Advanced

Health status and psychological distress among in-hospital cardiac arrest survivors in relation to gender

Israelsson, Johan; Bremer, Anders; Herlitz, Johan; Axelsson, B.; Cronberg, Tobias LU ; Djärv, Therese; Kristofferzon, Marja-Leena; Larsson, Ing-Marie; Lilja, Gisela LU and Sunnerhagen, Katharina S., et al. (2017) In Resuscitation 114. p.27-33
Abstract

Aim To describe health status and psychological distress among in-hospital cardiac arrest (IHCA) survivors in relation to gender. Methods This national register study consists of data from follow-up registration of IHCA survivors 3–6 months post cardiac arrest (CA) in Sweden. A questionnaire was sent to the survivors, including measurements of health status (EQ-5D-5L) and psychological distress (HADS). Results Between 2013 and 2015, 594 IHCA survivors were included in the study. The median values for EQ-5D-5L index and EQ VAS among survivors were 0.78 (q1–q3 = 0.67–0.86) and 70 (q1–q3 = 50–80) respectively. The values were significantly lower (p < 0.001) in women compared to men. In addition, women reported more problems than men in... (More)

Aim To describe health status and psychological distress among in-hospital cardiac arrest (IHCA) survivors in relation to gender. Methods This national register study consists of data from follow-up registration of IHCA survivors 3–6 months post cardiac arrest (CA) in Sweden. A questionnaire was sent to the survivors, including measurements of health status (EQ-5D-5L) and psychological distress (HADS). Results Between 2013 and 2015, 594 IHCA survivors were included in the study. The median values for EQ-5D-5L index and EQ VAS among survivors were 0.78 (q1–q3 = 0.67–0.86) and 70 (q1–q3 = 50–80) respectively. The values were significantly lower (p < 0.001) in women compared to men. In addition, women reported more problems than men in all dimensions of EQ-5D-5L, except self-care. A majority of the respondents reported no problems with anxiety (85.4%) and/or symptoms of depression (87.0%). Women reported significantly more problems with anxiety (p < 0.001) and symptoms of depression (p < 0.001) compared to men. Gender was significantly associated with poorer health status and more psychological distress. No interaction effects for gender and age were found. Conclusions Although the majority of survivors reported acceptable health status and no psychological distress, a substantial proportion reported severe problems. Women reported worse health status and more psychological distress compared to men. Therefore, a higher proportion of women may be in need of support. Health care professionals should make efforts to identify health problems among survivors and offer individualised support when needed.

(Less)
Please use this url to cite or link to this publication:
author
, et al. (More)
(Less)
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Anxiety, Depression, Gender, Health status, Heart arrest, Hospitals
in
Resuscitation
volume
114
pages
7 pages
publisher
Elsevier
external identifiers
  • scopus:85014407099
  • wos:000402487800021
ISSN
0300-9572
DOI
10.1016/j.resuscitation.2017.02.006
language
English
LU publication?
yes
id
b27af6bb-669b-4e05-a335-aa8c5800251d
date added to LUP
2017-03-16 11:27:21
date last changed
2018-01-07 11:55:56
@article{b27af6bb-669b-4e05-a335-aa8c5800251d,
  abstract     = {<p>Aim To describe health status and psychological distress among in-hospital cardiac arrest (IHCA) survivors in relation to gender. Methods This national register study consists of data from follow-up registration of IHCA survivors 3–6 months post cardiac arrest (CA) in Sweden. A questionnaire was sent to the survivors, including measurements of health status (EQ-5D-5L) and psychological distress (HADS). Results Between 2013 and 2015, 594 IHCA survivors were included in the study. The median values for EQ-5D-5L index and EQ VAS among survivors were 0.78 (q1–q3 = 0.67–0.86) and 70 (q1–q3 = 50–80) respectively. The values were significantly lower (p &lt; 0.001) in women compared to men. In addition, women reported more problems than men in all dimensions of EQ-5D-5L, except self-care. A majority of the respondents reported no problems with anxiety (85.4%) and/or symptoms of depression (87.0%). Women reported significantly more problems with anxiety (p &lt; 0.001) and symptoms of depression (p &lt; 0.001) compared to men. Gender was significantly associated with poorer health status and more psychological distress. No interaction effects for gender and age were found. Conclusions Although the majority of survivors reported acceptable health status and no psychological distress, a substantial proportion reported severe problems. Women reported worse health status and more psychological distress compared to men. Therefore, a higher proportion of women may be in need of support. Health care professionals should make efforts to identify health problems among survivors and offer individualised support when needed.</p>},
  author       = {Israelsson, Johan and Bremer, Anders and Herlitz, Johan and Axelsson,  B. and Cronberg, Tobias and Djärv, Therese and Kristofferzon, Marja-Leena and Larsson, Ing-Marie and Lilja, Gisela and Sunnerhagen, Katharina S. and Wallin, Ewa and Ågren, Susanna and Åkerman, Eva and Årestedt, Kristofer},
  issn         = {0300-9572},
  keyword      = {Anxiety,Depression,Gender,Health status,Heart arrest,Hospitals},
  language     = {eng},
  month        = {05},
  pages        = {27--33},
  publisher    = {Elsevier},
  series       = {Resuscitation},
  title        = {Health status and psychological distress among in-hospital cardiac arrest survivors in relation to gender},
  url          = {http://dx.doi.org/10.1016/j.resuscitation.2017.02.006},
  volume       = {114},
  year         = {2017},
}