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Differences in self-reported health between cardiac arrest survivors with good cerebral performance and survivors with moderate cerebral disability: a nationwide register study
Linköping University, Sweden.
Linköping University, Sweden.
Lund University, Sweden.
Linköping University, Sweden.
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2022 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 12, no 7, article id e058945Article in journal (Refereed) Published
Abstract [en]

Objective The aim was to compare self-reported health between cardiac arrest survivors with good cerebral performance (CPC 1) and survivors with moderate cerebral disability (CPC 2). Methods This comparative register study was based on nationwide data from the Swedish Register of Cardiopulmonary Resuscitation. The study included 2058 in-hospital and out-of-hospital cardiac arrest survivors with good cerebral performance or survivors with moderate cerebral disability, 3-6 months postcardiac arrest. Survivors completed a questionnaire including the Hospital Anxiety and Depression Scale (HADS) and EQ-5D five-levels (EQ-5D-5L). Data were analysed using ordinal and linear regression models. Results For all survivors, the prevalence of anxiety and depression symptoms measured by the HADS was 14% and 13%, respectively. Using the EQ-5D-5L, the cardiac arrest survivors reported most health problems relating to pain/discomfort (57%), followed by anxiety/depression (47%), usual activities (46%), mobility (40%) and self-care (18%). Compared with the survivors with good cerebral performance, survivors with moderate cerebral disability reported significantly higher symptom levels of anxiety and depression measured with HADS, and poorer health in all dimensions of the EQ-5D-5L after adjusting for age, sex, place of cardiac arrest, aetiology and initial rhythm (p<0.001). Conclusions These findings stress the importance of screening for health problems in all cardiac arrest survivors to identify those in need of professional support and rehabilitation, independent on neurological outcome.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2022. Vol. 12, no 7, article id e058945
Keywords [en]
Adult cardiology, Coronary heart disease, Rehabilitation medicine, INTENSIVE & CRITICAL CARE
National Category
Nursing Cardiac and Cardiovascular Systems
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-115620DOI: 10.1136/bmjopen-2021-058945ISI: 000823695600038PubMedID: 35820755Scopus ID: 2-s2.0-85133934232OAI: oai:DiVA.org:lnu-115620DiVA, id: diva2:1685496
Available from: 2022-08-03 Created: 2022-08-03 Last updated: 2023-08-28Bibliographically approved

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Årestedt, Kristofer

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