Cardiac arrest & resuscitation
Long-term major events after hospital discharge for out-of-hospital cardiac arrest
Authors' conclusion
Survivors from OHCA must to be considered at high risk of cardiovascular event occurrence whatever the etiology, mainly during the first year following the cardiac arrest
Study context
- Population
- OHCA patients discharged alive from three hospitals of the Sudden Death Expertise Center (SDEC) Registry, 2011–2015mean age 57
- Participants
- 306 patients
- Outcome
- Major event: hospital admission for cardiovascular events or death, whichever came first
- Follow-up
- During (from hospital discharge)
Methodological detailsregistry-based, three hospitals, consecutive patients, Follow-up data from national health insurance database (SNIIRAM) and national French death registry; censored at first event or December 29th, 2016
- Registry-based
- Three hospitals
- Consecutive patients
- Follow-up data from national health insurance database (SNIIRAM) and national French death registry; censored at first event or December 29th, 2016
Main finding
As reported in the abstract
Major event · median follow-up 3 years (CV admission) and 6 years (survival)
Patients with a major event
38%
Observational data: associations, not effects.
Secondary outcomes
Factors associated with major event: previous chronic HF
| HR (95% CI) | ||
|---|---|---|
| Previous chronic HFIndependently associated | 1.75 (1.06–2.88) | |
| 0.20.5125Hazard ratio (log scale) |
Factors associated with major event: coronary artery disease
| HR (95% CI) | ||
|---|---|---|
| Coronary artery diseaseIndependently associated | 1.70 (1.11–2.61) | |
| 0.20.5125Hazard ratio (log scale) |
Timing of hospital admission for CV events and death
- CV admissions mostly in the first year after OHCA; deaths more linear over the whole period
Other factors
- Post-resuscitation myocardial dysfunction, cardiogenic shock and cardiologic cause of cardiac arrest not associated with major event
Original publication
Long-term major events after hospital discharge for out-of-hospital cardiac arrest. Ann Intensive Care. Published 12 September 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →