Alex Presciutti1, Jayati Verma1, Marykay Pavol1, Deepti Anbarasan1, Cristina Falo2, Daniel Brodie3, Leroy E Rabbani3, David J Roh1, Soojin Park1, Jan Claassen1, Sachin Agarwal4. 1. Department of Neurology, Columbia University Medical Center, New York, NY, United States. 2. Department of Surgery, Columbia University Medical Center, New York, NY, United States. 3. Department of Medicine, Columbia University Medical Center, New York, NY, United States. 4. Department of Neurology, Columbia University Medical Center, New York, NY, United States. Electronic address: sa2512@columbia.edu.
Abstract
OBJECTIVE: To test the hypothesis that posttraumatic stress and depressive symptoms, not cognitive or functional impairment, are associated with cardiac arrest survivors' negative recovery perceptions at hospital discharge. METHODS: Prospective observational cohort of cardiac arrest patients admitted between 9/2015-5/2017. Survival to discharge with sufficient mental status to complete a psychosocial interview was the main inclusion criterion. Perceived recovery was assessed through the question, "Do you feel that you have made a complete recovery from your arrest?" The following measures were examined as potential correlates of perceived recovery: Repeatable Battery for Assessment of Neuropsychological Status, Modified Lawton Physical Self-Maintenance Scale, Barthel Index, Modified Rankin Scale, Cerebral Performance Category, Center for Epidemiological Studies-Depression (CES-D), and PTSD Checklist-Specific (PCL-S). Logistic regression evaluated associations between perceived recovery and potential correlates of recovery. RESULTS: 64/354 patients (58% men, 48% white, mean age 52 ± 17) were included. 67% (n = 43) had a negative recovery perception. There were no differences among patients' cognitive and functional domains. In individual models, patients with higher PCL-S and CES-D scores were more likely to have a negative recovery perception after adjusting for age and gender (OR: 1.2, 95% CI [1.1, 1.4], p = 0.003) and (OR: 1.1, 95% CI [1.0, 1.1], p = 0.05). CONCLUSIONS: Within one month after a cardiac arrest event, survivors' negative recovery perceptions are associated with psychological distress.
OBJECTIVE: To test the hypothesis that posttraumatic stress and depressive symptoms, not cognitive or functional impairment, are associated with cardiac arrest survivors' negative recovery perceptions at hospital discharge. METHODS: Prospective observational cohort of cardiac arrestpatients admitted between 9/2015-5/2017. Survival to discharge with sufficient mental status to complete a psychosocial interview was the main inclusion criterion. Perceived recovery was assessed through the question, "Do you feel that you have made a complete recovery from your arrest?" The following measures were examined as potential correlates of perceived recovery: Repeatable Battery for Assessment of Neuropsychological Status, Modified Lawton Physical Self-Maintenance Scale, Barthel Index, Modified Rankin Scale, Cerebral Performance Category, Center for Epidemiological Studies-Depression (CES-D), and PTSD Checklist-Specific (PCL-S). Logistic regression evaluated associations between perceived recovery and potential correlates of recovery. RESULTS: 64/354 patients (58% men, 48% white, mean age 52 ± 17) were included. 67% (n = 43) had a negative recovery perception. There were no differences among patients' cognitive and functional domains. In individual models, patients with higher PCL-S and CES-D scores were more likely to have a negative recovery perception after adjusting for age and gender (OR: 1.2, 95% CI [1.1, 1.4], p = 0.003) and (OR: 1.1, 95% CI [1.0, 1.1], p = 0.05). CONCLUSIONS: Within one month after a cardiac arrest event, survivors' negative recovery perceptions are associated with psychological distress.
Authors: Jeffrey L Birk; Jennifer A Sumner; Mytra Haerizadeh; Reuben Heyman-Kantor; Louise Falzon; Christopher Gonzalez; Liliya Gershengoren; Peter Shapiro; Donald Edmondson; Ian M Kronish Journal: J Anxiety Disord Date: 2019-03-20
Authors: Alex Presciutti; Evie Sobczak; Jennifer A Sumner; David J Roh; Soojin Park; Jan Claassen; Ian Kronish; Sachin Agarwal Journal: J Crit Care Date: 2018-12-18 Impact factor: 3.425
Authors: Sachin Agarwal; Jeffrey L Birk; Sabine L Abukhadra; Danielle A Rojas; Talea M Cornelius; Maja Bergman; Bernard P Chang; Donald E Edmondson; Ian M Kronish Journal: Curr Cardiol Rep Date: 2022-08-03 Impact factor: 3.955
Authors: Alex Presciutti; Jonathan Shaffer; Jennifer A Sumner; Mitchell S V Elkind; David J Roh; Soojin Park; Jan Claassen; Donald Edmondson; Sachin Agarwal Journal: Ann Behav Med Date: 2020-05-25
Authors: Alex Presciutti; Mary M Newman; Kelly N Sawyer; Sachin Agarwal; Sarah M Perman Journal: Ther Hypothermia Temp Manag Date: 2021-05-11 Impact factor: 1.369