Sex differences in receiving layperson cardiopulmonary resuscitation in pediatric out-of-hospital cardiac arrest: A nationwide cohort study in Japan

Okubo, Masashi; Matsuyama, Tasuku; Gibo, Koichiro; Komukai, Sho; Izawa, Junichi; Kiyohara, Kosuke; Nishiyama, Chika; Kiguchi, Takeyuki; Callaway, Clifton W.; Iwami, Taku; Kitamura, Tetsuhisa

doi:https://doi.org/10.1161/JAHA.118.010324

Sex differences in receiving layperson cardiopulmonary resuscitation in pediatric out-of-hospital cardiac arrest: A nationwide cohort study in Japan

Okubo, Masashi; Matsuyama, Tasuku; Gibo, Koichiro et al.

Journal of the American Heart Association, 2019, 8(1)

Number of Access:800（2025-10-22 07:40 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/78388

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Title	Sex differences in receiving layperson cardiopulmonary resuscitation in pediatric out-of-hospital cardiac arrest: A nationwide cohort study in Japan
Creator	CreatorName Okubo, Masashi
	NRID 1000050829025 1000050829025 CreatorName Matsuyama, Tasuku
	CreatorName Gibo, Koichiro
	NRID 1000070794543 1000070794543 ORCID 0000-0002-4329-2520 0000-0002-4329-2520 researchmap permalink sho.komukai sho.komukai Scopus Author ID 57200127087 57200127087 CreatorName Komukai, Sho
	CreatorName Izawa, Junichi
	NRID 1000080581834 1000080581834 CreatorName Kiyohara, Kosuke
	NRID 1000040584842 1000040584842 CreatorName Nishiyama, Chika
	NRID 1000030724380 1000030724380 CreatorName Kiguchi, Takeyuki
	CreatorName Callaway, Clifton W.
	NRID 1000060437291 1000060437291 CreatorName Iwami, Taku
	NRID 1000030639810 1000030639810 ORCID 0000-0003-0107-0580 0000-0003-0107-0580 researchmap permalink Kitamura_T Kitamura_T Scopus Author ID 22234282700 22234282700 CreatorName Kitamura, Tetsuhisa
Subject	Cardiac arrest
	Cardiopulmonary resuscitation
	Gender differences
	Pediatric
Description	Masashi Okubo, Tasuku Matsuyama, Koichiro Gibo, Sho Komukai, Junichi Izawa, Kosuke Kiyohara, Chika Nishiyama, Takeyuki Kiguchi, Clifton W. Callaway, Taku Iwami, and Tetsuhisa Kitamura. Sex Differences in Receiving Layperson Cardiopulmonary Resuscitation in Pediatric Out‐of‐Hospital Cardiac Arrest: A Nationwide Cohort Study in Japan. Journal of the American Heart Association. 2019; 8.
Abstract	Background: Layperson cardiopulmonary resuscitation (CPR) is a crucial intervention for patients with out-of-hospital cardiac arrest (OHCA). Although a sex disparity in receiving layperson CPR (ie, female patients were less likely to receive layperson CPR) has been reported in adults, there are few data in the pediatric population, and we therefore investigated sex differences in receiving layperson CPR in pediatric patients with OHCA. Methods and Results: From the All-Japan Utstein Registry, a prospective, nationwide, population-based OHCA database, we included pediatric patients (≤17 years) with layperson-witnessed OHCA from 2005 through 2015. The primary outcome was receiving layperson CPR. Patient sex was the main exposure. We fitted multivariable logistic regression models to examine associations between patient sex and receiving layperson CPR. We included a total of 4525 pediatric patients with layperson-witnessed OHCA in this study, 1669 (36.9%) of whom were female. Female patients received layperson CPR more often than male patients (831/1669 [49.8%] versus 1336/2856 [46.8%], P=0.05). After adjustment for age, time of day of arrest, year, witnesses persons, and dispatcher CPR instruction, the sex difference in receiving layperson CPR was not significant (adjusted odds ratio for female subjects 1.14, 95% CI, 0.996-1.31). Conclusions: In a pediatric population, female patients with layperson-witnessed OHCA received layperson CPR more often than male patients. After adjustment for covariates, there was no significant association between patient sex and receiving layperson CPR.
Publisher	American Heart Association Inc.
Source Title	Journal of the American Heart Association
Volume (Issue)	8(1)
Date of Issued	2019-01-08
Language	English
Handle URL	https://hdl.handle.net/11094/78388
eISSN	20479980
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1161/JAHA.118.010324
