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Cognitive Function and Quality of Life after Successful Resuscitation from Cardiac Arrest.
MedLine Citation:
PMID:  24909366     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Studies on out-of-hospital cardiac arrest (OHCA) use Overall Performance Category (OPC)/Cerebral Performance Category (CPC) as outcome. We studied quality of life, neuro-cognitive functioning and independency in daily life of patients and strain of caregivers 6-12 months after cardiac arrest.
METHODS: 220 patients (>18 year) who survived 6-12 months after OHCA and relatives were interviewed by telephone with validated questionnaires (Short-form Health Survey) (SF-12), Modified Rankin Scale (MRS), Telephonic Interview Cognitive Status (TICS) and Caregiver Strain Index (CSI) and compared with OPC and CPC at discharge. SF-12 of elderly (≥ 80 years) was compared to an open Dutch population of ≥80 years.
RESULTS: Of all patients, 45% had normal physical and 90% had normal mental SF-12. 81% had a normal MRS (MRS≤2). 84% had normal TICS. Compared to the reference population, elderly scored 40.5 on the mental and 53.2 on the physical SF-12, while the reference population scored 38.1 (θ =0.20) and 54.4 (θ =-0.15), respectively, (n.s.) Of the patients with OPC≤2 and CPC≤2 at discharge 15% scored MRS 3-5 and 15% abnormal TICS at follow-up, respectively. 92% of all patients gave their quality of life a value of ≥6 (maximum 10). Patients treated with hypothermia scored on most health outcomes similar to those who did not need such treatment. 16% of caregivers experienced strain, correlating significantly with TICS of patients.
CONCLUSION: The great majority of survivors have normal functioning and cognition 6-12 months after OHCA. Functional and neuro-cognitive telephonic tests 6-12 months after OHCA are simple and better reflect patients functioning at home than OPC/CPC at discharge.
Authors:
Stefanie G Beesems; Kim M Wittebrood; Rob J de Haan; Rudolph W Koster
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-6-5
Journal Detail:
Title:  Resuscitation     Volume:  -     ISSN:  1873-1570     ISO Abbreviation:  Resuscitation     Publication Date:  2014 Jun 
Date Detail:
Created Date:  2014-6-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2014. Published by Elsevier Ireland Ltd.
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