Acute cardiac care & resuscitationCohort study
Physical impairment as the dominant component of new-onset post-intensive care syndrome following in-hospital resuscitation
- nationwide population-based cohort study
Authors' conclusion
New-onset PICS, driven by physical decline, affects one in six IHCA survivors surviving the first year. Acute care intensity and recent trends highlight the need for early screening and intensive rehabilitation for high-risk survivors.
Study context
- Population
- In-hospital cardiac arrest (IHCA) survivors, South Korean National Health Insurance Service database (2013–2023)hospital survivors in the final analytic cohort · stable one-year survivors (sensitivity analysis) 11,862
- Participants
- 43,331 participants
Main finding
As reported in the abstract
Cumulative incidence of new-onset post-intensive care syndrome (PICS)
6.7% (95% confidence interval [CI], 6.5-6.9%)
Observational data: associations, not effects.
Further findings
Predictors of PICS
- Extracorporeal membrane oxygenation support
- odds ratio [OR] 1.44, P < 0.001
- Odds of PICS diagnosis, 2022
- OR 2.19
- Odds of PICS diagnosis, 2023
- OR 2.12
- Increased length of hospitalization, robust predictor
- odds of PICS diagnosis significantly escalated from 2021 onwards
Incidence of new-onset PICS in stable one-year survivors (sensitivity analysis)
- Incidence of new-onset PICS
- 15.9% (95% CI, 15.3-16.6%)
- Physical impairment domain
- 15.0%
- Cognitive domain
- 0.5%
- Psychiatric domain
- 0.8%
- sensitivity analysis, n = 11,862
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Summarised from the published abstract; every number is checked against it