Acute cardiac care & resuscitation

Prospective evaluation of the relationship between cognition and recovery outcomes after cardiac arrest

ResuscitationPublished Prospective cohort study

Main finding · Poor functional status (mRS > 3) by discharge cognitive functionResult — go to the resultOdds ratio 0.88 95% CI 0.79–0.98

Authors' conclusion

Cognitive function at discharge after CA was significantly and independently associated with functional outcome 1 month after hospital discharge. Psychological distress contributed to fatigue severity.

Study context

Population
Cardiac arrest survivors admitted at an academic center (May 14, 2021-June 23, 2023)completed discharge TICS-m
Participants
112 survivors
Exposure
Cognitive function at discharge and poor functional status at 1 month
Outcome
Poor functional status (mRS > 3)
Follow-up
1-month post-discharge
Methodological detailssingle-centre, consecutive patients
  • Single-centre
  • Consecutive patients

Main finding

As reported in the abstract

Poor functional status (mRS > 3) by discharge cognitive function

Odds ratio

0.88

95% CI 0.79–0.98

P = 0.02

Worse discharge cognitive function
OR 0.88 (95% CI 0.79–0.98); P = 0.02
Poor 1-month functional outcome
68 (61%)

Observational data: associations, not effects.

Further findings

OutcomeB (CI)P value
Fatigue severity (Modified Fatigue Impact Scale) · 1-month post-discharge1.03 (0.00–2.05)P = 0.04

Fatigue severity (Modified Fatigue Impact Scale) · 1-month post-discharge

No significant association with cognitive function

Original publication

Prospective evaluation of the relationship between cognition and recovery outcomes after cardiac arrest. Resuscitation. Published 31 July 2024. doi:10.1016/j.resuscitation.2024.110343

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

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