Sex Differences in Out‐of‐Hospital Cardiac Arrest Survival Trends

Autor: Robin L.A. Smits, Hanno L. Tan, Irene G.M. van Valkengoed
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 13, Iss 5 (2024)
Druh dokumentu: article
ISSN: 2047-9980
DOI: 10.1161/JAHA.123.032179
Popis: Background Out‐of‐hospital cardiac arrest survival rates have improved over time. This study established whether improvements were similar for women and men, and to what extent resuscitation characteristics or in‐hospital procedures contributed to sex differences in temporal trends. Methods and Results This retrospective cohort study included 3386 women and 8564 men from North Holland, the Netherlands, who experienced an out‐of‐hospital cardiac arrest from a cardiac cause in 2005 to 2017. Yearly rates of 30‐day survival and secondary outcomes were calculated. Sex differences in temporal trends were evaluated with age‐adjusted Poisson regression analysis, including interaction for sex and out‐of‐hospital cardiac arrest year. Resuscitation characteristics and in‐hospital procedures were added to the model, and a spline at 2013 was considered. During the study period, the average 30‐day survival was 24.9% in men and 15.7% in women. The 30‐day survival rate increased in men (20% to 27.2%; P
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