Factors predicting quality of life and societal participation after survival of a cardiac arrest: A prognostic longitudinal cohort study

Verberne, Daan P J; Moulaert, Véronique; Verbunt, Jeanine; Heugten, Caroline van

doi:10.1016/j.resuscitation.2017.11.069

Cited by 30 publications

(19 citation statements)

References 35 publications

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“…There is a lack of follow-up with neuropsychological instruments examining several cognitive domains. Earlier studies on cognition after OHCA have either included a smaller number of participants (less than 50), or investigated more patients (100-300) with elementary cognitive assessments or fewer cognitive domains [10,17,19].…”

Section: Introductionmentioning

confidence: 99%

Neuropsychological outcome after cardiac arrest: a prospective case control sub-study of the Targeted hypothermia versus targeted normothermia after out-of-hospital cardiac arrest trial (TTM2)

Nordström

Lilja

Vestberg

et al. 2020

BMC Cardiovasc Disord

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Background This study is designed to provide detailed knowledge on cognitive impairment after out-of-hospital cardiac arrest (OHCA) and its relation to associated factors, and to validate the neurocognitive screening of the Targeted Hypothermia versus Targeted Normothermia after Out-of-Hospital Cardiac Arrest trial (TTM2-trial), assessing effectiveness of targeted temperature management after OHCA. Methods This longitudinal multi-center clinical study is a sub-study of the TTM2-trial, in which a comprehensive neuropsychological examination is performed in addition to the main TTM2-trial neurocognitive screening. Approximately 7 and 24 months after OHCA, survivors at selected study sites are invited to a standardized assessment, including performance-based tests of cognition and questionnaires of emotional problems, fatigue, executive function and insomnia. At 1:1 ratio, a matched control group from a cohort of acute myocardial infarction (MI) patients is recruited to perform the same assessment. We aim to include 100 patients per group. Potential differences between the OHCA patients and the MI controls at 7 and 24 months will be analyzed with a linear regression, using composite z-scores per cognitive domain (verbal, visual/constructive, working memory, episodic memory, processing speed, executive functions) as primary outcome measures. Results from OHCA survivors on the main TTM2-trial neurocognitive screening battery will be compared with neuropsychological test results at 7 months, using sensitivity and specificity analyses. Discussion In this study we collect detailed information on cognitive impairment after OHCA and compare this to a control group of patients with acute MI. The validation of the TTM2 neurocognitive screening battery could justify its inclusion in routine follow-up. Our results may have a potential to impact on the design of future follow-up strategies and interventions after OHCA. Trial registration ClinicalTrials.gov, NCT03543371. Registered 1 June 2018

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Section: Introductionmentioning

confidence: 99%

Neuropsychological outcome after cardiac arrest: a prospective case control sub-study of the Targeted hypothermia versus targeted normothermia after out-of-hospital cardiac arrest trial (TTM2)

Nordström

Lilja

Vestberg

et al. 2020

BMC Cardiovasc Disord

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“…35 Research indicates that individuals who received holistic care had an increased physical activity level, returned to work to a greater extent and reported a higher QOL. 36 A holistic care approach improves the partnership between nurses, other health professionals and their patients, which leads to an improved patient experience of care.…”

Section: Discussionmentioning

confidence: 99%

“…Often, quantitative research is used to explore QOL using validated tools 6 and survivors report an acceptable QOL. 7 , 11 In comparison, qualitative explorations of the phenomena of surviving CA are few. 6 Qualitative research gives the participant an opportunity to express their views without the constraint of questionnaires and allows depth of experience to come to light that is not exposed in quantitative research.…”

Section: Introductionmentioning

confidence: 99%

The experience of returning home after surviving cardiac arrest: A narrative inquiry

Haydon

Riet

Inder

2020

Nordic Journal of Nursing Research

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Surviving a cardiac arrest is a tumultuous experience. Although the incidence of cardiac arrest and influencing factors are well researched, little is known of survivors’ experiences as they return home from hospital. This article aims to explore survivors’ experiences of returning home after surviving a cardiac arrest. Four females and 13 males, all independently living cardiac arrest survivors, were recruited using purposive and snowball sampling techniques and participated in individual in-depth interviews over a six-month period. This inquiry follows COREQ guidelines and data were analysed using narrative inquiry where key threads were identified. Findings indicate that a cardiac arrest is a catastrophic event where the survivor has to accept and adjust mentally, physically and socially, often leading to insecurity about the future. The cardiac arrest impacts all aspects of life on return home, including the ability to work and to drive, accepting added medical appointments and medication regimens. Healthcare professionals can learn from survivors’ narratives to support holistic care, considering survivors’ experiences in their transition home and back to reality as a cardiac arrest survivor.

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“…[216][217][218][219][220] However, there are many cases where adequate treatment cannot be provided because it is not always recognized by the medical staff. [221][222][223] Therefore, we recommend structured assessment for anxiety, depression, post-traumatic stress, and fatigue for cardiac arrest survivors so that psychological problems that are common to survivors after a cardiac arrest can be identified without missing them and appropriate treatment can be provided to them to improve their long-term prognosis.…”

Section: Assessment and Early Rehabilitation After Post-cardiac Arrestmentioning

confidence: 99%

2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 5. Post-cardiac arrest care

et al. 2021

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The 2020 Korean Post-cardiac Arrest Care Guidelines are medical recommendations derived based on scientific evidence for post-cardiac arrest care. These guidelines are based on the 2020 scientific consensus and treatment recommendations of the International Liaison Committee on Resuscitation and we additionally considered the research papers in the post-cardiac arrest care field which were published after the International Liaison Committee on Resuscitation review. 1,2 In these guidelines, topics which are clinically important and needed further consideration were reviewed in the form of adaptation or hybridization. Meta-analyses or scoping reviews for addi-S42 www.ceemjournal.org 2020 CPR guidelines: post-cardiac arrest care Use of prophylactic antibioticsThe benefit of the routine use of prophylactic antibiotics in pa-S43

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Factors predicting quality of life and societal participation after survival of a cardiac arrest: A prognostic longitudinal cohort study

Cited by 30 publications

References 35 publications

Neuropsychological outcome after cardiac arrest: a prospective case control sub-study of the Targeted hypothermia versus targeted normothermia after out-of-hospital cardiac arrest trial (TTM2)

Neuropsychological outcome after cardiac arrest: a prospective case control sub-study of the Targeted hypothermia versus targeted normothermia after out-of-hospital cardiac arrest trial (TTM2)

The experience of returning home after surviving cardiac arrest: A narrative inquiry

2020 Korean Guidelines for Cardiopulmonary Resuscitation. Part 5. Post-cardiac arrest care

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