Relation.isIdenticalTo	PMID 30587069
Access Rights	open access
CopyRight	© 2019 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell. This article is licensed under a Creative Commons Attribution 4.0 International License.
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCMI Type	Text
DCTERMS.bibliographicCitation	Journal of the American Heart Association. 2019, 8(1)
DC.title	Sex differences in receiving layperson cardiopulmonary resuscitation in pediatric out-of-hospital cardiac arrest: A nationwide cohort study in Japan
DC.creator	Okubo, Masashi
	Matsuyama, Tasuku
	Gibo, Koichiro
	Komukai, Sho
	Izawa, Junichi
	Kiyohara, Kosuke
	Nishiyama, Chika
	Kiguchi, Takeyuki
	Callaway, Clifton W.
	Iwami, Taku
	Kitamura, Tetsuhisa
DC.publisher	American Heart Association Inc.
DC.language' scheme='DCTERMS.RFC1766	English
DC.type' scheme='DCTERMS.DCMIType	Text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2019-01-08
DC.identifier	https://doi.org/10.1161/JAHA.118.010324
DC.subject	Cardiac arrest
	Cardiopulmonary resuscitation
	Gender differences
	Pediatric
DC.description	Masashi Okubo, Tasuku Matsuyama, Koichiro Gibo, Sho Komukai, Junichi Izawa, Kosuke Kiyohara, Chika Nishiyama, Takeyuki Kiguchi, Clifton W. Callaway, Taku Iwami, and Tetsuhisa Kitamura. Sex Differences in Receiving Layperson Cardiopulmonary Resuscitation in Pediatric Out‐of‐Hospital Cardiac Arrest: A Nationwide Cohort Study in Japan. Journal of the American Heart Association. 2019; 8.
DCTERMS.abstract	Background: Layperson cardiopulmonary resuscitation (CPR) is a crucial intervention for patients with out-of-hospital cardiac arrest (OHCA). Although a sex disparity in receiving layperson CPR (ie, female patients were less likely to receive layperson CPR) has been reported in adults, there are few data in the pediatric population, and we therefore investigated sex differences in receiving layperson CPR in pediatric patients with OHCA. Methods and Results: From the All-Japan Utstein Registry, a prospective, nationwide, population-based OHCA database, we included pediatric patients (≤17 years) with layperson-witnessed OHCA from 2005 through 2015. The primary outcome was receiving layperson CPR. Patient sex was the main exposure. We fitted multivariable logistic regression models to examine associations between patient sex and receiving layperson CPR. We included a total of 4525 pediatric patients with layperson-witnessed OHCA in this study, 1669 (36.9%) of whom were female. Female patients received layperson CPR more often than male patients (831/1669 [49.8%] versus 1336/2856 [46.8%], P=0.05). After adjustment for age, time of day of arrest, year, witnesses persons, and dispatcher CPR instruction, the sex difference in receiving layperson CPR was not significant (adjusted odds ratio for female subjects 1.14, 95% CI, 0.996-1.31). Conclusions: In a pediatric population, female patients with layperson-witnessed OHCA received layperson CPR more often than male patients. After adjustment for covariates, there was no significant association between patient sex and receiving layperson CPR.
DC.rights	© 2019 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell. This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	78388
citation_title	Sex differences in receiving layperson cardiopulmonary resuscitation in pediatric out-of-hospital cardiac arrest: A nationwide cohort study in Japan
citation_author	Okubo, Masashi
	Matsuyama, Tasuku
	Gibo, Koichiro
	Komukai, Sho
	Izawa, Junichi
	Kiyohara, Kosuke
	Nishiyama, Chika
	Kiguchi, Takeyuki
	Callaway, Clifton W.
	Iwami, Taku
	Kitamura, Tetsuhisa
citation_publisher	American Heart Association Inc.
citation_language	English
citation_date	2019-01-08
citation_journal_title	Journal of the American Heart Association
citation_volume	8
citation_issue	1
citation_doi	https://doi.org/10.1161/JAHA.118.010324
citation_pmid	30587069
citation_public_url	https://hdl.handle.net/11094/78388

Sex differences in receiving layperson cardiopulmonary resuscitation in pediatric out-of-hospital cardiac arrest: A nationwide cohort study in Japan

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