Intensive care-treated cardiac arrest : a retrospective study on the impact of extended age on mortality, neurological outcome, received treatments and healthcare-associated costs

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http://hdl.handle.net/10138/334384

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Holmström , E , Efendijev , I , Raj , R , Pekkarinen , P T , Litonius , E & Skrifvars , M B 2021 , ' Intensive care-treated cardiac arrest : a retrospective study on the impact of extended age on mortality, neurological outcome, received treatments and healthcare-associated costs ' , Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine , vol. 29 , no. 1 , 103 . https://doi.org/10.1186/s13049-021-00923-0

Title: Intensive care-treated cardiac arrest : a retrospective study on the impact of extended age on mortality, neurological outcome, received treatments and healthcare-associated costs
Author: Holmström, Ester; Efendijev, Ilmar; Raj, Rahul; Pekkarinen, Pirkka T.; Litonius, Erik; Skrifvars, Markus B.
Contributor: University of Helsinki, HUS Helsinki and Uusimaa Hospital District
University of Helsinki, HUS Perioperative, Intensive Care and Pain Medicine
University of Helsinki, Clinicum
University of Helsinki, Research Programs Unit
University of Helsinki, HUS Perioperative, Intensive Care and Pain Medicine
University of Helsinki, Department of Diagnostics and Therapeutics
Date: 2021-07-28
Language: eng
Number of pages: 11
Belongs to series: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
ISSN: 1757-7241
URI: http://hdl.handle.net/10138/334384
Abstract: BackgroundCardiac arrest (CA) is a leading cause of death worldwide. As population ages, the need for research focusing on CA in elderly increases. This study investigated treatment intensity, 12-month neurological outcome, mortality and healthcare-associated costs for patients aged over 75 years treated for CA in an intensive care unit (ICU) of a tertiary hospital.MethodsThis single-centre retrospective study included adult CA patients treated in a Finnish tertiary hospital's ICU between 2005 and 2013. We stratified the study population into two age groups: 75 years. We compared interventions defined by the median daily therapeutic scoring system (TISS-76) between the age groups to find differences in treatment intensity. We calculated cost-effectiveness by dividing the total one-year healthcare-associated costs of all patients by the number of survivors with a favourable neurological outcome. Favourable outcome was defined as a cerebral performance category (CPC) of 1-2 at 12 months after cardiac arrest. Logistic regression analysis was used to identify independent associations between age group, mortality and neurological outcome.ResultsThis study included a total of 1,285 patients, of which 212 (16%) were >= 75 years of age. Treatment intensity was lower for the elderly compared to the younger group, with median TISS scores of 116 and 147, respectively (p
Subject: Elderly
Cardiac arrest
intensive care unit
critical care
cardiopulmonary resuscitation
OHCA
IHCA
ICUCA
ELDERLY-PATIENTS
TEMPERATURE MANAGEMENT
RESUSCITATION
SURVIVAL
UPDATE
LIFE
3126 Surgery, anesthesiology, intensive care, radiology
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