Acute cardiac care & resuscitation

Sex differences in symptoms of anxiety, depression, post-traumatic stress disorder, and cognitive function among survivors of out-of-hospital cardiac arrest

Eur Heart J Acute Cardiovasc CarePublished Prospective observational study

Authors' conclusion

Symptoms of anxiety and PTSD are frequent in OHCA survivors, and female survivors report significantly more symptoms of anxiety and PTSD compared with males. In particular, young females were significantly more symptomatic than young males.

Study context

Population
Comatose out-of-hospital cardiac arrest (OHCA) survivors attending a structured 3-month follow-up, 2016–2021381 invited
Participants
288 survivors
Exposure
Females vs males
  • Femalesn = 53
  • Malesn = 235reference
Outcome
Symptoms of anxiety/depression (HADS ≥8), PTSD (PCL-5 ≥33) and cognitive function (MoCA)
Follow-up
3 months

Main finding

As reported in the abstract

3-month follow-up

Values · 3-month follow-up

PTSD

Anxiety: Females vs Males
P = 0.01
Post-traumatic stress disorder (PTSD): Females vs Males
P = 0.01
Female sex associated with anxiety, multivariable logistic regression adjusted for pre-specified covariates: OR
2.18 (CI 1.09-4.38, P = 0.03)

Observational data: associations, not effects.

Further findings

OutcomeOR (CI)P value
Anxiety, young (below median age) femalesvs young males (subgroup)Adjusted3.31 (1.32–8.29)P = 0.01

Original publication

Sex differences in symptoms of anxiety, depression, post-traumatic stress disorder, and cognitive function among survivors of out-of-hospital cardiac arrest. Eur Heart J Acute Cardiovasc Care. Published 8 August 2023. doi:10.1093/ehjacc/zuad093

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