Acute cardiac care & resuscitation
Need for home care or nursing home admission after myocardial infarction complicated by cardiogenic shock and/or out-of-hospital cardiac arrest
Authors' conclusion
In patients discharged alive after a MI, CS, and to a lesser degree OHCA were associated with impaired ADL with a two-fold higher 1-year incidence of home care or nursing home admission compared with MI patients without CS or OHCA.
Study context
- Population
- Danish patients with myocardial infarction (MI) (2008–19) living at home without home care before the event and discharged alive
- Participants
- 67,109 patients
- Exposure
- MI with cardiogenic shock (CS) and/or out-of-hospital cardiac arrest (OHCA) vs MI without CS or OHCA
- -OHCA/-CSn = 63,644reference
- -OHCA/+CSn = 1,776
- +OHCA/-CSn = 968
- +OHCA/+CSn = 721
- Outcome
- Home care need or nursing home admission (composite proxy for disability in activities of daily living (ADL))
- Follow-up
- 1 year
Methodological detailsnationwide registry
- Nationwide registry
Main finding
As reported in the abstract
Home care/nursing home
Each group vs -OHCA/-CSAdjusted hazard ratio (95% CI)
-OHCA/+CS
2.86(2.57–3.19)
+OHCA/-CS
1.31(1.00–1.73)
+OHCA/+CS
2.18(1.68–2.82)
Observational data: associations, not effects.
Further findings
- All-cause mortality: -OHCA/-CS 5.1%
- All-cause mortality: -OHCA/+CS 9.8%
- All-cause mortality: +OHCA/-CS 3.0%
- All-cause mortality: +OHCA/+CS 3.4%
Original publication
Need for home care or nursing home admission after myocardial infarction complicated by cardiogenic shock and/or out-of-hospital cardiac arrest. Eur Heart J Qual Care Clin Outcomes. Published 12 December 2022. doi:10.
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