Long‐term survival and neurologic status after resuscitation from out‐of‐hospital cardiac arrest

Abstract

Thirty-eight survivors from among 117 patients hospitalized after out-of-hospital cardiac arrest were evaluated approximately 3 1/2 years later. Twenty patients were living; 18 had died. Fifty-three percent had resumed independent social activities, but only 32% had returned to work. Eight of 14 patients tested were normal on limited neuropsychologic tests. Satisfactory long-term outcome was associated statistically with the patient's being awake on admission or awakening to follow simple commands within 2 days, and with good neurologic status at the time of discharge from the hospital. None of nine patients with poor neurologic function at discharge subsequently resumed working or independent living.

Neuropsychological and neuropathological sequelae of cerebral anoxia: A critical review

“…Bigler and Alfano (1988) noted that additional, generalized cognitive impairment commonly accompanied the memory deficits. Earnest et al (1980) found that the patient or family reported significant changes in the patient's personality or mental status in 12 of 20 cases still living 3 years after out-of-hospital cardiac arrest. Grosswasser et al (1989) similarly reported undefined "behavioral disturbances" in 24 of 31 cases.…”

“…Armengol & Moes (1986) 9 cases Bigler & Alfano (1988) 12 cases Corkin et al (1985) 3 cases Earnest et al (1980) 20 cases Finkelstein & Caronna (1978) 10 cases Grosswasser et al (1989) 31 cases Hopkins et al (1995aHopkins et al ( , 1995b 11 cases Kotila & Kajaste (1984) 10 cases Maiese et al (1988) 9 cases Roine et al (1993) 59 cases Volpe et al (1986) 6 cases Willanger et al (1970) 25 cases Wilson (1996) 18 cases Yarnell (1976) 9 cases…”

Systematic review of quality of life and other patient-centred outcomes after cardiac arrest survival

“…Lettieri 21 Longstreth 64 Bertini 67 Bedell 77 Beuret 68 Bottiger 35 Earnest 78 Gottschalk 79 Hillis 80 Martin-Castro 81 Roewer 82 Skogvoll 36 Triano 83 Arrich 33 Dimopoulou 20 Nunes 30 Eisenberger 15 Guerot 84…”

Memory Impairment in Out-of-Hospital Cardiac Arrest Survivors Is Associated With Global Reduction in Brain Volume, Not Focal Hippocampal Injury

“…Clinically important cognitive impairment has been reported for 20% to 50% of the cases. [5][6][7] In a previous study, our group investigated the prevalence of chronic memory impairment among OHCA survivors. Moderate or severe impairment, assessed by the Rivermead Behavioural Memory Test (RBMT), was noted in almost 40% of the individuals assessed 6 months after cardiac arrest.…”