Cardiac arrest & resuscitation
Sex disparities in ICU care and outcomes after cardiac arrest: a Swiss nationwide analysis
Authors' conclusion
This study highlights sex disparities in short-term mortality and ICU resource allocation among cardiac arrest patients, with women potentially facing disadvantages, in particular after OHCA.
Study context
- Population
- Adult IHCA and out-of-hospital cardiac arrest (OHCA) patients, certified Swiss intensive care units (ICUs), 01/2008–12/202221,692 admitted to ICUs
- Participants
- 41,733 participants
- Exposure
- Women vs men after cardiac arrest
- Outcome
- ICU mortality
Methodological detailsnationwide prospective ICU registry
- Nationwide prospective ICU registry
Main finding
As reported in the abstract
P < 0.001
Observational data: associations, not effects.
Secondary outcomes
| Outcome | IRR (95% CI) | |
|---|---|---|
| ICU admission probabilityWomen less likely to be admitted to ICU | 0.82 (0.80–0.85) | |
| 0.512Incidence rate ratio (log scale) |
Interventions before ICU stay
P < 0.001
Treatment limitations (subgroup, n = 11,202)
P < 0.001
ICU mortality, OHCA (subgroup)
- Unadjusted HR, women vs men
- 1.35 (95% CI 1.28-1.43)
- Adjusted HR, women vs men
- 1.19 (95% CI 1.12-1.25)
- Mortality differences more pronounced in OHCA
ICU mortality, IHCA (subgroup)
- Unadjusted HR, women vs men
- 1.14 (95% CI 1.04-1.25)
- Adjusted HR, women vs men (95% CI 0.94-1.13); difference vanished after adjustment
- 1.03
- Adjusted for confounders
Interventions before ICU stay
- Women received fewer interventions also during ICU stay
Treatment limitations (subgroup, n = 11,202)
- Treatment limitations associated with increased risk of death in both sexes
Original publication
Sex disparities in ICU care and outcomes after cardiac arrest: a Swiss nationwide analysis. Crit Care. Published 23 January 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →