Health-related quality of life after out-of-hospital cardiac arrest - a five-year follow-up studyJurate Saltyte Benth.
Resuscitation
; 162: 372-380, 2021 05.
Article
en En
| MEDLINE
| ID: mdl-33571604
ABSTRACT
BACKGROUND:
Health-related quality of life (HRQoL) is affected after out-of-hospital cardiac arrest (OHCA), but data several years after the arrest are lacking. We assessed long-term HRQoL in OHCA survivors and how known outcome predictors impact HRQoL.METHODS:
In adult OHCA survivors, HRQoL was assessed five years post arrest using Short-form 36 (SF-36), EQ-5D-3â¯L (EQ-5D) and Hospital Anxiety and Depression Scale (HADS) among others. Results were compared to the next of kins' estimates and to a Norwegian reference population.RESULTS:
Altogether 96 survivors were included mean 5.3 (range 3.6-7.2) years after OHCA. HRQoL compared well to the reference population, except for lower score for general health with 67.2 (95%CI (62.1; 72.3) vs. 72.9 (71.9; 74.0)), pâ¯=â¯0.03. Younger (≤58 years) vs. older survivors scored lower for general health with mean (SD) of 62.1 (27.5) vs. 73.0 (19.5), pâ¯=â¯0.03, vitality (55.2 (20.5) vs. 64.6 (17.3), pâ¯=â¯0.02, social functioning (75.3 (28.7) vs. 94.1 (13.5), pâ¯<â¯0.001 and mental component summary (49.0 (9.9) vs. 55.8 (6.7), pâ¯<â¯0.001. They scored higher for HADS-anxiety (4.8 (3.6 vs. 2.7 (2.5), pâ¯=â¯0.001, and had lower EQ-5D index (0.72 (0.34) vs. 0.84 (0.19), pâ¯=â¯0.04. Early vs. late awakeners had higher EQ-5D index (0.82 (0.23) vs. 0.71 (0.35), pâ¯=â¯0.04 and lower HADS-depression scores (2.5 (2.9) vs. 3.8 (2.3), pâ¯=â¯0.04. Next of kin estimated HRQoL similar to the survivors' own estimates.CONCLUSIONS:
HRQoL five years after OHCA was good and mainly comparable to a matched reference population. Stratified analyses revealed impaired HRQoL among younger survivors and those awakening late, mainly for mental domains.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Calidad de Vida
/
Paro Cardíaco Extrahospitalario
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Patient_preference
Límite:
Adult
/
Humans
Idioma:
En
Revista:
Resuscitation
Año:
2021
Tipo del documento:
Article