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Survivors of out of hospital cardiac arrest: their prognosis, longevity and functional status.

Journal article
Authors J R Graves
Johan Herlitz
Angela Bång
Åsa B. Axelsson
L Ekström
Mikael Holmberg
J Lindqvist
Katharina Stibrant Sunnerhagen
S Holmberg
Published in Resuscitation
Volume 35
Issue 2
Pages 117-21
ISSN 0300-9572
Publication year 1997
Published at Cardiovascular Institute
Institute of Clinical Neurosciences
Pages 117-21
Language en
Links www.ncbi.nlm.nih.gov/entrez/query.f...
Keywords Adolescent, Adult, Age Distribution, Aged, Aged, 80 and over, Ambulatory Care, Cardiopulmonary Resuscitation, Child, Child, Preschool, Emergency Medical Services, Female, Heart Arrest, mortality, therapy, Humans, Infant, Longevity, Male, Middle Aged, Prognosis, Quality of Life, Retrospective Studies, Sex Distribution, Survival Rate, Sweden, Treatment Outcome
Subject categories Cardiac and Cardiovascular Systems

Abstract

This paper reports, consistent with Utstein Style definitions, 13 years experience observing out-of-hospital cardiac arrest survivors' prognosis, longevity and functional status. We report for all patients, available outcome information for out-of-hospital cardiac arrest survivors in Göteborg Sweden between 1980 and 1993. Patients were followed for at least 1 year and some for over 14 years. From 1980 to 1993 Göteborg EMS treated 3754 out-of-hospital cardiac arrests. 9% (n = 324) were discharged from the hospital alive. Survivors' median age was 67 and 21% (n = 67) were women. Mortality rate was: 21% (n = 61) at 1 year; 56% (n = 78) by 5 years; and 82% (n = 32) by 10 years following the arrest. During the first 3 years, 16% (n = 46) experienced another cardiac arrest, 19% (n = 53) had an acute myocardial infraction and a total of 81% (n = 232) were rehospitalized for various conditions. 14% (n = 40) returned to previous employment, and 74% (n = 229) had retired before their arrest occurred. Cerebral performance categories (CPC) scores were: At hospital discharge N = 324; Data available for 320-1 = 53% (n = 171), 2 = 21% (n = 66), 3 = 24% (n = 77), 4 = 2% (n = 6). One year post arrest N = 263; Data available for 212-1 = 73% (n = 156), 2 = 9% (n = 18), 3 = 17% (n = 36), 4 = 1% (n = 2). Overall, 21% (n = 61) of cardiac arrest survivors died during the first year, and an additional 16% (n = 46) experienced another arrest. 73% of those patients who were still alive after 1 year returned to pre-arrest function.

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