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Detailed analysis of health-related quality of life after out-of-hospital cardiac arrest
Skåne University Hospital, Sweden.
Lund University, Sweden;Skåne University Hospital, Sweden.
Malmö University, Sweden.ORCID iD: 0000-0001-7613-4759
Lund University, Sweden;Skåne University Hospital, Sweden.
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2019 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 135, no February, p. 197-204Article in journal (Refereed) Published
Sustainable development
SDG 3: Ensure healthy lives and promote well-being for all at all ages
Abstract [en]

Aim:

To describe the detailed health-related quality of life (HRQoL) in survivors from the TTM-trial and to investigate potential differences related to sex and age.

Methods:

This is a cross-sectional study originating from a large prospective international, multicentre trial, including 442 respondents who answered the Short Form-36 item Questionnaire Health Survey version 2® (SF-36v2®) at a structured follow-up 6 months after out-of-hospital cardiac arrest (OHCA). Statistical analysis between independent groups were performed with Mann-Whitney U or Chi-square. Age was analysed primarily as a dichotomised variable.

Results:

Although overall physical and mental health were within the normal range, a substantial proportion of respondents had impaired function at domain-specific levels, particularly in Role-Physical (50%) and Role-Emotional (35%). Females scored significantly lower than males in; Physical Functioning (41.7 vs. 47.9, p < 0.001), Role-Physical (40.4 vs. 44.3, p = 0.02), General Health (47.0 vs. 50.5, p = 0.02), Vitality (47.2 vs. 52.7, p < 0.001), and Role-Emotional (41.5 vs. 46.2, p = 0.009). Those ≤65 years scored significantly better in Physical Functioning (47.9 vs. 44.1 p < 0.001), while those >65 years scored significantly better in Vitality (50.8 vs. 53.7, p = 0.006) and Mental Health (50.3 vs. 52.6, p = 0.04).

Conclusions:

Many OHCA survivors demonstrated impaired function in HRQoL at a domain level, despite most patients reporting an acceptable general HRQoL. Females reported worse HRQoL than males. Older age was associated with a worse Physical Functioning but better Vitality and Mental Health. Role-Physical and Role-Emotional aspects of health were especially affected, even when effects of age and sex where accounted for.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 135, no February, p. 197-204
Keywords [en]
Cardiac Arrest, Quality of Life, SF-36v2, cross-sectional studies, outcome
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-103075DOI: 10.1016/j.resuscitation.2018.10.028ISI: 000459785900028PubMedID: 30385386OAI: oai:DiVA.org:lnu-103075DiVA, id: diva2:1552994
Available from: 2021-05-06 Created: 2021-05-06 Last updated: 2023-01-26Bibliographically approved

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Finnbogadottir, HafrúnÅkerman, Eva

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