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Public access defibrillators: Gender-based inequities in access and application

Resuscitation Mar 05, 2020

Grunau B, et al. - In view of the observed improvement in outcomes in out-of-hospital cardiac arrest (OHCA) in correlation with the implementation of public access automated external defibrillator (AED) programs, researchers here examined differences in OHCA location by gender with the aim to ascertain the proportion of individuals who were potentially eligible for public access AED application, and if patient gender was correlated with AED utilization. The Resuscitation Outcomes Consortium registry (2011–2015) yielded data from 61,473 cases. Among these, 34% were female and 50% had bystander resuscitation. The analysis revealed women experienced fewer OHCA in public locations that may have public access AEDs. Further, women less frequently had public access AED applied even among public location OHCA with bystander interventions. Outcomes in women with OHCA may improve with initiatives to optimize AED locations and to engage the public with gender-specific resuscitation training.
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