Alterations in cognitive outcome between 3 and 12 months in survivors of out-of-hospital cardiac arrest

Ørbo, Marte; Aslaksen, Per M.; Larsby, Kristina; Schäfer, Christoph; Tande, Pål M.; Anke, Audny

doi:10.1016/j.resuscitation.2016.05.017

Cited by 54 publications

(56 citation statements)

References 31 publications

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“…As mentioned before, patients suffering from neuropsychological sequelae show inhomogeneous patterns of cognitive impairments. Deficits in memory are reported in the majority of studies [ 9 , 10 , 12 , 19 , 42 ] and could be identified in this case as well. Both verbal and visual memory decreased.…”

Section: Discussionsupporting

confidence: 62%

“…Our patient underachieved in tonic and phasic alertness, divided attention, vigilance, naming colours, and figural fluency and under interfering conditions. Analogue to physical recovery and congruent to hitherto research of cognitive impairment a lot of functions showed a significant improvement after six months [ 19 , 43 , 44 ]. In contrast to these studies, significant advancements in the forward condition of the block-tapping test and in visual long-term retention and vigilance were observed after twelve months.…”

Section: Discussionmentioning

confidence: 61%

“…Third, ventricular fibrillation was treated with MTH, which is hypothesized to preserve global brain function and long-term functioning in cardiac arrest survivors [ 46 – 48 ]. Fourth, the patient had no other preexisting risk factors for cognitive problems [ 19 ]. Based on the assumption that brain damage has been restricted only to the selectively vulnerable brain regions, improvements beyond the first three months might have been explained with regard to Lim et al's (2004) findings.…”

Section: Discussionmentioning

confidence: 99%

“…Recovery of functional impairments after a cardiac arrest continues for months, best progress occurring within the first six months [ 16 ]. Improvements of cognitive sequelae are described in the first three months after cardiac arrest with only marginal further improvements until 12 months after the incident [ 15 , 17 – 19 ].…”

Section: Introductionmentioning

confidence: 99%

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Neuropsychological Outcome following Resuscitation after Out-of-Hospital Cardiac Arrest: A One-Year Follow-Up

Overbeck

Schweers

2017

Case Reports in Cardiology

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Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Neuropsychological Outcome following Resuscitation after Out-of-Hospital Cardiac Arrest: A One-Year Follow-Up

Overbeck

Schweers

2017

Case Reports in Cardiology

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“…This is within the range of rates reported in other studies (range 25%-86%). [40][41][42] These high levels of missing data risk underestimating or potentially misleading the full impact of cardiac arrest amongst survivors.…”

Section: Discussionmentioning

confidence: 99%

Post-admission outcomes of participants in the PARAMEDIC trial: A cluster randomised trial of mechanical or manual chest compressions

Lall

Quinn

et al. 2017

Resuscitation

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(2017) Post-admission outcomes of participants in the PARAMEDIC trial : a cluster randomised trial of mechanical or manual chest compressions. Resuscitation, 118 . pp. 82-88. Permanent WRAP URL:http://wrap.warwick.ac.uk/89624 Copyright and reuse:The Warwick Research Archive Portal (WRAP) makes this work by researchers of the University of Warwick available open access under the following conditions. Copyright © and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable the material made available in WRAP has been checked for eligibility before being made available.Copies of full items can be used for personal research or study, educational, or not-for-profit purposes without prior permission or charge. Provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way.

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Long-Term Quality of Life After Out-of-Hospital Cardiac Arrest

Yonis,

Sørensen,

Bøggild

et al. 2023

JAMA Cardiol

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ImportanceAllocating resources to increase survival after cardiac arrest requires survivors to have a good quality of life, but long-term data are lacking.ObjectiveTo determine the quality of life of survivors of out-of-hospital cardiac arrest from 2001 to 2019.Design, Setting, and ParticipantsThis survey study used the EuroQol Health Questionnaire, 12-Item Short Form Health Survey (SF-12), and Hospital Anxiety and Depression Scale (HADS) to assess the health-related quality of life of all adult survivors of out-of-hospital cardiac arrest included in the Danish Cardiac Arrest Registry between June 1, 2001, and August 31, 2019, who were alive in October 2020 (follow-up periods, 0-1, &gt;1-2, &gt;2-4, &gt;4-6, &gt;6-8, &gt;8-10, &gt;10-15, and &gt;15-20 years since arrest). The survey was conducted from October 1, 2020, through May 31, 2021.ExposureAll patients who experienced an out-of-hospital cardiac arrest.Main Outcome and MeasuresSelf-reported health was measured using the EuroQol Health Questionnaire index (EQ index) score and EQ visual analog scale. Physical and mental health were measured using the SF-12, and anxiety and depression were measured using the HADS. Descriptive statistics were used for the analysis.ResultsOf 4545 survivors, 2552 (56.1%) completed the survey, with a median follow-up since their event of 5.5 years (IQR, 2.9-8.9 years). Age was comparable between responders and nonresponders (median [IQR], 67 [58-74] years vs 68 [56-78] years), and 2075 responders (81.3%) were men and 477 (18.7%) women (vs 1473 male [73.9%] and 520 female [26.1%] nonresponders). For the shortest follow-up (0-1 year) and longest follow-up (&gt;15-20 years) groups, the median EQ index score was 0.9 (IQR, 0.7-1.0) and 0.9 (0.8-1.0), respectively. For all responders, the mean (SD) SF-12 physical health score was 43.3 (12.3) and SF-12 mental health score, 52.9 (8.3). All 3 scores were comparable to a general Danish reference population. Based on HADS scores, a low risk for anxiety was reported by 73.0% (54 of 74) of 0- to 1-year survivors vs 89.3% (100 of 112) of greater than 15- to 20-year survivors; for symptoms of depression, these proportions were 79.7% (n = 59) and 87.5% (n = 98), respectively. Health-related quality of life was similar in survivor groups across all follow-up periods.Conclusions and RelevanceAmong this survey study’s responders, who comprised more than 50% of survivors of out-of-hospital cardiac arrest in Denmark, long-term health-related quality of life up to 20 years after their event was consistently high and comparable to that of the general population. These findings support resource allocation and efforts targeted to increasing survival after out-of-hospital cardiac arrest.

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Alterations in cognitive outcome between 3 and 12 months in survivors of out-of-hospital cardiac arrest

Cited by 54 publications

References 31 publications

Neuropsychological Outcome following Resuscitation after Out-of-Hospital Cardiac Arrest: A One-Year Follow-Up

Neuropsychological Outcome following Resuscitation after Out-of-Hospital Cardiac Arrest: A One-Year Follow-Up

Post-admission outcomes of participants in the PARAMEDIC trial: A cluster randomised trial of mechanical or manual chest compressions

Long-Term Quality of Life After Out-of-Hospital Cardiac Arrest

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