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Associations between comorbidity and health- related quality of life among in-hospital cardiac arrest survivors-A cross-sectional nationwide registry study
Linnaeus Univ, Sweden; Kalmar Cty Hosp, Sweden.
Linköping University, Faculty of Medicine and Health Sciences.
Linnaeus Univ, Sweden; Dept Res, Sweden.
Linköping University, Faculty of Medicine and Health Sciences.
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2023 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 188, article id 109822Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to explore associations between comorbidities and health-related quality of life (HRQoL) among in-hospital cardiac arrest (IHCA) survivors.Methods: This registry study is based on data from the Swedish Registry of Cardiopulmonary Resuscitation (SRCR) collected during 2014-2017. HRQoL was assessed using the EQ-5D-5L, the EQ Visual Analogue Scale (EQ VAS) and the Hospital Anxiety and Depression Scale (HADS). In total, 1,278 IHCA survivors were included in the study, 3-6 months after the cardiac arrest (CA). Data were analysed with descriptive and inferential statistics. The comorbidities analysed in this study were the patients status for diabetes, previous myocardial infarction, previous stroke, respiratory insufficiency, and heart failure.Results: Overall, the IHCA survivors reported high levels of HRQoL, but there was great variation within the population, e.g., EQ VAS median (q1 -q3) = 70 (50-80). Survivors with one or more comorbidities reported worse HRQoL in 6 out of 8 outcomes (p < 0.001). All studied comorbidities were each associated with worse HRQoL, but no comorbidity was associated with every outcome measure. Previous stroke and respiratory insufficiency were significantly associated with every outcome measure except for HADS Anxiety. The linear regression models explained 4-8% of the total vari-ance in HRQoL (p < 0.001).Conclusion: Since IHCA survivors with comorbidities report worse HRQoL compared to those without comorbidities, it is important to pay directed attention to them when developing and providing post-CA care, especially in those with respiratory insufficiency and previous stroke.

Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD , 2023. Vol. 188, article id 109822
Keywords [en]
Cardiac arrest; Comorbidity; Health; Quality of life
National Category
General Practice
Identifiers
URN: urn:nbn:se:liu:diva-195305DOI: 10.1016/j.resuscitation.2023.109822ISI: 001002238600001PubMedID: 37150395OAI: oai:DiVA.org:liu-195305DiVA, id: diva2:1771019
Available from: 2023-06-20 Created: 2023-06-20 Last updated: 2023-06-20

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