Key result
Female surrogate decision-makers for Japanese patients with end-stage heart failure were significantly more likely to change their preference from cardiopulmonary resuscitation to do not attempt resuscitation compared to male surrogates (47.1% vs. 25.0%, OR 2.577).
Why the study?
Are there sex differences in surrogate decision-maker preferences for life-sustaining treatments in Japanese patients with end-stage heart failure?
Observational (n=106)
No
Are there sex differences in surrogate decision-maker preferences for life-sustaining treatments in Japanese patients with end-stage heart failure?
Odds Ratio: 2.577 (95% CI 1.01–6.579)
Absolute Event Rate: 47.1% vs 25%
p-value: p=0.023
Female surrogates of Japanese patients with end-stage heart failure are more likely to change their preference from CPR to DNAR compared to male surrogates.
Should not yet change surrogate practices in end-stage HF; hypothesis-generating for sex differences in Japanese cohorts.
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Nakamura et al. (2018) conducted an observational in End-stage heart failure (n=106). Female surrogate decision-maker vs. Male surrogate decision-maker was evaluated on Change in preference from cardiopulmonary resuscitation (CPR) to do not attempt resuscitation (DNAR) (OR 2.577, 95% CI 1.010-6.579, p=0.023). Female surrogate decision-makers for Japanese patients with end-stage heart failure were significantly more likely to change their preference from cardiopulmonary resuscitation to do not attempt resuscitation compared to male surrogates (47.1% vs. 25.0%, OR 2.577).
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