Objective: This study analyzed survival outcomes according to emergency department (ED) treatment results among patients who experienced out-of-hospital cardiac arrest (OHCA), using data from the 2023 Sudden Cardiac Arrest Survey, and examined differences in individual, prehospital, and in-hospital factors, particularly focusing on sex differences. Methods: This study employed a cross-sectional secondary data analysis design. In total, 19,813 patients with OHCA, registered in the 2023 Sudden Cardiac Arrest Survey, who had documented ED treatment outcomes, were included in the analysis. Individual factors comprised sex and age, and both prehospital and in-hospital factors were included. Data were analyzed using SPSS Statistics version 29.0. Differences in variables, based on ED outcomes (survival vs. death), were analyzed using the chi-square (χ2) test, and the level of statistical significance was set at p<.05. Results: Among the study population, 21.9% survived, and 78.1% died. No statistically significant difference was observed in survival according to sex (p=.189); however, a significant difference was observed according to age (χ2=88.854, p<.001), with a higher mortality rate among patients aged ≥65 years. Among prehospital factors, neither witnessed cardiac arrest (p=.180) nor bystander cardiopulmonary resuscitation (CPR; p=.689) exhibited a significant association with survival outcomes. Conversely, among the in-hospital factors, return of spontaneous circulation (ROSC) in the emergency department was significantly associated with survival (χ2=5.714, p=.009), with a higher rate of ED ROSC observed among the survival group. Conclusion: Survival among patients with out-of-hospital cardiac arrest was more closely associated with age and the achievement of ROSC during the emergency department phase than with sex. In particular, effective resuscitation efforts and restoration of circulation in the emergency department played a critical role in patient survival, emphasizing the importance of ED-stage treatment strategies to improve survival outcomes among OHCA patients.