Sex Differences in Patient-Reported Outcomes in the Immediate Recovery Period After Resuscitation: Findings From the Cross-sectional DenHeart Survey
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Sex Differences in Patient-Reported Outcomes in the Immediate Recovery Period After Resuscitation : Findings From the Cross-sectional DenHeart Survey. / Wagner, Mette Kirstine; Christensen, Anne Vinggaard; Hassager, Christian; Stenbaek, Dea Siggaard; Ekholm, Ola; Borregaard, Britt; Thrysoee, Lars; Rasmussen, Trine Bernholdt; Thorup, Charlotte Brun; Mols, Rikke Elmose; Juel, Knud; Berg, Selina Kikkenborg.
I: Journal of Cardiovascular Nursing, Bind 38, Nr. 3, 2023, s. 279-287.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Sex Differences in Patient-Reported Outcomes in the Immediate Recovery Period After Resuscitation
T2 - Findings From the Cross-sectional DenHeart Survey
AU - Wagner, Mette Kirstine
AU - Christensen, Anne Vinggaard
AU - Hassager, Christian
AU - Stenbaek, Dea Siggaard
AU - Ekholm, Ola
AU - Borregaard, Britt
AU - Thrysoee, Lars
AU - Rasmussen, Trine Bernholdt
AU - Thorup, Charlotte Brun
AU - Mols, Rikke Elmose
AU - Juel, Knud
AU - Berg, Selina Kikkenborg
PY - 2023
Y1 - 2023
N2 - Background A paucity of resuscitation studies have examined sex differences in patient-reported outcomes upon hospital discharge. It remains unclear whether male and female patients differ in health outcomes in their immediate responses to trauma and treatment after resuscitation.Objectives The aim of this study was to examine sex differences in patient-reported outcomes in the immediate recovery period after resuscitation.Methods In a national cross-sectional survey, patient-reported outcomes were measured by 5 instruments: symptoms of anxiety and depression (Hospital Anxiety and Depression Scale), illness perception (Brief Illness Perception Questionnaire [B-IPQ]), symptom burden (Edmonton Symptom Assessment Scale [ESAS]), quality of life (Heart Quality of Life Questionnaire), and perceived health status (12-Item Short Form Survey).Results Of 491 eligible survivors of cardiac arrest, 176 (80% male) participated. Compared with male, resuscitated female reported worse symptoms of anxiety (Hospital Anxiety and Depression Scale–Anxiety score ≥8) (43% vs 23%; P = .04), emotional responses (B-IPQ) (mean [SD], 4.9 [3.12] vs 3.7 [2.99]; P = .05), identity (B-IPQ) (mean [SD], 4.3 [3.10] vs 4.0 [2.85]; P = .04), fatigue (ESAS) (mean [SD], 5.26 [2.48] vs 3.92 [2.93]; P = .01), and depressive symptoms (ESAS) (mean [SD], 2.60 [2.68] vs 1.67 [2.19]; P = .05).Conclusions Between sexes, female survivors of cardiac arrest reported worse psychological distress and illness perception and higher symptom burden in the immediate recovery period after resuscitation. Attention should focus on early symptom screening at hospital discharge to identify those in need of targeted psychological support and rehabilitation.
AB - Background A paucity of resuscitation studies have examined sex differences in patient-reported outcomes upon hospital discharge. It remains unclear whether male and female patients differ in health outcomes in their immediate responses to trauma and treatment after resuscitation.Objectives The aim of this study was to examine sex differences in patient-reported outcomes in the immediate recovery period after resuscitation.Methods In a national cross-sectional survey, patient-reported outcomes were measured by 5 instruments: symptoms of anxiety and depression (Hospital Anxiety and Depression Scale), illness perception (Brief Illness Perception Questionnaire [B-IPQ]), symptom burden (Edmonton Symptom Assessment Scale [ESAS]), quality of life (Heart Quality of Life Questionnaire), and perceived health status (12-Item Short Form Survey).Results Of 491 eligible survivors of cardiac arrest, 176 (80% male) participated. Compared with male, resuscitated female reported worse symptoms of anxiety (Hospital Anxiety and Depression Scale–Anxiety score ≥8) (43% vs 23%; P = .04), emotional responses (B-IPQ) (mean [SD], 4.9 [3.12] vs 3.7 [2.99]; P = .05), identity (B-IPQ) (mean [SD], 4.3 [3.10] vs 4.0 [2.85]; P = .04), fatigue (ESAS) (mean [SD], 5.26 [2.48] vs 3.92 [2.93]; P = .01), and depressive symptoms (ESAS) (mean [SD], 2.60 [2.68] vs 1.67 [2.19]; P = .05).Conclusions Between sexes, female survivors of cardiac arrest reported worse psychological distress and illness perception and higher symptom burden in the immediate recovery period after resuscitation. Attention should focus on early symptom screening at hospital discharge to identify those in need of targeted psychological support and rehabilitation.
KW - health survey
KW - patient-reported outcomes
KW - sex differences
KW - sudden cardiac arrest
U2 - 10.1097/JCN.0000000000000914
DO - 10.1097/JCN.0000000000000914
M3 - Journal article
C2 - 37027133
VL - 38
SP - 279
EP - 287
JO - Journal of Cardiovascular Nursing
JF - Journal of Cardiovascular Nursing
SN - 0889-4655
IS - 3
ER -
ID: 346255926