Cardiac arrest & resuscitation

Use of healthcare services before and after out-of-hospital cardiac arrest

ResuscitationPublished Registry-based cohort study

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 →

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