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academies
Archives of General Internal Medicine | Volume 2
&
April 04-05, 2018 | Miami, USA
International Conference on
Internal Medicine & Practice and Primary Care
International Meeting on
Breast Pathology & Cancer Diagnosis
Introduction:
Gender and age have been shown as
independent factors for survival after OHCA. A shorter delay
to call the Emergency Medical Service (EMS) and start of
cardiopulmonary resuscitation (CPR), and rapid defibrillation
in shock able rhythm (ventricular fibrillation or ventricular
tachycardia); are well identified factors impacting survival.
Women suffering from OHCA are usually older and present
less frequently with shock able rhythm. Data are conflicting
whether they receive by stander CPR more or less often
than men. Most reports have shown that advanced age is
associated with poorer survival. However, the effects of age
and gender on the association between delay to treatment
and survival have not been examined.
Aim:
The aim of this study was to examine the effect of age
and gender on the association between delay to calling for
the EMS, start of CPR, defibrillation, and survival.
Methods
: This is a retrospective study from the Swedish
Registry of Cardiopulmonary Resuscitation. We included
15745 patients aged >18 years where CPR has been
attempted between 2011-2015. Patients were divided into
two age groups. Higher age was defined as being 70 years
or older. Delay times where divided into 4 increasing time
intervals.
Results:
There was no significant interaction between
either age or gender and the association between delay to
call for EMS and survival. However, there was a significant
interaction between gender and the association between
delay to start of CPR and survival being stronger among men.
Furthermore, there was a significant interaction between
age and the association between delay to defibrillation and
survival being stronger among the elderly.
Conclusions
: There was a strong association between delay
to treatment and survival after OHCA. The association
between delay to start of CPR and survival was stronger in
men whereas the association between delay to defibrillation
and survival was stronger among the elderly.
Speaker Biography
Nooraldeen Al-Dury has obtained his Medical Degree from Charles University in
Prague. Since then, He has been doing both Preclinical and Clinical Research at the
Sahlgrenska Academy in Gothenburg, Sweden. He has finished Internal Medicine
Residency in January 2018. He has held an Assistant Researcher post at The Mayo
Clinic in Rochester, Minnesota, and is now involved with the Swedish Registry of
Cardiopulmonary Resuscitation as a PhD Fellow. He plans to defend his Doctoral thesis
within the next couple of years. With his presentation, he aims to share experiences
from The Swedish Registry of Cardiopulmonary Resuscitation.
e:
aldury.n@gmail.comOut of hospital cardiac arrest: Does age and gender affect the association between delay to treatment
and 30 day survival?
Nooraldeen Al-Dury
Sahlgrenska University Hospital, Sweden