Cardiac arrest & resuscitation
Neurologic Recovery at Discharge and Long-Term Survival After Cardiac Arrest
Authors' conclusion
In this cohort study of patients with cardiac arrest who survived beyond 30 days, complete neurologic recovery, defined as CPC 1 at discharge, was associated with better long-term survival compared with neurologic disabilities at the same time point.
Study context
- Population
- Adults who survived in-hospital cardiac arrest (IHCA) or out-of-hospital cardiac arrest (OHCA) beyond 30 days with Cerebral Performance Category (CPC) assessment at hospital discharge, Sweden, 2010–2019
- Participants
- 9,390 cardiac arrest survivors
- Exposure
- CPC 2 or CPC 3-4 vs CPC 1 at hospital discharge
- CPC 1n = 7,374reference
- CPC 2n = 1,358
- CPC 3-4n = 658
- Outcome
- Long-term survival
Methodological detailsnationwide registry-based, 4 mandatory national registers
- Nationwide registry-based
- 4 mandatory national registers
Main finding
As reported in the abstract
5 years
Each group vs CPC 1AHR for death (95% CI)
CPC 2
1.57(1.40–1.75)
CPC 3-4
2.46(2.13–2.85)
Observational data: associations, not effects.
Further findings
Long-term survival, OHCA and IHCA (subgroup)
- Similar associations in the OHCA and IHCA groups
Original publication
Neurologic Recovery at Discharge and Long-Term Survival After Cardiac Arrest. JAMA Netw Open. Published 1 October 2024. doi:10. 1001/ jamanetworkopen. 2024. 39196
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