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Neurologic outcome, health-related quality of life, anxiety and symptoms of depression among in-hospital cardiac arrest survivors
Kalmar County Hospital, Kalmar, Sweden.
University of Borås, Borås, Sweden.
University of Gothenburg, Gothenburg, Sweden.
Lund University, Lund, Sweden.
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2015 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 96, no Suppl. 1, p. 101-101, article id AP143Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Purpose: Most cardiac arrest research has focused on survival inan out-of-hospital context. The knowledge of health and quality of life is sparse, especially regarding in-hospital cardiac arrest (IHCA) survivors. The aim of the current study was therefore to describe neurologic outcome, health-related quality of life (HRQoL), anxiety and symptoms of depression among IHCA survivors.

Materials and methods: This study has a cross-sectional design. Data from the Swedish Register of Cardiopulmonary Resuscitation was used. In the register, data is collected 3–6 months after resuscitation by using a questionnaire including two questions about activities in daily life and mental/intellectual recovery, theEQ-5D-5L and the Hospital Anxiety and Depression Scale (HADS). In addition, Cerebral Performance Category (CPC)-scoring is performed.

Results: Between the 11th of June 2013 and the 7th of May 2015, 488 IHCA survivors with a mean age of 69±13 were included. A majority were men (62%), had a cerebral function of CPC 1 (87%) and no need of assistance from other people in daily life (71%). A large proportion had not made a complete mental/intellectual recovery (27%). Pain/discomfort was the dimension in EQ-5D-5L where most survivors reported problems (64%), while least problems were reported in the dimension self-care (24%). The individual variations of present health state (EQ-VAS) were substantial (range 0–100), with a mean value of 66±22. Anxiety and symptoms of depression were reported by 16% and 15% respectively.

Conclusions: Although the majority of the IHCA survivors reported good neurologic outcome, satisfactory HRQoL, no anxiety or symptoms of depression, the results indicate major individual differences, with a substantial group reporting serious problems. Our findings stress the importance of structured post resuscitation care and follow-up, in order to identify and support those in need.

Place, publisher, year, edition, pages
2015. Vol. 96, no Suppl. 1, p. 101-101, article id AP143
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-20675DOI: 10.1016/j.resuscitation.2015.09.240OAI: oai:DiVA.org:hig-20675DiVA, id: diva2:874431
Conference
Resuscitation 2015 - The Guidelines Congress, 29-31 October 2015, Prague, Czech Republic
Available from: 2015-11-26 Created: 2015-11-26 Last updated: 2018-03-13Bibliographically approved

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Kristofferzon, Marja-Leena

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