Life years saved, standardised mortality rates and causes of death after hospital discharge in out-of-hospital cardiac arrest survivors

Abstract

Resuscitation of OHCA victims lead to a significant long-term benefit with respect to life years saved. Cardiac disease was the main cause of death after hospital discharge. More studies are needed to identify the potential of therapeutic interventions and rehabilitation efforts that may further enhance the long-term outcomes in OHCA hospital discharge survivors.

Outcomes and healthcare-associated costs one year after intensive care-treated cardiac arrest

“…Previous studies have reported one-year survival rates for hospitaltreated OHCA between 27% and 55%, and for IHCA between 6% and 30% [17][18][19][20][21][22][23]. Over 80% of hospital survivors had favourable neurological outcome [24][25][26][27][28][29][30]. Compared to earlier publications, one-year survival was generally higher in our study.…”

Long-term survival following out-of-hospital cardiac arrest

“…However, our cohort consists of a greater proportion of patients arresting due to a presumed cardiac aetiology and into an initial shockable rhythm, both of which have been associated with improved long-term survival 8. For instance, our 5-year survival rate is similar to a small Norwegian study in which the proportion of patients with a presumed cardiac aetiology or initial shockable arrest rhythm were comparable (91% and 80%, respectively) 19. Additionally, our 5-year survival rate of OHCA survivors arresting due to a presumed cardiac aetiology (82.2%) is higher than the 3-year survival rate of patients discharged from hospital following isolated coronary artery bypass graft surgery (76.7%),20 and much higher than the 5-year survival rate of patients discharged with acute heart failure (21.5%) 21…”

Long‐Term Outcomes Among Elderly Survivors of Out‐of‐Hospital Cardiac Arrest

“…For instance, although prior out‐of‐hospital cardiac arrest studies have found racial and sex differences for in‐hospital survival, whether long‐term mortality and costs also differ by race and sex among survivors is unknown. Although initiation of cardiopulmonary resuscitation (CPR) by a bystander has been linked to higher rates of in‐hospital survival, determining whether it is associated with lower or higher mortality and costs among survivors has potential implications for current public campaigns to increase bystander CPR rates and life‐years saved . Finally, because many survivors of out‐of‐hospital cardiac arrest have neurological and functional disability, defining long‐term survival and costs by neurological disability and hospital disposition at discharge would better enable patients and physicians to use this prognostic information for shared decision‐making.…”