Acute cardiac care & resuscitation
Cardiac arrest survivors’ self-reported cognitive function, and its association with self-reported health status, psychological distress, and life satisfaction—a Swedish nationwide registry study
Authors' conclusion
Survivors experiencing declined cognitive function post-CA are at a higher risk of poorer health status, increased psychological distress, and reduced life satisfaction, and these risks should be acknowledged by healthcare professionals.
Study context
- Population
- Cardiac arrest (CA) survivors registered 3–6 months post-CAfulfilled the inclusion criteria, of 4026 identified survivors, mean age 65.9 years (SD = 13.4), 31.7% female
- Participants
- 1,254 participants
- Exposure
- Self-reported declined cognitive function and its association with health status, psychological distress, and life satisfaction
- Outcome
- Self-reported cognitive function compared to before the cardiac arrest
- Follow-up
- 3-6 months post-CA
Methodological detailsdata from the Swedish Register of Cardiopulmonary Resuscitation (2018-2021), registered 3-6 months post-CA, binary logistic regression
- Data from the Swedish Register of Cardiopulmonary Resuscitation (2018-2021)
- Registered 3-6 months post-CA
- Binary logistic regression
Main finding
As reported in the abstract
- 'Much worse'
- 3.1%
- 'Worse'
- 23.8%
- 'Unchanged'
- 68.3%
- 'Better'
- 3.3%
- 'Much better'
- 1.5%
Observational data: associations, not effects.
Further findings
Lower health status, symptoms of anxiety, symptoms of depression, dissatisfaction with overall life
| OR (95% CI) | ||
|---|---|---|
| Declined cognitive functionLower health status | 2.76 (2.09–3.64) | |
| Declined cognitive functionSymptoms of anxiety | 3.84 (2.80–5.24) | |
| Declined cognitive functionSymptoms of depression | 4.52 (3.22–6.32) | |
| Declined cognitive functionBeing dissatisfied with overall life | 2.74 (2.11–3.54) | |
| 0.10.31310Odds ratio (log scale) |
- Lower health status, symptoms of anxiety, symptoms of depression, dissatisfaction with overall life: These associations remained significant after age, sex, place of CA, aetiology, initial rhythm, initial witnessed status, and cerebral performance were controlled.
Original publication
Cardiac arrest survivors’ self-reported cognitive function, and its association with self-reported health status, psychological distress, and life satisfaction—a Swedish nationwide registry study. Resuscitation. Published 17 February 2025. doi:10. 1016/ j. resuscitation. 2025. 110550
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