Cardiac arrest & resuscitation
Use of healthcare services before and after out-of-hospital cardiac arrest
Authors' conclusion
The use of primary, specialist and mental healthcare services increased before OHCA and remained significantly higher the year after OHCA. Less than half of the patients surviving cardiac arrest were registered for rehabilitation.
Study context
- Population
- Adult survivors (>30 days) of out-of-hospital cardiac arrest (OHCA) of medical cause, Norwegian Cardiac Arrest Registry, 2015–2018of 13,112 OHCA cases
- Participants
- 1,435 survivors
- Exposure
- Healthcare use 2 years before vs 1 year after OHCA
- Outcome
- Use of primary, specialist and mental healthcare and rehabilitation services
- Follow-up
- Two years before and one year after cardiac arrest
Methodological detailsnationwide registry
- Nationwide registry
Main finding
As reported in the abstract
Healthcare use before vs after OHCA
Monthly primary healthcare use
Monthly specialist healthcare contacts
Yearly mental healthcare contacts
- After OHCA vs Before OHCA: P < 0.001 — primary healthcare
- After OHCA vs Before OHCA: P < 0.001 — specialist healthcare
- After OHCA vs Before OHCA: P > 0.001 — mental healthcare (as printed)
Observational data: associations, not effects.
Further findings
Onset of increased healthcare use before OHCA
- Primary healthcare increase started before OHCA
- two weeks
- Specialist healthcare increase started before OHCA
- six months
- Mental healthcare increase started before OHCA
- eight months
Primary healthcare contact on day of cardiac arrest
- Patients with primary healthcare contact same day as arrest
- Half
Registered for rehabilitation after OHCA
- Patients registered for rehabilitation
- Two out of five
30-day survival
- Survived >30 days
- 1435 (14%)
- Incidence of 30-day survivors
- 6.8/100,000 patients/year
Original publication
Use of healthcare services before and after out-of-hospital cardiac arrest. Resuscitation. Published 23 April 2023. doi:10. 1016/ j. resuscitation. 2023. 109805
Composed by AI from the published abstract and checked against it. How Briefs are made →