In-depth assessment of health-related quality of life after in-hospital cardiac arrest.

Health-related quality of life In-hospital cardiac arrest Patient-reported outcome measures Psychological wellbeing

Journal

Journal of critical care
ISSN: 1557-8615
Titre abrégé: J Crit Care
Pays: United States
ID NLM: 8610642

Informations de publication

Date de publication:
04 2022
Historique:
received: 28 07 2021
revised: 11 11 2021
accepted: 13 11 2021
pubmed: 3 12 2021
medline: 16 4 2022
entrez: 2 12 2021
Statut: ppublish

Résumé

Evidence on physical and psychological well-being of in-hospital cardiac arrest (IHCA) survivors is scarce. The aim of this study is to describe long-term health-related quality of life (HRQoL), functional independence and psychological distress 3 and 12 months post-IHCA. A multicenter prospective cohort study in 25 hospitals between January 2017 - May 2018. Adult IHCA survivors were included. HRQoL (EQ-5D-5L, SF-12), psychological distress (HADS, CSI) and functional independence (mRS) were assessed at 3 and 12 months post-IHCA. At 3-month follow-up 136 of 212 survivors responded to the questionnaire and at 12 months 110 of 198 responded. The median (IQR) EQ-utility Index score was 0.77 (0.65-0.87) at 3 months and 0.81 (0.70-0.91) at 12 months. At 3 months, patients reported a median SF-12 (IQR) physical component scale (PCS) of 38.9 (32.8-46.5) and mental component scale (MCS) of 43.5 (34.0-39.7) and at 12 months a PCS of 43.1 (34.6-52.3) and MCS 46.9 (38.5-54.5). Using various tools most IHCA survivors report an acceptable HRQoL and a substantial part experiences lower HRQoL compared to population norms. Our data suggest that younger (male) patients and those with poor functional status prior to admission are at highest risk of impaired HRQoL.

Identifiants

pubmed: 34856490
pii: S0883-9441(21)00255-0
doi: 10.1016/j.jcrc.2021.11.008
pii:
doi:

Types de publication

Journal Article Multicenter Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

22-30

Informations de copyright

Copyright © 2021 The Author(s). Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest This study was funded by Departmental Funds of the Participating Hospitals. Licensing of the SF-12 software (€800) was funded by the ESA Air Liquide unrestricted research grant 2017, as well as printing and postage costs (approx. €300).

Auteurs

M Schluep (M)

Department of Anesthesiology, Erasmus University Medical Center, Rotterdam, the Netherlands. Electronic address: m.schluep@erasmusmc.nl.

H Endeman (H)

Department of Intensive Care Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands.

B Y Gravesteijn (BY)

Department of Anesthesiology, Erasmus University Medical Center, Rotterdam, the Netherlands.

C Kuijs (C)

Department of Intensive Care Medicine, Maasstad Hospital, Rotterdam, the Netherlands; Resuscitation Committee, Maasstad Hospital, Rotterdam, the Netherlands.

M J Blans (MJ)

Department of Intensive Care Medicine, Rijnstate Hospital, Arnhem, the Netherlands.

B van den Bogaard (B)

Department of Intensive Care Medicine, OLVG, Amsterdam, the Netherlands.

A W M M Koopman Van Gemert (AWMMK)

Department of Anesthesiology, Albert Schweitzer Hospital, Dordrecht, the Netherlands.

C J Hukshorn (CJ)

Department of Intensive Care Medicine, Isala Hospital, Zwolle, the Netherlands.

B J M van der Meer (BJM)

Department of Intensive Care Medicine, Amphia Hospital, the Netherlands.

A H M Knook (AHM)

Department of Intensive Care Medicine, Reinier de Graaf Gasthuis, Delft, the Netherlands.

T van Melsen (T)

Department of Intensive Care Medicine, Haaglanden Medisch Centrum, The Hague, the Netherlands.

R Peters (R)

Department of Cardiology, Tergooi Hospital, Hilversum, the Netherlands.

K S Simons (KS)

Department of Intensive Care Medicine, Jeroen Bosch Hospital, 's Hertogenbosch, the Netherlands.

G Spijkers (G)

Department of Hospital Medicine, ZorgSaam Zeeuws-Vlaanderen, Terneuzen, the Netherlands.

J W Vermeijden (JW)

Department of Intensive Care Medicine, Medisch Spectrum Twente, Enschede, the Netherlands.

E-J Wils (EJ)

Department of Intensive Care Medicine, Franciscus Gasthuis & Vlietland, Rotterdam, the Netherlands.

R J Stolker (RJ)

Department of Anesthesiology, Erasmus University Medical Center, Rotterdam, the Netherlands.

S E Hoeks (SE)

Department of Anesthesiology, Erasmus University Medical Center, Rotterdam, the Netherlands.

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