Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Health-related quality of life after surviving an out-of-hospital compared to an in-hospital cardiac arrest : A Swedish population-based registry study

Djärv, Therese ; Bremer, Anders ; Herlitz, Johan ; Israelsson, Johan ; Cronberg, Tobias LU ; Lilja, Gisela LU ; Rawshani, Araz and Årestedt, Kristofer (2020) In Resuscitation 151. p.77-84
Abstract

Background: Health-related quality of life (HRQoL) has been reported for out-hospital (OHCA) and in-hospital cardiac arrest (IHCA) separately, but potential differences between the two groups are unknown. The aim of this study is therefore to describe and compare HRQoL in patients surviving OHCA and IHCA. Methods: Patients ≥18 years with Cerebral Performance Category 1–3 included in the Swedish Registry for Cardiopulmonary Resuscitation between 2014 and 2017 were included. A telephone interview was performed based on a questionnaire sent 3–6 months post cardiac arrest, including EQ-5D-5L and the Hospital Anxiety and Depression Scale. Mann–Whitney U test and multiple linear- and ordinal logistic regression analyses were used to describe... (More)

Background: Health-related quality of life (HRQoL) has been reported for out-hospital (OHCA) and in-hospital cardiac arrest (IHCA) separately, but potential differences between the two groups are unknown. The aim of this study is therefore to describe and compare HRQoL in patients surviving OHCA and IHCA. Methods: Patients ≥18 years with Cerebral Performance Category 1–3 included in the Swedish Registry for Cardiopulmonary Resuscitation between 2014 and 2017 were included. A telephone interview was performed based on a questionnaire sent 3–6 months post cardiac arrest, including EQ-5D-5L and the Hospital Anxiety and Depression Scale. Mann–Whitney U test and multiple linear- and ordinal logistic regression analyses were used to describe and compare HRQoL in OHCA and IHCA survivors. Adjustments were made for sex, age and initial rhythm. Results: In all, 1369 IHCA and 772 OHCA survivors were included. Most OHCA and IHCA survivors reported no symptoms of with anxiety (88% and 84%) or depression (87% and 85%). IHCA survivors reported significantly more problems in the health domains mobility, self-care, usual activities and pain/discomfort (p < 0.001 for all) and scored lower general health measured by EQ-VAS (median 70 vs. 80 respectively, p < 0.001) compared with the OHCA survivors. Conclusion: Survivors of IHCA reported significantly worse HRQoL compared to survivors of OHCA. Consequently, research data gathered from one of these populations may not be generalizable to the other.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Health, Heart arrest, Psychological distress, Quality of life
in
Resuscitation
volume
151
pages
8 pages
publisher
Elsevier
external identifiers
  • scopus:85084036125
  • pmid:32294490
ISSN
0300-9572
DOI
10.1016/j.resuscitation.2020.04.002
language
English
LU publication?
yes
id
de04046d-60e2-4574-8071-bdefc34590b2
date added to LUP
2020-05-18 14:00:08
date last changed
2024-04-17 08:38:31
@article{de04046d-60e2-4574-8071-bdefc34590b2,
  abstract     = {{<p>Background: Health-related quality of life (HRQoL) has been reported for out-hospital (OHCA) and in-hospital cardiac arrest (IHCA) separately, but potential differences between the two groups are unknown. The aim of this study is therefore to describe and compare HRQoL in patients surviving OHCA and IHCA. Methods: Patients ≥18 years with Cerebral Performance Category 1–3 included in the Swedish Registry for Cardiopulmonary Resuscitation between 2014 and 2017 were included. A telephone interview was performed based on a questionnaire sent 3–6 months post cardiac arrest, including EQ-5D-5L and the Hospital Anxiety and Depression Scale. Mann–Whitney U test and multiple linear- and ordinal logistic regression analyses were used to describe and compare HRQoL in OHCA and IHCA survivors. Adjustments were made for sex, age and initial rhythm. Results: In all, 1369 IHCA and 772 OHCA survivors were included. Most OHCA and IHCA survivors reported no symptoms of with anxiety (88% and 84%) or depression (87% and 85%). IHCA survivors reported significantly more problems in the health domains mobility, self-care, usual activities and pain/discomfort (p &lt; 0.001 for all) and scored lower general health measured by EQ-VAS (median 70 vs. 80 respectively, p &lt; 0.001) compared with the OHCA survivors. Conclusion: Survivors of IHCA reported significantly worse HRQoL compared to survivors of OHCA. Consequently, research data gathered from one of these populations may not be generalizable to the other.</p>}},
  author       = {{Djärv, Therese and Bremer, Anders and Herlitz, Johan and Israelsson, Johan and Cronberg, Tobias and Lilja, Gisela and Rawshani, Araz and Årestedt, Kristofer}},
  issn         = {{0300-9572}},
  keywords     = {{Health; Heart arrest; Psychological distress; Quality of life}},
  language     = {{eng}},
  pages        = {{77--84}},
  publisher    = {{Elsevier}},
  series       = {{Resuscitation}},
  title        = {{Health-related quality of life after surviving an out-of-hospital compared to an in-hospital cardiac arrest : A Swedish population-based registry study}},
  url          = {{http://dx.doi.org/10.1016/j.resuscitation.2020.04.002}},
  doi          = {{10.1016/j.resuscitation.2020.04.002}},
  volume       = {{151}},
  year         = {{2020}},
}