Daan Verberne1, Véronique Moulaert2, Jeanine Verbunt3, Caroline van Heugten4. 1. Maastricht University, Department of Psychiatry and Neuropsychology, Faculty of Health, Medicine and Neuroscience, School for Mental Health and Neuroscience (MHeNS), P.O. Box 616, 6200 MD, Maastricht, The Netherlands; Limburg Brain Injury Center, P.O. Box 616, 6200 MD, Maastricht, The Netherlands. 2. Adelante, Centre of Expertise in Rehabilitation and Audiology, 6432 CC, Hoensbroek, The Netherlands; University Medical Centre Groningen (UMCG), Department of Rehabilitation Medicine, 9713 GZ, Groningen, The Netherlands. 3. Adelante, Centre of Expertise in Rehabilitation and Audiology, 6432 CC, Hoensbroek, The Netherlands; CAPHRI, School for Public Health and Primary Care, Department of Rehabilitation Medicine, Maastricht University, PO box 616, 6200 MD, Maastricht, The Netherlands. 4. Maastricht University, Department of Psychiatry and Neuropsychology, Faculty of Health, Medicine and Neuroscience, School for Mental Health and Neuroscience (MHeNS), P.O. Box 616, 6200 MD, Maastricht, The Netherlands; Maastricht University, Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, P.O. Box 616, 6200 MD, Maastricht, The Netherlands,; Limburg Brain Injury Center, P.O. Box 616, 6200 MD, Maastricht, The Netherlands. Electronic address: c.vanheugten@maastrichtuniversity.nl.
Abstract
AIM: For those patients who suffer unfavourable outcome after survival of cardiac arrest, it is important to know whether this can be predicted at an early stage. Support can subsequently be provided. This study aimed to identify early prognostic factors of quality of life (QOL) and societal participation at one year post-cardiac arrest. METHODS: The design was a prospective longitudinal cohort study following cardiac arrest survivors up to one year. Prognostic personal, injury-related, function-related and subjective outcome factors were selected and entered into a hierarchical regression model to assess whether they were predictive of QOL and societal participation at one year post-cardiac arrest. RESULTS: Hundred and ten cardiac arrest survivors were included. Not having a partner, more functional limitations (at two weeks) and cognitive complaints were significantly predictive of lower physical QOL, while higher levels of anxiety and depression symptoms (at three months) were significant predictors of mental QOL. A neurological history and higher levels of anxiety and depression symptoms were significantly predictive of lower brain injury-specific QOL. Societal participation was only predicted by premorbid functioning. CONCLUSION: This study identified prognostic factors of QOL and societal participation one year after survival of cardiac arrest. Screening of these factors in early stages can identify those survivors with possibly unfavourable QOL at one year post cardiac arrest. For those survivors, preventive and targeted interventions may be offered.
AIM: For those patients who suffer unfavourable outcome after survival of cardiac arrest, it is important to know whether this can be predicted at an early stage. Support can subsequently be provided. This study aimed to identify early prognostic factors of quality of life (QOL) and societal participation at one year post-cardiac arrest. METHODS: The design was a prospective longitudinal cohort study following cardiac arrest survivors up to one year. Prognostic personal, injury-related, function-related and subjective outcome factors were selected and entered into a hierarchical regression model to assess whether they were predictive of QOL and societal participation at one year post-cardiac arrest. RESULTS: Hundred and ten cardiac arrest survivors were included. Not having a partner, more functional limitations (at two weeks) and cognitive complaints were significantly predictive of lower physical QOL, while higher levels of anxiety and depression symptoms (at three months) were significant predictors of mental QOL. A neurological history and higher levels of anxiety and depression symptoms were significantly predictive of lower brain injury-specific QOL. Societal participation was only predicted by premorbid functioning. CONCLUSION: This study identified prognostic factors of QOL and societal participation one year after survival of cardiac arrest. Screening of these factors in early stages can identify those survivors with possibly unfavourable QOL at one year post cardiac arrest. For those survivors, preventive and targeted interventions may be offered.
Authors: Jerry P Nolan; Claudio Sandroni; Bernd W Böttiger; Alain Cariou; Tobias Cronberg; Hans Friberg; Cornelia Genbrugge; Kirstie Haywood; Gisela Lilja; Véronique R M Moulaert; Nikolaos Nikolaou; Theresa Mariero Olasveengen; Markus B Skrifvars; Fabio Taccone; Jasmeet Soar Journal: Intensive Care Med Date: 2021-03-25 Impact factor: 17.440
Authors: Adam Viktorisson; Katharina S Sunnerhagen; Dongni Johansson; Johan Herlitz; Åsa Axelsson Journal: BMJ Open Date: 2019-07-03 Impact factor: 2.692
Authors: Ghislaine van Mastrigt; Caroline van Heugten; Anne Visser-Meily; Leonarda Bremmers; Silvia Evers Journal: Int J Environ Res Public Health Date: 2022-09-05 Impact factor: 4.614
Authors: Erik Blennow Nordström; Gisela Lilja; Susanna Vestberg; Susann Ullén; Hans Friberg; Niklas Nielsen; Katarina Heimburg; Lars Evald; Marco Mion; Magnus Segerström; Anders M Grejs; Thomas Keeble; Hans Kirkegaard; Hanna Ljung; Sofia Rose; Matthew P Wise; Christian Rylander; Johan Undén; Tobias Cronberg Journal: BMC Cardiovasc Disord Date: 2020-10-07 Impact factor: 2.298