Acute cardiac care & resuscitation
Early ADL ability assessment and cognitive screening as markers of post-discharge outcomes after surviving an out-of-hospital cardiac arrest. A prospective cohort study
Authors' conclusion
Decreased ADL ability at hospital discharge was associated with poorer post-discharge outcomes in OHCA survivors, while cognitive screening was also associated with certain aspects of recovery.
Study context
- Population
- Out-of-hospital cardiac arrest (OHCA) survivors admitted to Aarhus University Hospital
- Participants
- 200 OHCA survivors
- Exposure
- ADL ability measures (Activities of Daily Living Interview (ADL-I), Assessment of Motor and Process Skills (AMPS)) and cognitive screening (Montreal Cognitive Assessment (MoCA)) at hospital discharge vs post-discharge ADL ability, health-related quality of life (HRQoL) and return to work
- Outcome
- Self-reported ADL ability
- Follow-up
- Six months after cardiac arrest
Main finding
As reported in the abstract
Βadjusted
0.3
95% CI 0.2–0.5
personal ADL-I at discharge
Βadjusted
−0.6
95% CI −1.2 to −0.03
AMPS at discharge
Observational data: associations, not effects.
Further findings
Return to work · one-year after cardiac arrest
| Comparison | OR (95% CI) | P value | |
|---|---|---|---|
| MoCA | 3.0 (0.5–9.0) | P = 0.06 | |
| 0.10.31310Odds ratio (log scale) |
| Outcome | Estimate |
|---|---|
| Age-matched ADL ability · six months after cardiac arrestStatistically significantly associated | ORadjusted 5.5 (95% CI 1.5–10.0) |
| HRQoLPersonal ADL-I · VAS | βadjusted 3.00 (95% CI 1.3–4.6) |
| HRQoLPersonal ADL-I · index score | βadjusted 0.03 (95% CI 0.01–0.05) |
| HRQoLMoCA · index | βadjusted −0.09 (95% CI −0.2 to −0.02) |
Original publication
Early ADL ability assessment and cognitive screening as markers of post-discharge outcomes after surviving an out-of-hospital cardiac arrest. A prospective cohort study. Resuscitation. Published 21 May 2025. doi:10.
Summarised from the published abstract; every number is checked against it