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Factors associated with health-related quality of life among cardiac arrest survivors treated with an implantable cardioverter-defibrillator
Linnéuniversitetet, Fakulteten för teknik (FTK), Sjöfartshögskolan (SJÖ). Kalmar County Council;Linköping university. (iCARE)
Linköping university.
Linköping university.
Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Kalmar County Council. (iCARE)ORCID-id: 0000-0001-7865-3480
Vise andre og tillknytning
2018 (engelsk)Inngår i: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 132, s. 78-84Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Aim

To explore factors associated with health-related quality of life (HRQoL) among cardiac arrest (CA) survivors treated with an implantable cardioverter-defibrillator (ICD) in relation to gender, and to compare their HRQoL with a general population.

Methods

This cross-sectional study included 990 adults treated with an ICD after suffering CA. All participants received a questionnaire including demographics, comorbidities and instruments to measure HRQoL (EQ-5D-3L and HADS), ICD-related concerns (ICDC), perceived control (CAS), and type D personality (DS-14). HRQoL (EQ-5D-3L) was compared to a general Swedish population, matched for age and gender. Linear regression analyses were used to explore factors associated with HRQoL.

Results

The CA survivors reported better HRQoL in EQ index and less pain/discomfort compared to the general population (p < 0.001). In contrast, they reported more problems in mobility and usual activities (p < 0.01). Problems with anxiety and depression were reported by 15.5% and 7.4% respectively. The following factors were independently associated with all aspects of worse HRQoL: being unemployed, suffering more comorbidity, perceiving less control, and having a type D personality. Further, being female and suffering ICD-related concerns were independently associated with worse HRQoL in three of the four final regression models.

Conclusions

This extensive population-based study showed that most CA survivors living with an ICD rate their HRQoL as acceptable. In addition, their HRQoL is similar to a general population. Women reported worse HRQoL compared to men. Several factors associated with HRQoL were identified, and might be used when screening patients for health problems and when developing health promoting interventions.

sted, utgiver, år, opplag, sider
Elsevier, 2018. Vol. 132, s. 78-84
Emneord [en]
Health-related quality of life, Health status, Psychological distress, Cardiac arrest, Implantable cardioverter-defibrillator, Gender
HSV kategori
Forskningsprogram
Hälsovetenskap, Vårdvetenskap
Identifikatorer
URN: urn:nbn:se:lnu:diva-78034DOI: 10.1016/j.resuscitation.2018.09.002ISI: 000446854900019PubMedID: 30201535Scopus ID: 2-s2.0-85053177117OAI: oai:DiVA.org:lnu-78034DiVA, id: diva2:1251321
Tilgjengelig fra: 2018-09-26 Laget: 2018-09-26 Sist oppdatert: 2019-08-29bibliografisk kontrollert

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Israelsson, JohanBremer, AndersÅrestedt, Kristofer

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