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- Israelsson, JohanLinnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Kalmar County Hospital, Sweden (författare)
A more conservative test of sex differences in the treatment and outcome of in-hospital cardiac arrest
- Artikel/kapitelEngelska2023
Förlag, utgivningsår, omfång ...
- Elsevier,2023
- printrdacarrier
Nummerbeteckningar
- LIBRIS-ID:oai:DiVA.org:lnu-117929
- https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-117929URI
- https://doi.org/10.1016/j.hrtlng.2022.12.008DOI
Kompletterande språkuppgifter
- Språk:engelska
- Sammanfattning på:engelska
Ingår i deldatabas
- SwePubSwePub
Klassifikation
Anmärkningar
- Background: Studies investigating sex disparities related to treatment and outcome of in-hospital cardiac arrest (IHCA) have produced divergent findings and have typically been unable to adjust for outstanding confounding variables.Objectives: The aim was to examine sex differences in treatment and survival following IHCA, using a comprehensive set of control variables including e.g., age, comorbidity, and patient-level socioeconomic status. Methods: This retrospective study was based on data from the Swedish Register of Cardiopulmonary Resuscitation and Statistics Sweden. In the primary analyses, logistic regression models and ordinary least square regressions were estimated.Results: The study included 24,217 patients and the majority (70.4%) were men. In the unadjusted analyses, women had a lower chance of survival after cardiopulmonary resuscitation (CPR) attempt, at hospital discharge (with good neurological function) and at 30 days (p<0.01). In the adjusted regression models, female sex was associated with a higher chance of survival after the CPR attempt (B = 1.09, p<0.01) and at 30-days (B = 1.09, p<0.05). In contrast, there was no significant association between sex and survival to discharge with good neurological outcome. Except for treatment duration (B=-0.07, p<0.01), no significant associations between sex and treatment were identified.Conclusions: No signs of treatment disparities or discrimination related to sex were identified. However, women had a better chance of surviving IHCA compared to men. The finding that women went from having a survival disadvantage (unadjusted analysis) to a survival advantage (adjusted analysis) attests to the importance of including a comprehensive set of control variables, when examining sex differences.
Ämnesord och genrebeteckningar
- SAMHÄLLSVETENSKAP Psykologi hsv//swe
- SOCIAL SCIENCES Psychology hsv//eng
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
- Vårdvetenskap
- Caring Science
- Medicin
- Medicine
- Psychology
- Psykologi
Biuppslag (personer, institutioner, konferenser, titlar ...)
- Carlsson, Magnus,1975-Linnéuniversitetet,Institutionen för nationalekonomi och statistik (NS)(Swepub:lnu)fcama (författare)
- Agerström, Jens,1976-Linnéuniversitetet,Institutionen för psykologi (PSY)(Swepub:lnu)eagje (författare)
- LinnéuniversitetetInstitutionen för hälso- och vårdvetenskap (HV) (creator_code:org_t)
Sammanhörande titlar
- Ingår i:Heart & Lung: Elsevier58, s. 191-1970147-95631527-3288
Internetlänk
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