TY - JOUR
T1 - Rehabilitation outcomes of survivors of cardiac arrest admitted to ICUs in Australia and New Zealand (ROSC ANZ)
T2 - A data linkage study
AU - Nanjayya, Vinodh Bhagyalakshmi
AU - Doherty, Zakary
AU - Gupta, Namankit
AU - Alexander, Tara
AU - Chavan, Shaila
AU - Pilcher, David
AU - Bray, Janet
N1 - Funding Information:
JB is funded by a Heart Foundation Fellowship. The authors and the ANZICS CORE management committee would like to thank clinicians, data collectors and researchers at the following contributing sites Albury Wodonga Health ICU, Alfred Hospital ICU, Armadale Health Service ICU, Austin Hospital ICU, Ballarat Health Services ICU, Bendigo Health Care Group ICU, Box Hill Hospital ICU, Cabrini Hospital ICU, Calvary Mater Newcastle ICU, Calvary Wakefield Hospital (Adelaide) ICU, Campbelltown Hospital ICU, Canberra Hospital ICU, Christchurch Hospital ICU, Concord Hospital (Sydney) ICU, Dandenong Hospital ICU, Dunedin Hospital ICU, Epworth Eastern Private Hospital ICU, Epworth Geelong ICU, Fiona Stanley Hospital ICU, Flinders Medical Centre ICU, Frankston Hospital ICU, Gold Coast Private Hospital ICU, Gold Coast University Hospital ICU, Gosford Hospital ICU, Greenslopes Private Hospital ICU, Ipswich Hospital ICU, John Flynn Private Hospital ICU, John Hunter Hospital ICU, Knox Private Hospital ICU, Launceston General Hospital ICU, Lismore Base Hospital ICU, Liverpool Hospital ICU, Logan Hospital ICU, Lyell McEwin Hospital ICU, Manning Rural Referral Hospital ICU, Mater Private Hospital (Brisbane) ICU, Monash Medical Centre-Clayton Campus ICU, Mulgrave Private Hospital ICU, National Capital Private Hospital ICU, North Shore Private Hospital ICU, Peninsula Private Hospital ICU, Prince of Wales Hospital (Sydney) ICU, Prince of Wales Private Hospital (Sydney) ICU, Princess Alexandra Hospital ICU, Redcliffe Hospital ICU, Robina Hospital ICU, Rockingham General Hospital ICU, Royal Adelaide Hospital ICU, Royal Darwin Hospital ICU, Royal Melbourne Hospital ICU, Royal North Shore Hospital ICU, Royal Perth Hospital ICU, Sir Charles Gairdner Hospital ICU, St George Hospital (Sydney) ICU, St Vincent's Private Hospital Northside ICU, Sunshine Hospital ICU, Sydney Adventist Hospital ICU, The Memorial Hospital (Adelaide) ICU, The Prince Charles Hospital ICU, The Townsville Hospital ICU, Toowoomba Hospital ICU, University Hospital Geelong ICU, Wagga Wagga Base Hospital & District Health ICU, Westmead Hospital ICU, and Wollongong Hospital ICU. The authors and AROC wish to acknowledge the valuable contributions made by the many staff from the rehabilitation facilities who have spent a great deal of time and care to collect, collate and correct the data, without whose considerable effort these data would not be possible. The authors would also like to acknowledge the organisers of Bendigo Health Critical Care Recovery Datathon held at the La Trobe Rural Health School, La Trobe University, Bendigo on 8-9 September 2018. The research question, data linkage and analysis plan for this research was formulated during the datathon.
Funding Information:
JB is funded by a Heart Foundation Fellowship.
Publisher Copyright:
© 2021 Elsevier B.V.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/12
Y1 - 2021/12
N2 - Introduction: Rehabilitation outcomes in cardiac arrest survivors are largely unknown, with no data comparing out-of-hospital cardiac arrests (OHCA) and in-hospital cardiac arrests (IHCA). This study aimed to describe and compare inpatient rehabilitation outcomes in these patients who were admitted from intensive care units (ICU). Methods: A retrospective linkage and analysis of cardiac arrest patients in the Australian and New Zealand Intensive Care Society Adult Patient Database and the Australasian Rehabilitation Outcomes Centre inpatient dataset discharged to inpatient rehabilitation between January 2017 and June 2018. Primary outcome was the functional improvement during rehabilitation (difference between the Functional Independence Measurement (FIM) score on admission and discharge). Multivariate regression analyses were performed to determine factors associated with functional improvement. Results: In the 240 (84 OHCA and 156 IHCA) patients included, the median length of inpatient rehabilitation was 15 days [1st–3rd quartile (Q1-Q3): 9–24]. OHCA patients were more likely to be admitted to rehabilitation for neurological issues (41.7%) and IHCA for medical reasons (51.9%). Median (Q1-Q3) change in total FIM scores was similar between the two groups (24.5[10–37]) vs 21[11–31], adjusted p = 0.20), with most of the FIM change seen in the motor items, and this was only associated with a lower admission FIM score. The majority of OHCA and IHCA patients were discharged home (91.5% and 89.7%, respectively), although with an increased need for a carer at home compared to baseline (27.2% to 55.6%). Conclusion: Patients discharged from ICU following OHCA and IHCA achieved reasonable and similar functional improvement during inpatient rehabilitation.
AB - Introduction: Rehabilitation outcomes in cardiac arrest survivors are largely unknown, with no data comparing out-of-hospital cardiac arrests (OHCA) and in-hospital cardiac arrests (IHCA). This study aimed to describe and compare inpatient rehabilitation outcomes in these patients who were admitted from intensive care units (ICU). Methods: A retrospective linkage and analysis of cardiac arrest patients in the Australian and New Zealand Intensive Care Society Adult Patient Database and the Australasian Rehabilitation Outcomes Centre inpatient dataset discharged to inpatient rehabilitation between January 2017 and June 2018. Primary outcome was the functional improvement during rehabilitation (difference between the Functional Independence Measurement (FIM) score on admission and discharge). Multivariate regression analyses were performed to determine factors associated with functional improvement. Results: In the 240 (84 OHCA and 156 IHCA) patients included, the median length of inpatient rehabilitation was 15 days [1st–3rd quartile (Q1-Q3): 9–24]. OHCA patients were more likely to be admitted to rehabilitation for neurological issues (41.7%) and IHCA for medical reasons (51.9%). Median (Q1-Q3) change in total FIM scores was similar between the two groups (24.5[10–37]) vs 21[11–31], adjusted p = 0.20), with most of the FIM change seen in the motor items, and this was only associated with a lower admission FIM score. The majority of OHCA and IHCA patients were discharged home (91.5% and 89.7%, respectively), although with an increased need for a carer at home compared to baseline (27.2% to 55.6%). Conclusion: Patients discharged from ICU following OHCA and IHCA achieved reasonable and similar functional improvement during inpatient rehabilitation.
KW - Cardiac arrest
KW - Functional change
KW - In-hospital cardiac arrest
KW - Intensive care unit
KW - Out-of-hospital cardiac arrest
KW - Rehabilitation outcome
UR - http://www.scopus.com/inward/record.url?scp=85116208664&partnerID=8YFLogxK
U2 - 10.1016/j.resuscitation.2021.09.008
DO - 10.1016/j.resuscitation.2021.09.008
M3 - Article
C2 - 34536560
AN - SCOPUS:85116208664
SN - 0300-9572
VL - 169
SP - 156
EP - 164
JO - Resuscitation
JF - Resuscitation
ER -