Cardiac arrest & resuscitation

Sex differences in out-of-hospital cardiac arrest: the impact of comorbidities on first monitored rhythm

ResuscitationPublished Registry-based cohort study

Authors' conclusion

Women showed lower shockable initial rhythm rates than men after OHCA, a disparity not solely explained by age and resuscitation conditions.

Study context

Population
Adults with out-of-hospital cardiac arrest (OHCA) of presumed medical cause in Denmark, 2016–2021
Participants
22,943 adults
Exposure
Women vs men
Outcome
Shockable initial rhythm
Methodological detailsnationwide
  • Nationwide

Main finding

As reported in the abstract

  • Men twice as likely as women to present with shockable initial rhythm; persisted in matched cohort and in subset with identical resuscitation conditions
  • Women showed earlier and steeper decline in shockable initial rhythm rates around age 45
  • Matched cohort

Observational data: associations, not effects.

Further findings

OutcomeWomenMen
Comorbidities and shockable initial rhythm, by sex (interaction analyses)
Substance use disorders OR0.710.42
AF OR1.951.54
  • Comorbidities and shockable initial rhythm, by sex (interaction analyses): Substance use disorders p < 0.005
  • Comorbidities and shockable initial rhythm, by sex (interaction analyses): AF p < 0.05

Original publication

Sex differences in out-of-hospital cardiac arrest: the impact of comorbidities on first monitored rhythm. Resuscitation. Published 11 November 2025. doi:10.1016/j.resuscitation.2025.110894

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.