Cardiac arrest & resuscitation

Health-Related Quality of Life and Long-Term Survival After Cardiac Arrest

JAMA Netw OpenPublished Cohort study

An erratum to this article was published (JAMA Netw Open, 2 Feb 2026 ↗)

Authors' conclusion

In this cohort study of patients who survived beyond 90 days after IHCA or OHCA, poorer HRQOL reported with EQ-5D-5L scores 3 to 6 months after cardiac arrest was associated with reduced long-term survival in both groups, with greater uncertainty for OHCA estimates.

Study context

Population
Adults surviving ≥90 days after in-hospital cardiac arrest (IHCA) or out-of-hospital cardiac arrest (OHCA) in Sweden, 2014–2019, who completed EQ-5D-5L follow-up questionnaires2,000 IHCA, 1108 OHCA
Exposure
EQ-5D-5L level sum score (LSS) 6 to 10 and LSS 11 to 25 vs LSS 5, 3 to 6 months after cardiac arrest
Outcome
Long-term survival
Follow-up
Up to a maximum of 7 years
Methodological detailsnationwide registry linkage (5 national registers)
  • Nationwide registry linkage (5 national registers)

Main finding

As reported in the abstract

Hazard of death by LSS category
Each group vs LSS 5Adjusted hazard ratio (95% CI)
LSS 11 to 25IHCA
2.50(1.82–3.43)
LSS 6 to 10IHCA
1.21(0.88–1.65)
LSS 11 to 25OHCA
1.41(0.83–2.42)
LSS 6 to 10OHCA
0.88(0.56–1.39)

Observational data: associations, not effects.

Further findings

LSS and EQ VAS as continuous variables (spline modeling)

Significant increases in hazards of death with poorer health-related quality of life (HRQOL) in both IHCA and OHCA; greater uncertainty in OHCA

Original publication

Health-Related Quality of Life and Long-Term Survival After Cardiac Arrest. JAMA Netw Open. Published 2 January 2026. doi:10.1001/jamanetworkopen.2025.52832

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