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Factors associated with health-related quality of life among cardiac arrest survivors treated with an implantable cardioverter-defibrillator
Linnaeus University, Faculty of Technology, Kalmar Maritime Academy. Kalmar County Council;Linköping university. (iCARE)
Linköping university.
Linköping university.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Kalmar County Council. (iCARE)ORCID iD: 0000-0001-7865-3480
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2018 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 132, p. 78-84Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
Elsevier, 2018. Vol. 132, p. 78-84
Keywords [en]
Health-related quality of life, Health status, Psychological distress, Cardiac arrest, Implantable cardioverter-defibrillator, Gender
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
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
Available from: 2018-09-26 Created: 2018-09-26 Last updated: 2019-08-29Bibliographically approved

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Israelsson, JohanBremer, AndersÅrestedt, Kristofer

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