Cardiac arrest & resuscitation

Age, sex, and survival following ventricular fibrillation cardiac arrest: A mechanistic evaluation of the ECG waveform

ResuscitationPublished Cohort study

Main finding · Survival to hospital dischargeResult — go to the resultOdds ratio 1.93 95% CI 1.23–3.09

Authors' conclusion

Women <55 years were more likely to survive than men <55 years following VF-OHCA. The biologic mechanism represented by VF waveform mediated some, though not all, of the outcome difference.

Study context

Population
VF-OHCA patients in a metropolitan EMS system29% female
Participants
1,526 patients
Exposure
Women vs men, by age group
Outcome
Survival to hospital discharge
Methodological detailsmetropolitan EMS system, mediation analysis
  • Metropolitan EMS system
  • Mediation analysis

Main finding

As reported in the abstract

Odds ratio

1.93

95% CI 1.23–3.09

By group

Women <55 vs Men <55
OR 1.93 (95% CI 1.23–3.09)

Observational data: associations, not effects.

Further findings

Proportion of survival benefit (female sex, <55 years) mediated by ventricular fibrillation (VF) waveform measures

Mediated by VitalityScore
47%
Mediated by amplitude spectrum area (AMSA) (amplitude spectrum area)
25%
Waveform measures more favourable among women

Original publication

Age, sex, and survival following ventricular fibrillation cardiac arrest: A mechanistic evaluation of the ECG waveform. Resuscitation. Published 28 June 2023. doi:10.1016/j.resuscitation.2023.109891

Composed by AI from the published abstract and checked against it. How Briefs are made →

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