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Health status and psychological distress among in-hospital cardiac arrest survivors in relation to gender
Department of Internal Medicine, Division of Cardiology, Kalmar County Hospital, Kalmar, Sweden; Kalmar Maritime Academy, Linnaeus University, Kalmar, Sweden; Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Linköping, Sweden .
Department of Acute and Prehospital Care and Medical Technology and PreHospen – Centre for Prehospital Research, University of Borås, Borås, Sweden; Division of Emergency Medical Services, Kalmar County Hospital, Kalmar, Sweden .
Department of Acute and Prehospital Care and Medical Technology and PreHospen – Centre for Prehospital Research, University of Borås, Borås, Sweden.
Institute of Health and Care Sciences, University of Gothenburg, The Sahlgrenska Academy, Gothenburg, Sweden.
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2017 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 114, 27-33 p.Article in journal (Refereed) Published
Abstract [en]

AIM: To describe health status and psychological distress among in-hospital cardiac arrest (IHCA) survivors in relation to gender.

METHODS: This national register study consists of data from follow-up registration of IHCA survivors 3-6 months post cardiac arrest (CA) in Sweden. A questionnaire was sent to the survivors, including measurements of health status (EQ-5D-5L) and psychological distress (HADS).

RESULTS: Between 2013 and 2015, 594 IHCA survivors were included in the study. The median values for EQ-5D-5L index and EQ VAS among survivors were 0.78 (q1-q3=0.67-0.86) and 70 (q1-q3=50-80) respectively. The values were significantly lower (p<0.001) in women compared to men. In addition, women reported more problems than men in all dimensions of EQ-5D-5L, except self-care. A majority of the respondents reported no problems with anxiety (85.4%) and/or symptoms of depression (87.0%). Women reported significantly more problems with anxiety (p<0.001) and symptoms of depression (p<0.001) compared to men. Gender was significantly associated with poorer health status and more psychological distress. No interaction effects for gender and age were found.

CONCLUSIONS: Although the majority of survivors reported acceptable health status and no psychological distress, a substantial proportion reported severe problems. Women reported worse health status and more psychological distress compared to men. Therefore, a higher proportion of women may be in need of support. Health care professionals should make efforts to identify health problems among survivors and offer individualised support when needed.

Place, publisher, year, edition, pages
2017. Vol. 114, 27-33 p.
Keyword [en]
medication adherence, reasons, attitudes, gender, anxiety symptoms, depression symptoms
National Category
Cardiac and Cardiovascular Systems Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-23696DOI: 10.1016/j.resuscitation.2017.02.006ISI: 000402487800021PubMedID: 28216089Scopus ID: 2-s2.0-85014407099OAI: oai:DiVA.org:hig-23696DiVA: diva2:1077904
Funder
Swedish Heart Lung Foundation
Note

Funding agency:

Medical Research Council of Southeast Sweden 

Available from: 2017-03-01 Created: 2017-03-01 Last updated: 2017-06-30Bibliographically approved

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