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Health status and psychological distress among in-hospital cardiac arrest survivors in relation to gender
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences. Kalmar County Hospital, Sweden; Linnaeus University, Sweden.
University of Borås, Sweden; Kalmar County Hospital, Sweden.
University of Borås, Sweden.
University of Gothenburg, Sweden.
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2017 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 114, 27-33 p.Article in journal (Refereed) Published
Abstract [en]

Aim: To describe health status and psychological distress among in -hospital cardiac arrest (IHCA) survivors in relation to gender. Methods: This national register study consists of data from follow-up registration of IHCA survivors 3-6 months post cardiac arrest (CA) in Sweden. A questionnaire was sent to the survivors, including measurements of health status (EQ-5D-5L) and psychological distress (HADS). Results: Between 2013 and 2015, 594 IHCA survivors were included in the study. The median values for EQ-5D-5L index and EQVAS among survivors were 0.78 (ql-q3 = 0.67-0.86) and 70 (ql -q3 = 50-80) respectively. The values were significantly lower (p amp;lt; 0.001) in women compared to men. In addition, women reported more problems than men in all dimensions of EQ-5D-5L, except self -care. A majority of the respondents reported no problems with anxiety (85.4%) and/or symptoms of depression (87.0%). Women reported significantly more problems with anxiety (p amp;lt; 0.001) and symptoms of depression (p amp;lt; 0.001) compared to men. Gender was significantly associated with poorer health status and more psychological distress. No interaction effects for gender and age were found. Conclusions: Although the majority of survivors reported acceptable health status and no psychological distress, a substantial proportion reported severe problems. Women reported worse health status and more psychological distress compared to men. Therefore, a higher proportion of women may be in need of support. Health care professionals should make efforts to identify health problems among survivors and offer individualised support when needed. (C) 2017 Elsevier B.V. All rights reserved.

Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD , 2017. Vol. 114, 27-33 p.
Keyword [en]
Anxiety; Depression; Health status; Heart arrest; Hospitals; Gender
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:liu:diva-138921DOI: 10.1016/j.resuscitation.2017.02.006ISI: 000402487800021PubMedID: 28216089OAI: oai:DiVA.org:liu-138921DiVA: diva2:1115830
Note

Funding Agencies|Swedish Heart and Lung Association; Medical Research Council of Southeast Sweden

Available from: 2017-06-27 Created: 2017-06-27 Last updated: 2017-08-14

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The full text will be freely available from 2018-02-17 13:09
Available from 2018-02-17 13:09

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Israelsson, JohanÅgren, Susanna
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Department of Medical and Health SciencesFaculty of Medicine and Health SciencesDivision of Nursing ScienceDepartment of Thoracic and Vascular Surgery
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