Sex differences in post cardiac arrest discharge locations
Vincent Jeanselme1,2, Maria De-Arteaga3, Jonathan Elmer4
1Carnegie Mellon University, Auton Lab, Pittsburgh, USA.
Resuscitation Plus
|December 22, 2021
Summary
This study found a potential sex disparity in discharge locations for cardiac arrest survivors. Women were slightly more likely to have unfavorable discharge destinations after resuscitation.
Area of Science:
- Cardiology
- Public Health
- Health Services Research
Background:
- Cardiac arrest survivors face complex recovery pathways.
- Discharge location significantly impacts patient outcomes and quality of life.
- Understanding factors influencing discharge disposition is crucial for equitable care.
Purpose of the Study:
- To investigate potential sex-based differences in discharge location following resuscitation from cardiac arrest.
- To identify if female sex is associated with less favorable discharge destinations.
Main Methods:
- Retrospective cohort study of 2,278 patients resuscitated from cardiac arrest (January 2010 - May 2020).
- Data extracted from a prospective registry, including demographic and clinical variables.
- Multivariable logistic regression analysis used to assess the association between sex and favorable discharge location (home or acute rehabilitation).
Main Results:
- 43% of patients survived to hospital discharge.
- 63% of survivors achieved a favorable discharge location.
- Female sex showed a weak independent association with unfavorable discharge location (aOR 0.94; 95% CI 0.89-0.99).
Conclusions:
- Findings suggest a possible sex-based disparity in discharge location after cardiac arrest.
- Further research is warranted to explore the mechanisms behind this observed disparity.
- This highlights the need for equitable care planning for all cardiac arrest survivors.
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