Determinants of Long-Term Neurological Recovery Patterns Relative to Hospital Discharge Among Cardiac Arrest Survivors

Agarwal, Sachin; Presciutti, Alex; Roth, William; Matthews, Elizabeth; Rodriguez, Ashley; Roh, David; Park, Soo‐Jin; Claassen, Jan; Lazar, Ronald M.

doi:10.1097/ccm.0000000000002846

Cited by 33 publications

(22 citation statements)

References 30 publications

(36 reference statements)

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“…There were no significant differences in arrest related variables between the negative and the positive perception group. These findings complement those by Agarwal et al [40] such that arrest related variables are neither predictive of objective nor subjective long-term recovery. This finding is also consistent with the broader literature on PTSD secondary to a cardiac event in that objective measures of cardiac event severity are not associated with psychological outcomes in these patients [41].…”

Section: Discussionsupporting

confidence: 87%

The impact of psychological distress on long-term recovery perceptions in survivors of cardiac arrest

Presciutti

Sobczak

Sumner

et al. 2019

Journal of Critical Care

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Purpose: To determine the association of depressive and PTSD symptoms with cardiac arrest survivors' long-term recovery perceptions, after accounting for cognitive status, functional independence, and medical comorbidities. Methods: Perceived recovery of 78 cardiac arrest survivors at 6-months post-hospital discharge was assessed through the question, "Do you feel that you have made a complete recovery from your arrest?" Psychological symptoms were measured using the Center for Epidemiological Studies-Depression scale (CES-D) and the PTSD Checklist-Specific (PCL-S). Logistic regression was utilized to assess the association between psychological symptoms with positive and negative recovery perceptions, adjusting for demographics, cognitive impairment, functional dependence, and medical comorbidities. Results: At 6 months, 53% of patients (n=41) had negative recovery perceptions. 32.1% (n=25) of patients screened for depression and 28.2% (n=22) for PTSD. Patients with higher CES-D scores were significantly more likely to have negative recovery perceptions in both unadjusted and adjusted analyses (OR: 1.10, 95% CI [1.03, 1.16], p<0.01). PCL-S scores were significantly associated with negative recovery perceptions in an unadjusted model (OR: 1.05, 95% CI [1.01, 1.10], p < 0.01), but not after adjustment of covariates. Conclusions: In contrast with cognitive and functional measures, depressive symptoms were strongly associated with cardiac arrest survivors' negative recovery perceptions at 6-months postdischarge.

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Section: Discussionsupporting

confidence: 87%

The impact of psychological distress on long-term recovery perceptions in survivors of cardiac arrest

Presciutti

Sobczak

Sumner

et al. 2019

Journal of Critical Care

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“…In various other studies, CPC 1-2 scores at discharge were 26.5%-73% [21][22][23][24] and CPC 3-4 scores were 0%-39.5%. 25 In the present study, the scores were CPC 1-2: 11.3%, CPC 3-4: 11.3%/CPC 1-2: 45.5%, CPC 3-4: 31.9% at the time of discharge (in the order of asystole-PEA/VF-PVT). At the sixth month, CPC 1-2, CPC 3-4, and CPC 5 results were (9.1%/45.4%), (6.8%/31.8%), and (2.2%/4.5%) (in the order of asystole-PEA/VF-PVT), respectively.…”

Section: Discussionsupporting

confidence: 47%

A Study of Cerebral Performance Categories Based on Initial Rhythm and Resuscitation Time Following In-Hospital Cardiac Arrest in a State Hospital in Turkey

et al. 2018

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that tries to combine functional and cognitive domains to provide an assessment of brain healing. 2,6,7 Several studies have demonstrated the effects of initial rhythms and resuscitation durations on CPC for short-or long-term survival and the rate of return of spontaneous circulation (ROSC) after CPR. 8-12 2. Objective This study aimed to compare the CPC scores of patients during the 2-year post-discharge period based on the initial rhythm in the course of CPA (asystole/pulseless electrical activity [PEA]) and ventricular fibrillation (VF)/pulseless ventricular tachycardia (PVT) and the resuscitation period. 3. Methods This case-control clinical study was conducted with 44 patients whose ROSC occurred through in-hospital

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“…Patients and their family members involved in the Core Outcomes Set for Cardiac Arrest (COSCA) process identified survival, neurological function and HRQoL as the preferred outcome measures [97]. To date, studies of post-discharge outcomes have provided conflicting evidence of the magnitude of impairment after cardiac arrest [15,86,98,99]. These discordant results may partly reflect differences in the timing and method of measurement.…”

Section: Future Directionsmentioning

confidence: 99%

The present and future of cardiac arrest care: international experts reach out to caregivers and healthcare authorities

et al. 2018

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Determinants of Long-Term Neurological Recovery Patterns Relative to Hospital Discharge Among Cardiac Arrest Survivors

Cited by 33 publications

References 30 publications

The impact of psychological distress on long-term recovery perceptions in survivors of cardiac arrest

The impact of psychological distress on long-term recovery perceptions in survivors of cardiac arrest

A Study of Cerebral Performance Categories Based on Initial Rhythm and Resuscitation Time Following In-Hospital Cardiac Arrest in a State Hospital in Turkey

The present and future of cardiac arrest care: international experts reach out to caregivers and healthcare authorities

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