Acute cardiac care & resuscitationCohort study

Cognition, quality of life, and psychological outcomes in out-of-hospital cardiac arrest survivors − Results from the German Cardiac Arrest Registry (G-CAR)

ResuscitationPublished

  • multicenter German Cardiac Arrest Registry (G-CAR)

Authors' conclusion

OHCA survivors generally reported good long-term quality of life, successful social reintegration, and low psychological distress. However, persistent cognitive impairment and depressive symptoms affected a substantial proportion of survivors, highlighting the importance of structured long-term follow-up after OHCA.

Study context

Population
Out-of-hospital cardiac arrest (OHCA) survivors enrolled between July 2021 and August 2024OHCA patients enrolled, 416 survived to hospital discharge · Follow-up data at 6 months 354 · Follow-up data at 12 months 307
Participants
1,644 participants

Main finding

As reported in the abstract

Cognitive impairment (Mini Montreal Cognitive Assessment (Mini-MoCA)) · 6 and 12 months

6M-FU, of respondents

30.5%

12M-FU, of respondents

33.6%

Observational data: associations, not effects.

Further findings

Health-related quality of life (HRQoL) (EQ-5D-5L) · 6 and 12 months

No or slight limitations across EQ-5D-5L dimensions
at least 75%
Mean index 6M-FU
0.83 ± 0.24
Mean index 12M-FU
0.84 ± 0.23
Comparable to age-matched German population

Reintegration into normal living (Reintegration to Normal Living Index (RNLI)) · 6 and 12 months

6M-FU
37.9 ± 7.3
12M-FU
38.4 ± 6.9

HADS

Abnormal depressive symptom scores
13%
Most participants had normal HADS scores

PTSS-14 mean scores · 6 and 12 months

6M-FU
30.9
12M-FU
31.3
Below threshold suggestive of post-traumatic stress disorder at both follow-ups

Original publication

Cognition, quality of life, and psychological outcomes in out-of-hospital cardiac arrest survivors − Results from the German Cardiac Arrest Registry (G-CAR). Resuscitation. Published 24 August 2026. doi:10.1016/j.resuscitation.2026.111277

Summarised from the published abstract; every number is checked against it