Cardiac arrest & resuscitation
Prognostic Association Between Frailty and Post-Arrest Health Outcomes in Patients Receiving Home Care: A Population-Based Retrospective Cohort Study
Authors' conclusion
Frailty is associated with cardiac arrest survival and post-arrest cognitive and functional status in patients receiving home care.
Study context
- Population
- Home care clients with cardiac arrest (in-hospital or out-of-hospital)
- Participants
- 7,901 home care clients
- Exposure
- Frailty and post-arrest outcomes
- Outcome
- 30-day survival
- Follow-up
- 30 days
Methodological detailsmultivariable logistic regression adjusted for age, sex and arrest setting
- Multivariable logistic regression adjusted for age, sex and arrest setting
Main finding
As reported in the abstract
Adjusted odds ratio (95% CI)
CFS (per one-point increase)odds of 30-day survival decreased by 8%
0.92(0.87–0.97)
Frailty index (per 0.1 unit increase)odds of 30-day survival reduced by 9%
0.91(0.86–0.96)
Each row per its own increment, as printed
Observational data: associations, not effects.
Further findings
30-day survival by arrest setting (subgroup)
Functional and cognitive decline by frailty measure
| OR (95% CI) | ||
|---|---|---|
| Frailty indexDecline in functional independence | 1.16 (1.02–1.31) | |
| Frailty indexDecline in cognitive performance | 1.24 (1.09–1.42) | |
| 0.512Odds ratio (log scale) |
Frailty prevalence (Clinical Frailty Scale (CFS) ≥5)
- Classified as frail
- 94.2%
Post-arrest decline among survivors to discharge
- Decline in functional independence
- 65.8%
- Decline in cognitive performance
- 46.5%
Functional and cognitive decline by frailty measure
- CFS not associated with functional or cognitive decline
Original publication
Prognostic Association Between Frailty and Post-Arrest Health Outcomes in Patients Receiving Home Care: A Population-Based Retrospective Cohort Study. Resuscitation. Published 16 March 2023. doi:10. 1016/ j. resuscitation. 2023. 109766
Composed by AI from the published abstract and checked against it. How Briefs are made →