Acute cardiac care & resuscitation
Quality of life after out-of-hospital cardiac arrest: a TOMAHAWK sub-study
Authors' conclusion
OHCA survivors of the TOMAHAWK trial rated their HRQoL 6 and 12 months after the event as relatively good, but there were notable differences between women and men and between younger and elderly patients. The angiography strategy did not affect HRQoL.
Study context
- Population
- Resuscitated out-of-hospital cardiac arrest (OHCA) survivors without ST-segment elevationssurvivors completing 6M-FU and 12M-FU
- Participants
- 169 survivors
- Comparison
- Immediate vs delayed/selective coronary angiography
- Primary endpoint
- Health-related quality of life (HRQoL) by EuroQoL-5D-3L (EQ-VAS 0–100, worst to best, and five dimensions)
- Follow-up
- 6 and 12 months
Primary result
As reported in the abstract
EQ-VAS score · 6M-FU
Immediate angiography
70
± 21
Delayed/selective angiography
74
± 18
Further findings
Problems with usual activities and self-care · 6M-FU · most problems with usual activities, fewest with self-care
Usual activities
Self-care
| Outcome | Immediate angiography | Delayed/selective angiography |
|---|---|---|
| EQ-VAS score · 12M-FU | 72 ± 19 | — not stated in the abstract |
— not stated in the abstract
EQ-VAS score · 12M-FU
- No relevant differences between groups
EQ-5D dimensions by sex
- Women reported more problems than men in all five dimensions
EQ-5D dimensions by age
- Elderly (≥65 years) more likely than younger survivors to report limitations in mobility, self-care, usual activities and pain/discomfort
Original publication
Quality of life after out-of-hospital cardiac arrest: a TOMAHAWK sub-study. Eur Heart J Acute Cardiovasc Care. Published 25 June 2025. doi:10. 1093/ ehjacc/ zuaf093
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