Acute cardiac care & resuscitation

Sex-related differences in long-term quality of life after out-of-hospital cardiac arrest: a nationwide cross-sectional survey study

Eur Heart J Acute Cardiovasc CarePublished Cross-sectional study

Authors' conclusion

Female OHCA survivors reported less favourable long-term HRQoL outcomes compared with male survivors, irrespective of time elapsed since cardiac arrest.

Study context

Population
Adult out-of-hospital cardiac arrest (OHCA) survivors in Denmark (arrest 2001–2019) alive as of 1 October 202056.1% response rate
Participants
2,552 survivors
Exposure
Women vs men OHCA survivors
  • Womenn = 477
  • Menn = 2,075reference
Outcome
Long-term HRQoL (EQ-5D, SF-12, HADS)
Methodological detailsnationwide, survey
  • Nationwide
  • Survey

Main finding

As reported in the abstract

Long-term HRQoL
GroupEuroQol VASEQ-5D indexSF-12 physicalSF-12 mentalHospital Anxiety and Depression Scale (HADS) anxietyHADS depression
Women690.76 (SD 0.21)40.3 (SD 12.9)50.9 (SD 8.8)5.44.0
Men750.84 (SD 0.17)44.0 (SD 12.1)53.3 (SD 8.1)3.53.2

EuroQol VAS

Women69
Men75

EQ-5D index

Women0.76 (SD 0.21)
Men0.84 (SD 0.17)

SF-12 physical

Women40.3 (SD 12.9)
Men44.0 (SD 12.1)

SF-12 mental

Women50.9 (SD 8.8)
Men53.3 (SD 8.1)

Hospital Anxiety and Depression Scale (HADS) anxiety

Women5.4
Men3.5

HADS depression

Women4.0
Men3.2
  • Women vs Men: P < 0.001 — EuroQol VAS and EQ-5D index
  • Women vs Men: P < 0.001 — SF-12 physical and mental
  • Women vs Men: P < 0.001 — HADS anxiety
  • Women vs Men: P < 0.001 — HADS depression

Observational data: associations, not effects.

Further findings

Health-related quality of life (HRQoL) by time since arrest (0-4, >4-8, >8-12, >12 years)

Trends consistent regardless of time since cardiac arrest

Original publication

Sex-related differences in long-term quality of life after out-of-hospital cardiac arrest: a nationwide cross-sectional survey study. Eur Heart J Acute Cardiovasc Care. Published 25 June 2025. doi:10.1093/ehjacc/zuaf092

Summarised from the published abstract; every number is checked against it

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