Functional outcomes and quality of life of young adults who survive out-of-hospital cardiac arrest

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Abstract

Evaluating the quality of life of young adult survivors of out-of-hospital cardiac arrest (OHCA) is important as they are likely to have a longer life expectancy than older patients. The aim of this study was to assess their functional and quality of life outcomes. Methodology The Victorian Ambulance Cardiac Arrest Registry records were used to identify survivors of OHCA that occurred between 2003 and 2008 in the 18-39 yearold age group. Survivors were administered a telephone questionnaire using Short Form (SF-12), EQ-5D and Glasgow Outcome Scale-Extended. Cerebral Performance Category (CPC) ascertained at hospital discharge from the medical record was recorded for the uncontactable survivors. Results Of the 106 young adult survivors, five died in the intervening years and 45 were not contactable or refused. CPC scores were obtained for 37 (74 ) of those who did not take part in telephone follow-up, and 7 (19 ) of these had a CPC 3 indicating severe cerebral disability. The median follow-up time was 5 years (range 2.7- 8.6 years) for the 56 (53 ) patients included. Of these, 84 were living at home independently, 68 had returned to work, and only 11 reported marked or severe disability. The majority of patients had no problems with mobility (75 ), personal care (75 ), usual activities (66 ) or pain/ discomfort (71 ). However, 61 of respondents reported either moderate (48 ) or severe (13 ) anxiety. Conclusions The majority of survivors have good functional and quality of life outcomes. Telephone follow-up is feasible in the young adult survivors of cardiac arrest; loss to follow-up is common.
Original languageEnglish
Pages (from-to)532 - 537
Number of pages6
JournalEmergency Medicine Journal
Volume30
Issue number7
DOIs
Publication statusPublished - 2013

Cite this

@article{22de460e162c49f5a727b699f4cd6951,
title = "Functional outcomes and quality of life of young adults who survive out-of-hospital cardiac arrest",
abstract = "Evaluating the quality of life of young adult survivors of out-of-hospital cardiac arrest (OHCA) is important as they are likely to have a longer life expectancy than older patients. The aim of this study was to assess their functional and quality of life outcomes. Methodology The Victorian Ambulance Cardiac Arrest Registry records were used to identify survivors of OHCA that occurred between 2003 and 2008 in the 18-39 yearold age group. Survivors were administered a telephone questionnaire using Short Form (SF-12), EQ-5D and Glasgow Outcome Scale-Extended. Cerebral Performance Category (CPC) ascertained at hospital discharge from the medical record was recorded for the uncontactable survivors. Results Of the 106 young adult survivors, five died in the intervening years and 45 were not contactable or refused. CPC scores were obtained for 37 (74 ) of those who did not take part in telephone follow-up, and 7 (19 ) of these had a CPC 3 indicating severe cerebral disability. The median follow-up time was 5 years (range 2.7- 8.6 years) for the 56 (53 ) patients included. Of these, 84 were living at home independently, 68 had returned to work, and only 11 reported marked or severe disability. The majority of patients had no problems with mobility (75 ), personal care (75 ), usual activities (66 ) or pain/ discomfort (71 ). However, 61 of respondents reported either moderate (48 ) or severe (13 ) anxiety. Conclusions The majority of survivors have good functional and quality of life outcomes. Telephone follow-up is feasible in the young adult survivors of cardiac arrest; loss to follow-up is common.",
author = "Conor Deasy and Bray, {Janet Elizabeth} and Smith, {Karen Louise} and Harriss, {Linton Robert} and Bernard, {Stephen Anthony} and Peter Cameron",
year = "2013",
doi = "10.1136/emermed-2012-201267",
language = "English",
volume = "30",
pages = "532 -- 537",
journal = "Emergency Medicine Journal",
issn = "1472-0205",
publisher = "BMJ Publishing Group Ltd",
number = "7",

}

TY - JOUR

T1 - Functional outcomes and quality of life of young adults who survive out-of-hospital cardiac arrest

AU - Deasy, Conor

AU - Bray, Janet Elizabeth

AU - Smith, Karen Louise

AU - Harriss, Linton Robert

AU - Bernard, Stephen Anthony

AU - Cameron, Peter

PY - 2013

Y1 - 2013

N2 - Evaluating the quality of life of young adult survivors of out-of-hospital cardiac arrest (OHCA) is important as they are likely to have a longer life expectancy than older patients. The aim of this study was to assess their functional and quality of life outcomes. Methodology The Victorian Ambulance Cardiac Arrest Registry records were used to identify survivors of OHCA that occurred between 2003 and 2008 in the 18-39 yearold age group. Survivors were administered a telephone questionnaire using Short Form (SF-12), EQ-5D and Glasgow Outcome Scale-Extended. Cerebral Performance Category (CPC) ascertained at hospital discharge from the medical record was recorded for the uncontactable survivors. Results Of the 106 young adult survivors, five died in the intervening years and 45 were not contactable or refused. CPC scores were obtained for 37 (74 ) of those who did not take part in telephone follow-up, and 7 (19 ) of these had a CPC 3 indicating severe cerebral disability. The median follow-up time was 5 years (range 2.7- 8.6 years) for the 56 (53 ) patients included. Of these, 84 were living at home independently, 68 had returned to work, and only 11 reported marked or severe disability. The majority of patients had no problems with mobility (75 ), personal care (75 ), usual activities (66 ) or pain/ discomfort (71 ). However, 61 of respondents reported either moderate (48 ) or severe (13 ) anxiety. Conclusions The majority of survivors have good functional and quality of life outcomes. Telephone follow-up is feasible in the young adult survivors of cardiac arrest; loss to follow-up is common.

AB - Evaluating the quality of life of young adult survivors of out-of-hospital cardiac arrest (OHCA) is important as they are likely to have a longer life expectancy than older patients. The aim of this study was to assess their functional and quality of life outcomes. Methodology The Victorian Ambulance Cardiac Arrest Registry records were used to identify survivors of OHCA that occurred between 2003 and 2008 in the 18-39 yearold age group. Survivors were administered a telephone questionnaire using Short Form (SF-12), EQ-5D and Glasgow Outcome Scale-Extended. Cerebral Performance Category (CPC) ascertained at hospital discharge from the medical record was recorded for the uncontactable survivors. Results Of the 106 young adult survivors, five died in the intervening years and 45 were not contactable or refused. CPC scores were obtained for 37 (74 ) of those who did not take part in telephone follow-up, and 7 (19 ) of these had a CPC 3 indicating severe cerebral disability. The median follow-up time was 5 years (range 2.7- 8.6 years) for the 56 (53 ) patients included. Of these, 84 were living at home independently, 68 had returned to work, and only 11 reported marked or severe disability. The majority of patients had no problems with mobility (75 ), personal care (75 ), usual activities (66 ) or pain/ discomfort (71 ). However, 61 of respondents reported either moderate (48 ) or severe (13 ) anxiety. Conclusions The majority of survivors have good functional and quality of life outcomes. Telephone follow-up is feasible in the young adult survivors of cardiac arrest; loss to follow-up is common.

UR - http://emj.bmj.com/content/30/7/532.full.pdf+html

U2 - 10.1136/emermed-2012-201267

DO - 10.1136/emermed-2012-201267

M3 - Article

VL - 30

SP - 532

EP - 537

JO - Emergency Medicine Journal

JF - Emergency Medicine Journal

SN - 1472-0205

IS - 7

ER -