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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

Larsson, Karin ; Hjelm, Carina ; Lilja, Gisela LU ; Strömberg, Anna and Årestedt, Kristofer (2022) In BMJ Open 12(7).
Abstract

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... (More)

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.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adult cardiology, Coronary heart disease, INTENSIVE & CRITICAL CARE, Rehabilitation medicine
in
BMJ Open
volume
12
issue
7
article number
e058945
publisher
BMJ Publishing Group
external identifiers
  • scopus:85133934232
  • pmid:35820755
ISSN
2044-6055
DOI
10.1136/bmjopen-2021-058945
language
English
LU publication?
yes
additional info
Publisher Copyright: ©
id
54327371-23f5-4e44-ae6c-41e255a2a8cb
date added to LUP
2022-09-07 15:44:59
date last changed
2024-06-13 19:11:38
@article{54327371-23f5-4e44-ae6c-41e255a2a8cb,
  abstract     = {{<p>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&lt;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. </p>}},
  author       = {{Larsson, Karin and Hjelm, Carina and Lilja, Gisela and Strömberg, Anna and Årestedt, Kristofer}},
  issn         = {{2044-6055}},
  keywords     = {{Adult cardiology; Coronary heart disease; INTENSIVE & CRITICAL CARE; Rehabilitation medicine}},
  language     = {{eng}},
  month        = {{07}},
  number       = {{7}},
  publisher    = {{BMJ Publishing Group}},
  series       = {{BMJ Open}},
  title        = {{Differences in self-reported health between cardiac arrest survivors with good cerebral performance and survivors with moderate cerebral disability : a nationwide register study}},
  url          = {{http://dx.doi.org/10.1136/bmjopen-2021-058945}},
  doi          = {{10.1136/bmjopen-2021-058945}},
  volume       = {{12}},
  year         = {{2022}},
}