Cardiac arrest & resuscitation
Cognitive impairment and psychopathology in sudden out-of-hospital cardiac arrest survivors: Results from the REVIVAL cohort study
Authors' conclusion
OHCA survivors exhibited both cognitive impairment and symptoms of psychopathology during hospitalisation comparable to previous studies, which were associated with unfavorable mental health outcomes at three-month follow-up.
Study context
- Population
- Out-of-hospital cardiac arrest (OHCA) survivors
- Participants
- 297 survivors
- Outcome
- Cognitive impairment (Montreal Cognitive Assessment (MoCA)) and symptoms of anxiety, depression (Hospital Anxiety and Depression Scale (HADS)) and traumatic distress (Impact of Event Scale-revised (IES-R)) during hospitalisation, and their evolution at follow-up
- Follow-up
- hospitalisation and three-month follow-up
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Prevalence during hospitalisation · hospitalisation
Cognitive impairment
65%
Symptoms of anxiety
25%
Symptoms of depression
20%
Symptoms of traumatic distress
21%
Observational data: associations, not effects.
Further findings
Association of in-hospital screening result with unfavourable outcome at follow-up · three-month follow-up
| OR (95% CI) | P value | ||
|---|---|---|---|
| Cognitive impairment during hospitalisationUnfavourable cognitive outcome · logistic regression | 2.55 (1.36–4.75) | P = 0.02 | |
| Anxiety during hospitalisationAnxiety at follow-up · logistic regression | 6.70 (2.40–18.72) | P < 0.001 | |
| Depression during hospitalisationDepression at follow-up · logistic regression | 4.69 (1.69–13.02) | P < 0.001 | |
| Traumatic distress during hospitalisationTraumatic distress at follow-up · logistic regression | 7.07 (2.67–18.73) | P < 0.001 | |
| 0.050.21520Odds ratio (log scale) |
Prevalence at follow-up · three-month follow-up
- Cognitive impairment
- 53%
- Symptoms of anxiety
- 17%
- Symptoms of depression
- 15%
- Symptoms of traumatic distress
- 19%
Original publication
Cognitive impairment and psychopathology in sudden out-of-hospital cardiac arrest survivors: Results from the REVIVAL cohort study. Resuscitation. Published 4 October 2023. doi:10. 1016/ j. resuscitation. 2023. 109984
Composed by AI from the published abstract and checked against it. How Briefs are made →