Acute cardiac care & resuscitationCohort study

Sex-related disparities in post-cardiac arrest: a cohort study

ResuscitationPublished

  • prospective registry of consecutive comatose adults
  • single centre (Lausanne University Hospital (CHUV))
  • multivariable logistic regressions adjusting for cardiac arrest characteristics

Authors' conclusion

Although women presented with worse unadjusted outcomes and more severe prognostic profiles, sex was not independently related to neurological recovery and mortality. Outcome differences likely reflect less favorable underlying cardiac arrest characteristics.

Study context

Population
Comatose adults admitted after CA to the Lausanne University Hospital (CHUV) between January 2016 and February 2025, surviving the first 24 hincluded patients (28.6% women, mean age 62 ± 15 years)
Participants
944 adults
Exposure
Sex differences in CA characteristics, prognostic indicators, mortality, and long-term neurological outcomes

Main finding

As reported in the abstract

CA characteristics
  • women more often presented with non-cardiac etiology and non-shockable rhythm

Observational data: associations, not effects.

Further findings

Favorable neurological outcome (mRS 0-3) · 3 months · unadjusted

P = 0.013

ICU mortality, 3-month mortality, favorable functional outcome (adjusted)

ComparisonOR (95% CI)P value
sex · ICU mortality; adjusted; comparator not printed · adjusting for cardiac arrest characteristics1.08 (0.80–1.46)
sex · 3-month mortality; adjusted; comparator not printed · adjusting for cardiac arrest characteristics1.05 (0.77–1.43)
sex · adjusting for cardiac arrest characteristics1.00 (0.73–1.37)
  • ICU mortality, 3-month mortality, favorable functional outcome (adjusted): favorable functional outcome; adjusted; comparator not printed

Prognostic indicators

They exhibited more malignant EEG patterns, absent SSEP, and higher serum NSE levels

ICU mortality, 3-month mortality, favorable functional outcome (adjusted)

sex was not independently associated with ICU mortality, 3-month mortality, or favorable functional outcome

Original publication

Sex-related disparities in post-cardiac arrest: a cohort study. Resuscitation. Published 16 April 2026. doi:10.1016/j.resuscitation.2026.111096

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