Cardiac arrest & resuscitation

Prognostic Association Between Frailty and Post-Arrest Health Outcomes in Patients Receiving Home Care: A Population-Based Retrospective Cohort Study

ResuscitationPublished 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 independence1.16 (1.02–1.31)
Frailty indexDecline in cognitive performance1.24 (1.09–1.42)

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 →

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