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Table 3 Results of meta-analyses

From: Sex and out-of-hospital cardiac arrest survival: a systematic review

Type of analysis

Subgroup

Random effect model (odds ratio and 95% confidence interval)

Heterogeneity

I2

p value

Primary outcome meta-analysis: adjusted survival to discharge or to 30 days after OHCA

None

1.01 [0.93; 1.11]–PI [0.76; 1.35]

87%

 < 0.01

Secondary outcome meta-analysis: unadjusted survival to discharge or to 30 days after OHCA

None

0.68 [0.62; 0.74]–PI [0.43–1.05]

97%

 < 0.01

Secondary outcome meta-analysis: unadjusted neurological intact survival

None

0.56 [0.49; 0.66]–PI [0.32; 0.98]

95%

 < 0.01

Secondary outcome meta-analysis: adjusted neurological intact survival

None

0.96 [0.83; 1.10]–PI [0.63; 1.46]

84%

 < 0.001

Subgroup analysis by quality of variables of adjustment (as defined in the manuscript)

Strong variables (17 studies)

1.05 [0.98; 1.12]–PI [0.82; 1.34]

80%

 < 0.001

Medium variables (3 studies)

0.84 [0.68; 1.04]–PI [0.12; 6.07]

32%

0.23

Weak variables (1 study)

0.88 [0.71; 1.09]

Not applicable

Subgroup analysis by geographical location

Asia (5 studies)

0.94 [0.84; 1.06]–PI [0.63; 1.41]

85%

 < 0.01

North America (7 studies)

0.98 [0.88; 1.09]–PI [0.71; 1.34]

88%

 < 0.01

Europe (7 studies)

1.10 [0.97; 1.25]–PI [0.79; 1.53]

45%

0.09

Oceania (2 studies)

1.16 [0.93; 1.43]

0%

0.54

Subgroup analysis by OHCA etiology

Cardiac etiology (9 studies)

0.99 [0.86; 1.14]–PI [0.64; 1.55]

77%

 < 0.001

All etiologies (12 studies)

1.02 [0.95; 1.11]–PI [0.79; 1.32]

90%

 < 0.001

Subgroup analysis by type of cohort and number of centres

National databases (8 studies)

0.95 [0.87; 1.04]–PI [0.71; 1.28]

92%

 < 0.001

Local cohort from EMS (9 studies)

1.10 [0.99; 1.22]–PI [0.82; 1.47]

81%

 < 0.001

Monocentric (3 studies)

1.08 [0.84; 1.39]–PI [0.13; 9.19]

5%

0.35

International cohort from EMS (1 study)

0.94 [0.70; 1.26]

Not applicable

Subgroup analysis by population denominator

All OHCA (15 studies)

1.05 [0.97; 1.13]–PI [0.81; 1.35]

81%

 < 0.01

Only survivors to admission (5 studies)

0.89 [0.83; 0.96]–PI [0.74; 1.08]

34%

0.20

Sensitivity analysis omitting papers rated as outliers (in the Baujat plot)

None

0.97 [0.91; 1.04]–PI [0.80; 1.17]

55%

 < 0.01

Sensitivity analysis omitting papers including data of traumatic etiology for OHCA

None

1.01 [0.90; 1.15]–PI [0.68; 1.51]

75%

 < 0.01

Sensitivity analysis of papers assessed with high risk of bias

None

1.05 [0.98; 1.12]–PI [0.82; 1.34]

80%

 < 0.01

  1. OHCA out-of-hospital cardiac arrest, EMS emergency medical services
  2. For subgroups analyses, only pooled Ï„2 results are presented