Surviving out-of-hospital cardiac arrest : The neurological and functional outcome and health-related quality of life one year later

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http://hdl.handle.net/10138/302364

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Tiainen , M , Vaahersalo , J , Skrifvars , M B , Hästbacka , J , Grönlund , J & Pettilä , V 2018 , ' Surviving out-of-hospital cardiac arrest : The neurological and functional outcome and health-related quality of life one year later ' , Resuscitation , vol. 129 , pp. 19-23 . https://doi.org/10.1016/j.resuscitation.2018.05.011

Title: Surviving out-of-hospital cardiac arrest : The neurological and functional outcome and health-related quality of life one year later
Author: Tiainen, Marjaana; Vaahersalo, Jukka; Skrifvars, Markus B.; Hästbacka, Johanna; Grönlund, Juha; Pettilä, Ville
Contributor: University of Helsinki, Neurologian yksikkö
University of Helsinki, Anestesiologian yksikkö
University of Helsinki, Department of Diagnostics and Therapeutics
University of Helsinki, HUS Perioperative, Intensive Care and Pain Medicine
University of Helsinki, HUS Perioperative, Intensive Care and Pain Medicine
Date: 2018-08
Language: eng
Number of pages: 5
Belongs to series: Resuscitation
ISSN: 0300-9572
URI: http://hdl.handle.net/10138/302364
Abstract: Background: Data on long-term functional outcome and quality of life (QoL) after out-of-hospital cardiac arrest (OHCA) are limited. We assessed long-term functional outcome and health-related QoL of OHCA survivors regardless of arrest aetiology. Methods: All adult unconscious OHCA patients treated in 21 Finnish ICUs between March 2010 and February 2011 were followed. Barthel Index (BI), activities of daily living (ADL), accommodation, help needed and received, working status, car driving and self-experienced cognitive deficits were assessed in 1-year survivors (N = 206, 40.9% of the original FINNRESUSCI cohort) with a structured telephone interview. Health-related QoL and more complex ADL-functions were evaluated by EQ-5D and instrumental ADL questionnaires. Results: Good outcome, defined as Cerebral Performance Categories 1 or 2, had been reached by 90.3% of survivors. The median BI score was 100, and 91.3% of survivors were independent in basic ADL-functions. The great majority of survivors were living at home, only 8.7% lived in a sheltered home or needed institutionalized care. Of home-living survivors 71.4% scored high in instrumental ADL assessment. The majority (72.6%) of survivors who were working previously had returned to work. Health-related QoL was similar as in age-and gender-adjusted Finnish population. Conclusions: Long-term functional outcome was good in over 90% of patients surviving OHCA, with health-related quality of life similar to that of an age and gender matched population.
Subject: Cardiac arrest
Neurological outcome
Functional outcome
Quality of life
THERAPEUTIC HYPOTHERMIA
CARDIOPULMONARY-RESUSCITATION
INTENSIVE-CARE
ASSOCIATION
RECOVERY
3126 Surgery, anesthesiology, intensive care, radiology
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