ArticleEClinicalMedicine2022
Gender disparities among adult recipients of layperson bystander cardiopulmonary resuscitation by location of cardiac arrest in Pan-Asian communities: A registry-based study.
Article in EClinicalMedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 41 citations in OpenAlex.
- When Bystanders Skip CPR: Insights from a Retrospective Study.Medicina (Kaunas, Lithuania) · 2026Article
- Article
- Knowledge and Willingness to Perform Cardiopulmonary Resuscitation by Bystanders in Jordan; A Nationwide Cross-sectional Study.Archives of academic emergency medicine · 2026Article
- Pan-Asian Resuscitation Outcomes Study (PAROS): A Living Population Laboratory Transforming Resuscitation Science Across Asia.JACC. Asia · 2025Article
- Diversity of CPR manikins for basic life support education: use of manikin sex, race and body shape - a scoping review.Emergency medicine journal : EMJ · 2025Article
- Missing Data in OHCA Registries: How Imputation Methods Affect Research Conclusions-Paper I.Journal of clinical medicine · 2025Article
- Epidemiology and outcomes of out-of-hospital cardiac arrests treated by an anaesthetist-staffed emergency medical service: a 3-year registry analysis in The Friuli-Venezia-Giulia region.Resuscitation plus · 2025Article
- FairFML: fair federated machine learning with a case study on reducing gender disparities in cardiac arrest outcome prediction.npj health systems · 2025Article
- Sex Differences in In-Hospital Mortality Among Patients Receiving Veno-Arterial Extracorporeal Membrane Oxygenation and Extracorporeal Cardiopulmonary Resuscitation: A Propensity Score-Matched Analysis.Journal of the American Heart Association · 2025Article
- Association between bystander cardiopulmonary resuscitation initiation and patient's sex: a systematic review and meta-analysis.Resuscitation plus · 2025Review
- Global Sex Disparities in Bystander Cardiopulmonary Resuscitation After Out-of-Hospital Cardiac Arrest: A Scoping Review.Journal of the American Heart Association · 2024Article
- Incidence, characteristics, and prehospital outcomes of out-of-hospital cardiac arrest in Qatar: a nationwide gender-based investigation.International journal of emergency medicine · 2024Article
- Health systems developments and predictors of bystander CPR in Ireland.Resuscitation plus · 2024Article
- Sex Differences in Receipt of Bystander Cardiopulmonary Resuscitation Considering Neighborhood Racial and Ethnic Composition.Journal of the American Heart Association · 2024Article
- Sex disparities in bystander defibrillation for out-of-hospital cardiac arrest.Resuscitation plus · 2024Article
- Effects of Dispatcher-Assisted Public-Access Defibrillation Programs on the Outcomes of Out-of-Hospital Cardiac Arrest: A Before-and-After Study.Journal of the American Heart Association · 2024Article
- Sex and gender differences in intensive care medicine.Intensive care medicine · 2023Review
- Provision of bystander CPR for out-of-hospital cardiac arrest in the Middle East: a retrospective gender-based analysis.International journal of emergency medicine · 2023Article
- Impact of COVID-19 on barriers to dispatcher-assisted cardiopulmonary resuscitation in adult out-of-hospital cardiac arrests in Singapore.Resuscitation · 2022Review
- Outcomes of out of hospital sudden cardiac arrest in India: A review and proposed reforms.Indian heart journalReview
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Authors and funding
13 authors at 8 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBystander cardiopulmonary resuscitation (BCPR) is a critical component of the 'chain of survival' in reducing mortality among out-of-hospital cardiac arrest (OHCA) victims. Inconsistent findings on gender disparities among adult recipients of layperson BCPR have been reported in the literature. We aimed to fill this knowledge gap by investigating the extent of gender disparities in a cross-national setting within Pan-Asian communities.
methodsWe utilised data collected from the Pan-Asian Resuscitation Outcomes Study (PAROS), an international, multicentre, prospective study conducted between 2009 and 2018. We included all OHCA cases with non-traumatic arrest aetiology transported by emergency medical services and excluded study sites that did not consistently collect information about the location of cardiac arrest. Logistic regression was used to analyse the association between gender and BCPR, stratified by location.
findingsWe analysed a cohort of 56,192 OHCA cases with an overall BCPR rate of 36.2% (20,329/56,192). At public locations, the BCPR rate was 31.2% (631/2022) for female and 36.4% (3235/8892) for male OHCA victims; while at home, the rate was 38.3% (6838/17,842) for females and 35.1% (9625/27,436) for males. Controlling for site differences and several factors in multivariable logistic regression, we found females less likely to receive BCPR than males in public locations (odds ratio [OR]=0.89, 95% confidence interval [CI]: 0.70-0.99), but more likely to receive BCPR at home (OR=1.16, 95% CI: 1.11-1.21).
interpretationIn Pan-Asian communities, gender differences exist in adult recipients of BCPR and differ between home and public locations. Future studies should account for additional information on bystanders and societal factors to identify targets for interventions.
fundingThe study was supported by grants from the National Medical Research Council (NMRC/CSA/0049/2013) and Laerdal Foundation (20040).
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