Attention needed for cognitive problems in patients after out-of-hospital cardiac arrest: an inventory about daily rehabilitation care

Boyce, L. W.; Goossens, Paulien H.; Volker, Gerard; Exel, Henk J. van; Vlieland, Thea Vliet; Bodegom‐Vos, Leti van

doi:10.1007/s12471-018-1151-z

Cited by 13 publications

(10 citation statements)

References 24 publications

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“…Secondly, the limited response rate may have affected the generalizability of the results, since those with an interest in eRehabilitation may have been more willing to participate and may have perceived other barriers and facilitators to the use of eRehabilitation compared with those who did not respond. However, the response rate of the current study is comparable with that in other rehabilitation studies (33,34), and the age and sex of responders did not differ from those of the non-responders. In addition, the age of our responders may seem low, but the Dutch medical specialist rehabilitation setting does not included geriatric rehabilitation care, which explains why the study sample was relatively young.…”

Section: Discussionsupporting

confidence: 84%

Factors associated with willingness to use eRehabilitation after stroke: A cross-sectional study among patients, informal caregivers and healthcare professionals

Brouns¹,

Meesters²,

Wentink³

et al. 2019

J Rehabil Med

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The use of digital eRehabilitation after stroke (e.g. in serious games, e-consultation and education) is increasing. However, the use of eRehabilitation in daily practice is limited. As a first step in increasing the use of eRehabilitation in stroke care, this study examined which factors influence the willingness of stroke patients, informal caregivers and healthcare professionals to use eRehabilitation. Beliefs about the benefits of eRehabilitation were found to have the largest positive impact on willingness to use eRehabilitation. These benefits included reduced travel time, increased adherence to therapy or motivation, and better health outcomes. The willingness to use eRehabilitation is limited by a lack of knowledge about how to use eRehabilitation. Objective: Despite the increasing availability of eRehabilitation, its use remains limited. The aim of this study was to assess factors associated with willingness to use eRehabilitation. Design: Cross-sectional survey. Subjects: Stroke patients, informal caregivers, health care professionals. Methods: The survey included personal characteristics, willingness to use eRehabilitation (yes/no) and barriers/facilitators influencing this willingness (4-point scale). Barriers/facilitators were merged into factors. The association between these factors and willingness to use eRehabilitation was assessed using logistic regression analyses. Results: Overall, 125 patients, 43 informal caregivers and 105 healthcare professionals participated in the study. Willingness to use eRehabilitation was positively influenced by perceived patient benefits (e.g. reduced travel time, increased motivation, better outcomes), among patients (odds ratio (OR) 2.68; 95% confidence interval (95% CI) 1.34-5.33), informal caregivers (OR 8.98; 95% CI 1.70-47.33) and healthcare professionals (OR 6.25; 95% CI 1.17-10.48). Insufficient knowledge decreased willingness to use eRehabilitation among patients (OR 0.36, 95% CI 0.17-0.74). Limitations of the study include low response rates and possible response bias. Conclusion: Differences were found between patients/informal caregivers and healthcare professionals. However, for both groups, perceived benefits of the use of eRehabilitation facilitated willingness to use eRehabilitation. Further research is needed to determine the benefits of such programs, and inform all users about the potential benefits, and how to use eRehabilitation.

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Section: Discussionsupporting

confidence: 84%

Factors associated with willingness to use eRehabilitation after stroke: A cross-sectional study among patients, informal caregivers and healthcare professionals

Brouns¹,

Meesters²,

Wentink³

et al. 2019

J Rehabil Med

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“…Post-cardiac arrest care has previously been mapped in Sweden and the Netherlands but these studies focused on the post-hospital discharge phase, i.e. the provision of out-patient clinic follow-up to survivors and families 17 and screening for cognitive impairments and referral to cognitive rehabilitation 18 . Results showed that these post-hospital care elements were far from successfully implemented despite existing international recommendations for rehabilitation after cardiac arrest 6 .…”

Section: Discussionmentioning

confidence: 99%

“…Post cardiac arrest care has previously been mapped in Sweden and the Netherlands but these studies focused on the post-hospital discharge phase, i.e. the provision of out-patient clinic follow-up to survivors and families 17 and screening for cognitive impairments and referral to cognitive rehabilitation 18 . Mapping the provision of cardiac rehabilitation to survivors of cardiac arrest can inform future development, adoption and implementation of rehabilitation services to the survivors but, to our knowledge, have not previously been undertaken.…”

Section: Introductionmentioning

confidence: 99%

Are survivors of cardiac arrest provided with standard cardiac rehabilitation? – Results from a national survey of hospitals and municipalities in Denmark

Tang

Joshi

Egholm

et al. 2020

European Journal of Cardiovascular Nursing

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Aim: To quantify the provision of standard cardiac rehabilitation to Danish survivors of cardiac arrest at a programme level, and to analyse whether organizational factors influenced the provision. Method: We mapped the provision of cardiac rehabilitation core components to survivors of cardiac arrest and compared this with a reference group of patients after acute myocardial infarction using data from a cross-sectional programme-level survey among all hospitals ( n=34) and municipalities ( n= 98) in Denmark. Organizational factors of potential importance to service provision were considered: health care region, size of catchment area/population, type of department/municipality and socioeconomic index. Results: Response rates for the provision of each core component of cardiac rehabilitation ranged from 64% to 98%. All hospitals and municipalities provided some aspect of cardiac rehabilitation to survivors of cardiac arrest. Across hospitals, provision of four core components of cardiac rehabilitation to survivors of cardiac arrest was lower compared with post acute myocardial infarction patients: patient education (relative risk (RR) =0.45 (95% confidence interval (CI) 0.27 to 0.75)), exercise training (RR=0.69 (95% CI 0.49 to 0.98)), screening for anxiety and depression (RR=0.64 (95% CI 0.46 to 0.90) and nutritional counselling RR=0.76 (95% CI 0.62 to 0.93)). No difference was found in the provision of core components across municipalities. Overall, the provision of cardiac rehabilitation to survivors of cardiac arrest was not affected by organizational factors Conclusion: This study indicates a need for future research to inform the development, adoption and implementation of equal access to all components of cardiac rehabilitation for survivors of cardiac arrest in Denmark

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“…A large majority (89%) of healthcare providers involved in care for OHCA patients support the idea of a combined cardiac and cognitive program after cardiac arrest. However, this same survey showed that cognitive and emotional screening tools are not taken out routinely and not all patients are offered cardiac rehabilitation [27].…”

Section: Integrated Rehabilitation Care Pathmentioning

confidence: 99%

Out-of-hospital cardiac arrest survivors need both cardiological and neurological rehabilitation!

Boyce

Goossens

Moulaert

et al. 2019

Current Opinion in Critical Care

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Attention needed for cognitive problems in patients after out-of-hospital cardiac arrest: an inventory about daily rehabilitation care

Cited by 13 publications

References 24 publications

Factors associated with willingness to use eRehabilitation after stroke: A cross-sectional study among patients, informal caregivers and healthcare professionals

Factors associated with willingness to use eRehabilitation after stroke: A cross-sectional study among patients, informal caregivers and healthcare professionals

Are survivors of cardiac arrest provided with standard cardiac rehabilitation? – Results from a national survey of hospitals and municipalities in Denmark

Out-of-hospital cardiac arrest survivors need both cardiological and neurological rehabilitation!

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