Acute cardiac care & resuscitation
Challenges in activities of daily living in out-of-hospital cardiac arrest survivors from hospital discharge to everyday life: A prospective cohort study
Authors' conclusion
Most OHCA survivors experienced decreased observed and self-reported ADL ability at hospital discharge and, despite improvement, decreased ADL ability persisted even after 6 months in some OHCA survivors.
Study context
- Population
- Out-of-hospital cardiac arrest (OHCA) survivors followed from hospital discharge for 6 months125 completed 6-month follow-up
- Participants
- 156 survivors
- Exposure
- Below age norms vs Meeting or exceeding age norms
- Outcome
- Observed ADL ability (Assessment of Motor and Process Skills (AMPS)) and self-reported ADL ability (ADL Interview (ADL-I))
- Follow-up
- hospital discharge and 6-month follow-up
Main finding
As reported in the abstract
Activities of daily living (ADL) motor skills below competence threshold
78%
ADL process skills below competence threshold
47%
Observed ADL ability below age norms
38%
Self-reported decreased personal ADL ability (particularly transferring, personal hygiene, body care, dressing)
89%
Observational data: associations, not effects.
Further findings
Characteristics, below vs meeting or exceeding age norms · hospital discharge
- Participants below age norms were older and had lower cognitive scores
Change in ADL ability over 6 months
- Observed ADL ability still below age norm
- 11%
- Most participants improved in observed and self-reported ADL ability
Original publication
Summarised from the published abstract; every number is checked against it