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    Functional outcomes and quality of life of young adults who survive out-of-hospital cardiac arrest

    Access Status
    Open access via publisher
    Authors
    Deasy, C.
    Bray, Janet
    Smith, K.
    Harriss, L.
    Bernard, S.
    Cameron, P.
    Date
    2013
    Type
    Journal Article
    
    Metadata
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    Citation
    Deasy, C. and Bray, J. and Smith, K. and Harriss, L. and Bernard, S. and Cameron, P. 2013. Functional outcomes and quality of life of young adults who survive out-of-hospital cardiac arrest. Emergency Medicine Journal. 30 (7): pp. 532-537.
    Source Title
    Emergency Medicine Journal
    DOI
    10.1136/emermed-2012-201267
    ISSN
    1472-0205
    School
    School of Nursing and Midwifery
    URI
    http://hdl.handle.net/20.500.11937/44756
    Collection
    • Curtin Research Publications
    Abstract

    Background Evaluating the quality of life of young adult survivors of out-of-hospital cardiac arrest (OHCA) is important as they are likely to have a longer life expectancy than older patients. The aim of this study was to assess their functional and quality of life outcomes. Methodology The Victorian Ambulance Cardiac Arrest Registry records were used to identify survivors of OHCA that occurred between 2003 and 2008 in the 18-39 yearold age group. Survivors were administered a telephone questionnaire using Short Form (SF-12), EQ-5D and Glasgow Outcome Scale-Extended. Cerebral Performance Category (CPC) ascertained at hospital discharge from the medical record was recorded for the uncontactable survivors. Results Of the 106 young adult survivors, five died in the intervening years and 45 were not contactable or refused. CPC scores were obtained for 37 (74%) of those who did not take part in telephone follow-up, and 7 (19%) of these had a CPC $3 indicating severe cerebral disability. The median follow-up time was 5 years (range 2.7- 8.6 years) for the 56 (53%) patients included. Of these, 84% were living at home independently, 68% had returned to work, and only 11% reported marked or severe disability. The majority of patients had no problems with mobility (75%), personal care (75%), usual activities (66%) or pain/ discomfort (71%). However, 61% of respondents reported either moderate (48%) or severe (13%) anxiety. Conclusions The majority of survivors have good functional and quality of life outcomes. Telephone follow-up is feasible in the young adult survivors of cardiac arrest; loss to follow-up is common.

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