Health-related quality of life after surviving an out-of-hospital compared to an in-hospital cardiac arrest: a Swedish population-based registry studyShow others and affiliations
2020 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 151, p. 77-84Article in journal (Refereed) Published
Abstract [en]
Background
Health-related quality of life (HRQoL) has been reported for out-hospital (OHCA) and in-hospital cardiac arrest (IHCA) separately, but potential differences between the two groups are unknown. The aim of this study is therefore to describe and compare HRQoL in patients surviving OHCA and IHCA.
Methods
Patients ≥18 years with Cerebral Performance Category 1–3 included in the Swedish Registry for Cardiopulmonary Resuscitation between 2014 and 2017 were included. A telephone interview was performed based on a questionnaire sent 3–6 months post cardiac arrest, including EQ-5D-5L and the Hospital Anxiety and Depression Scale. Mann–Whitney U test and multiple linear- and ordinal logistic regression analyses were used to describe and compare HRQoL in OHCA and IHCA survivors. Adjustments were made for sex, age and initial rhythm.
Results
In all, 1369 IHCA and 772 OHCA survivors were included. Most OHCA and IHCA survivors reported no symptoms of with anxiety (88% and 84%) or depression (87% and 85%). IHCA survivors reported significantly more problems in the health domains mobility, self-care, usual activities and pain/discomfort (p < 0.001 for all) and scored lower general health measured by EQ-VAS (median 70 vs. 80 respectively, p < 0.001) compared with the OHCA survivors.
Conclusion
Survivors of IHCA reported significantly worse HRQoL compared to survivors of OHCA. Consequently, research data gathered from one of these populations may not be generalizable to the other.
Place, publisher, year, edition, pages
Elsevier, 2020. Vol. 151, p. 77-84
Keywords [en]
Health, Heart arrest, Psychological distress, Quality of life
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-94117DOI: 10.1016/j.resuscitation.2020.04.002ISI: 000547372900028PubMedID: 32294490Scopus ID: 2-s2.0-85084036125OAI: oai:DiVA.org:lnu-94117DiVA, id: diva2:1427821
2020-05-012020-05-012024-01-11Bibliographically approved