Cited by 51Cardiac Arrest and ResuscitationPalliative Care and End-of-Life IssuesCardiac Health and Mental Health

Long-term functional recovery and health-related quality of life of elderly out-of-hospital cardiac arrest survivors

Andrew, Emily, Mercier, Eric, Nehme, Ziad, Bernard, Stephen, Smith, Karen·2018·Resuscitation

Abstract

Introduction Understanding the prognosis of elderly out-of-hospital cardiac arrest (OHCA) patients is vital to informing resuscitation and advanced care planning decisions. However, short-term outcomes such as survival to hospital discharge do not account for post-arrest quality of life. We describe the 12-month functional recovery and health-related quality of life (HR-QOL) of elderly OHCA survivors, including those arresting in aged care facilities. Methods We conducted a retrospective analysis of Victorian Ambulance Cardiac Arrest Registry data for all OHCA survivors to hospital discharge aged ≥65 years between 1 January 2010 and 30 June 2016. The influence of age on functional recovery and independent living was assessed using multivariable logistic regression. Results During the study period, 20,103 elderly OHCAs were attended, 9016 (44.9%) of whom received a resuscitation attempt. In total, 876 (9.7%) patients survived to hospital discharge and 777 were alive 12 months post-arrest. Of these, 651 participated in 12-month follow-up (response rate 83.8%). Most (60.6%) resided at home without additional care and 66.6% reported a good functional recovery, however both measures decreased with increasing age (p Conclusions Most elderly OHCA survivors resided independently with good functionality 12 months post-arrest. However, increasing age was associated with less favourable outcomes. New strategies are needed with regard to resuscitation in aged care facilities.

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Crossref · 10.1016/j.resuscitation.2018.03.017

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Authors
Andrew, E., Mercier, E., Nehme, Z., Bernard, S., & Smith, K.
Affiliations
  • Ambulance Victoria (AU)
  • The Alfred Hospital (AU)
Corresponding author
  • Andrew, Emily
  • Nehme, Ziad
  • Bernard, Stephen
  • Smith, Karen
Venue
Resuscitation
Publisher
Elsevier BV
Published
2018-05
Volume
126
Pages
118-124
ISSN
0300-9572 (ISSN-L)
OpenAlex
W2790308961
Cited by
51
References
27
Citations by year
2026: 4 · 2025: 3 · 2024: 5 · 2023: 10 · 2022: 4 · 2021: 13 · 2020: 5 · 2019: 4 · 2018: 3
FWCI
7.71
Type
journal article
Language
en
Open access
closed
Locations
  • Resuscitation (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Emergency Medicine › Cardiac Arrest and Resuscitation
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Keywords
out-of-hospital cardiac arrest, elderly patients, functional recovery, health-related quality of life, independent living, aged care facilities, resuscitation decisions, advance care planning, age as prognostic factor, survival to hospital discharge
MeSH terms
Age Factors, Aged, Aged, 80 and over, Analysis of Variance, Emergency Medical Services, Female, Humans, Male, Quality of Life, Surveys and Questionnaires, Registries, Retrospective Studies, Victoria, Cardiopulmonary Resuscitation, Survivors, Recovery of Function, Out-of-Hospital Cardiac Arrest

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