Quality of Life and Functional Outcomes 12 Months After Out-of-Hospital Cardiac Arrest

Ovid Technologies (Wolters Kluwer Health) - Tập 131 Số 2 - Trang 174-181 - 2015
Karen Smith1,2,3,4, Emily Andrew1,5,2,4, Marijana Lijovic1,2,6,4, Ziad Nehme1,2,4,7, Stephen Bernard1,2,4,8
1Alfred Hospital, Melbourne, Victoria, Australia (S.B.).
2From Ambulance Victoria, Melbourne, Victoria, Australia (K.S., E.A., M.L., Z.N., S.B.); Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia (K.S., E.A., M.L., Z.N., S.B.); School of Primary, Aboriginal, and Rural Health Care, University of Western Australia, Perth, Western Australia, Australia (K.S.); and Alfred Hospital, Melbourne, Victoria, Australia (S.B.).
3Karen Smith From Ambulance Victoria, Melbourne, Victoria, Australia (K.S., E.A., M.L., Z.N., S.B.)
4School of Primary, Aboriginal, and Rural Health Care, University of Western Australia, Perth, Western Australia, Australia (K.S.)
5Emily Andrew From Ambulance Victoria, Melbourne, Victoria, Australia (K.S., E.A., M.L., Z.N., S.B.)
6Marijana Lijovic From Ambulance Victoria, Melbourne, Victoria, Australia (K.S., E.A., M.L., Z.N., S.B.)
7Ziad Nehme From Ambulance Victoria, Melbourne, Victoria, Australia (K.S., E.A., M.L., Z.N., S.B.)
8Stephen Bernard From Ambulance Victoria, Melbourne, Victoria, Australia (K.S., E.A., M.L., Z.N., S.B.)

Tóm tắt

Background— Out-of-hospital cardiac arrest (OHCA) is a significant global health problem. There has been considerable investment in improving the emergency medical response to OHCA, with associated improvements in survival. However, concern remains that survivors have a poor quality of life. This study describes the quality of life of OHCA survivors at 1-year postarrest in Victoria, Australia. Methods and Results— Adult OHCA patients who arrested between 2010 and 2012 were identified from the Victorian Ambulance Cardiac Arrest Registry. Paramedics attended 15 113 OHCA patients of which 46.3% received an attempted resuscitation. Nine hundred and twenty-seven (13.2%) survived to hospital discharge of which 76 (8.2%) died within 12 months. Interviews were conducted with 697 (80.7%) patients or proxies, who were followed-up via telephone interview, including the Glasgow Outcome Scale–Extended, the 12-item short form health survey, and the EuroQol. The majority (55.6%) of respondents had a good recovery via the Glasgow Outcome Scale–Extended≥7 (41.1% if patients who died postdischarge were included and nonrespondents were assumed to have poor recovery). The mean EuroQol index score for respondents was 0.82 (standard deviation, 0.19), which compared favorably with an adjusted population norm of 0.81 (standard deviation, 0.34). The mean 12-item short form Mental Component Summary score for patients was 53.0 (standard deviation, 10.2), whereas the mean Physical Component Summary score was 46.1 (standard deviation, 11.2). Conclusions— This is the largest published study assessing the quality of life of OHCA survivors. It provides good evidence that many survivors have an acceptable quality of life 12 months postarrest, particularly in comparison with population norms.

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Ovid Technologies (Wolters Kluwer Health)

Tập 131 Số 2

174-181

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