1.47, 95% CI 1.10–1.82, p = 0.04).</p><h3>Conclusions</h3><p dir="ltr">Overall, bystander CPR was less common in female gender; after adjustment for other covariates, including arrest location, we found no significant gender differences in provision of bystander CPR. We also observed that females were found to have a lower incidence of cardiac arrest in public locations. Nevertheless, if females were to experience cardiac arrest in a public location, they would be more likely to receive CPR. Further research is required to explain the observed differences in provision of bystander CPR.</p><h2>Other Information</h2><p dir="ltr">Published in: International Journal of Emergency Medicine<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1186/s12245-023-00537-6" target="_blank">https://dx.doi.org/10.1186/s12245-023-00537-6</a></p>2023-09-26T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1186/s12245-023-00537-6https://figshare.com/articles/journal_contribution/Provision_of_bystander_CPR_for_out-of-hospital_cardiac_arrest_in_the_Middle_East_a_retrospective_gender-based_analysis/24717081CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/247170812023-09-26T03:00:00Z |
| spellingShingle | Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysis Emad Awad (17541264) Biomedical and clinical sciences Cardiovascular medicine and haematology Clinical sciences Health sciences Public health Cardiac arrest Cardiopulmonary resuscitation Gender differences Middle East |
| status_str | publishedVersion |
| title | Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysis |
| title_full | Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysis |
| title_fullStr | Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysis |
| title_full_unstemmed | Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysis |
| title_short | Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysis |
| title_sort | Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysis |
| topic | Biomedical and clinical sciences Cardiovascular medicine and haematology Clinical sciences Health sciences Public health Cardiac arrest Cardiopulmonary resuscitation Gender differences Middle East |