Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysis
Abstract Background 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 gend...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | International Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12245-023-00537-6 |
| _version_ | 1797454044809134080 |
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| author | Emad Awad Guillaume Alinier Hassan Farhat Niki Rumbolt Adnaan Azizurrahman Buthaina Mortada Rakan Shami |
| author_facet | Emad Awad Guillaume Alinier Hassan Farhat Niki Rumbolt Adnaan Azizurrahman Buthaina Mortada Rakan Shami |
| author_sort | Emad Awad |
| collection | DOAJ |
| description | Abstract Background 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. Methods 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. Results 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). Conclusions 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. |
| first_indexed | 2024-03-09T15:31:35Z |
| format | Article |
| id | doaj.art-c622c72e3aaa4c11a306c3d76889f527 |
| institution | Directory Open Access Journal |
| issn | 1865-1380 |
| language | English |
| last_indexed | 2024-03-09T15:31:35Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Emergency Medicine |
| spelling | doaj.art-c622c72e3aaa4c11a306c3d76889f5272023-11-26T12:15:03ZengBMCInternational Journal of Emergency Medicine1865-13802023-09-011611710.1186/s12245-023-00537-6Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysisEmad Awad0Guillaume Alinier1Hassan Farhat2Niki Rumbolt3Adnaan Azizurrahman4Buthaina Mortada5Rakan Shami6College of Health Science, University of Doha for Science and TechnologyHamad Medical Corporation Ambulance Service (HMCAS), Hamad Medical CorporationHamad Medical Corporation Ambulance Service (HMCAS), Hamad Medical CorporationCollege of Health Science, University of Doha for Science and TechnologyCollege of Health Science, University of Doha for Science and TechnologyCollege of Health Science, University of Doha for Science and TechnologyCollege of Health Science, University of Doha for Science and TechnologyAbstract Background 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. Methods 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. Results 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). Conclusions 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.https://doi.org/10.1186/s12245-023-00537-6Cardiac arrestCardiopulmonary resuscitationGender differencesMiddle East |
| spellingShingle | Emad Awad Guillaume Alinier Hassan Farhat Niki Rumbolt Adnaan Azizurrahman Buthaina Mortada Rakan Shami Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysis International Journal of Emergency Medicine Cardiac arrest Cardiopulmonary resuscitation Gender differences Middle East |
| 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 | Cardiac arrest Cardiopulmonary resuscitation Gender differences Middle East |
| url | https://doi.org/10.1186/s12245-023-00537-6 |
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