Neuroprognostication, withdrawal of care and long-term outcomes after cardiopulmonary resuscitation.

Journal

Current opinion in critical care

ISSN: 1531-7072

Titre abrégé: Curr Opin Crit Care

Pays: United States

ID NLM: 9504454

Informations de publication

Date de publication:
12 Aug 2024

Historique:

medline: 16 8 2024

pubmed: 16 8 2024

entrez: 16 8 2024

Statut: aheadofprint

Résumé

Survivors of cardiac arrest often have increased long-term risks of mortality and disability that are primarily associated with hypoxic-ischemic brain injury (HIBI). This review aims to examine health-related long-term outcomes after cardiac arrest. A notable portion of cardiac arrest survivors face a decline in their quality of life, encountering persistent physical, cognitive, and mental health challenges emerging years after the initial event. Within the first-year postarrest, survivors are at elevated risk for stroke, epilepsy, and psychiatric conditions, along with a heightened susceptibility to developing dementia. Addressing these challenges necessitates establishing comprehensive, multidisciplinary care systems tailored to the needs of these individuals. HIBI remains the leading cause of disability among cardiac arrest survivors. No single strategy is likely to improve long term outcomes after cardiac arrest. A multimodal neuroprognostication approach (clinical examination, imaging, neurophysiology, and biomarkers) is recommended by guidelines, but fails to predict long-term outcomes. Cardiac arrest survivors often experience long-term disabilities that negatively impact their quality of life. The likelihood of such outcomes implements a multidisciplinary care an integral part of long-term recovery.

Identifiants

DOI: 10.1097/MCC.0000000000001194 PMID: 39150054

pubmed: 39150054

doi: 10.1097/MCC.0000000000001194

pii: 00075198-990000000-00202

doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

Informations de copyright

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