英语翻译OBJECTIVES:The purpose of this study was to determine whether gender differences exist in the characteristics and outcomes for out-of-hospital cardiac arrest (OHCA) occurring in a rural setting.BACKGROUND:In urban settings,women have a lo

英语翻译OBJECTIVES:The purpose of this study was to determine whether gender differences exist in the characteristics and outcomes for out-of-hospital cardiac arrest (OHCA) occurring in a rural setting.BACKGROUND:In urban settings,women have a lo
英语翻译
OBJECTIVES:The purpose of this study was to determine whether gender differences exist in the characteristics and outcomes for out-of-hospital cardiac arrest (OHCA) occurring in a rural setting.BACKGROUND:In urban settings,women have a lower incidence of OHCA than men but otherwise a comparable survival for ventricular fibrillation (VF) OHCA.Whether OHCA gender differences exist in rural settings is not clear.METHODS:The study consisted of a prospective collection and analysis of nontraumatic,adult OHCA prompting a 911 call in six rural Indiana counties.RESULTS:Over an average period of 2.2 years,138 women and 250 men experienced OHCA (annual incidence rate:56.4 per 100,000 men and 29.3 per 100,000 women).Women were older,less likely to experience OHCA in a public setting,more likely to be in an extended care facility,and less likely to have a witnessed arrest than were men.Women were less likely to present with an initial rhythm of VF than men (33.3% vs 53.6%,P < .001).Women in VF had a longer time interval from 911 call to first shock compared with men.Women had poorer survival to hospital discharge for all OHCA (2.2% vs 7.2%,P = .04) and VF OHCA (2.2% vs 13.4%,P = .05) compared with men.After age adjustment,female gender remained associated with a poorer OHCA survival outcome.With adjustment for all significant arrest characteristics,female gender was no longer associated with survival.CONCLUSIONS:In a rural population,women suffering OHCA have a dismal survival rate likely because of multiple unfavorable arrest characteristics.

英语翻译OBJECTIVES:The purpose of this study was to determine whether gender differences exist in the characteristics and outcomes for out-of-hospital cardiac arrest (OHCA) occurring in a rural setting.BACKGROUND:In urban settings,women have a lo
目的：该研究的目的是确定到院前心肺功能停止(OHCA)在特征及结果方面是否表现出性别差异.
背景：在城市环境中,与男性相比,女性拥有较低的到院前心肺功能停止发生率,以及相似的到院前心肺功能停止情况下的心室纤维性颤动存活率.在农村环境中,OHCA是否表现出性别差异,仍不清楚.
方法：该实验包括期望采样,以及对印第安纳州6个郡拨打911求救的OHCA成人伤员进行无损伤分析.
结果：在平均周期为2.2年的时间里,有138名女性和250名男性发生OHCA（男性和女性的年平均发病率分别为百万分之5.64,百万分之2.93）.在城市环境下,与男性相比,年纪越大的女性,越不容易发生OHCA.这类女性更有可能处于扩大的医疗保健机构中,较少可能发生心跳停止.女性比男性更少发生心室纤维性颤动(比率是33.3% vs 53.6%,P < .001).从拨打911到第一次休克这一时间间隔,女性比男性时间更长.出院后,女性的OHCA存活率以及VF OHCA要低于男性(2.2% vs 13.4%,P = .05).除了年龄条件,女性这一性别呈现出较低的OHCA存活率.由于呈现出心脏病发作的多种调节,女性性别与存活率没有关联.
结论：在农村人口中,由于不利的心搏特征,女性发生OHCA的存活率并不高.