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Rehabilitation after cardiac arrest

Poster
Authors Katharina S Sunnerhagen
Marianne Lannsjö
Anna Tölli
Ann Hammer
Björn Hedman
Jan Burensjö
Gunilla Lindstedt
Åsa Lundgren Nilsson
Published in World Congress of Neuro Rehabilitation Istanbul, Turkiet 8-12 april 2014,
Publication year 2014
Published at Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation
Language en
Subject categories Cardiac and Cardiovascular Systems, Neurology, Epidemiology

Abstract

Cardiac arrest (CA) is a life-threatening condition. In the last decade there has been an increase in survival after out-of-hospital cardiac arrest and in 2011, about 500 patients survived an OHCA in Sweden, measured as 30-day survival. Brain damage depend on level oxygen deprivation as well length of impaired circulation. Common symptoms include difficulties with short-term memory, learning tasks and motor deficits. Aims To describe the results of rehabilitation of CA survivors. Material and methods Between 2007 and 2011, 150 patients with anoxic brain injury after CA received in-patient rehabilitation in different clinics in Sweden and reported to the quality register WebRehab. The average age was 48.6 years (SD 15.4, range 15-82 years) and there were 64 women and 86 men. Time from CA tol admittance was 24 days (SD 28.8). Dependency was assessed by FIM, and defined as motor FIM (13x6-1) and social-cognitive FIM (5x6-1); i.e. dependence in at least 1 item. Wilcoxon signed test was used to assess significant changes in dependence. Results At admittance, 74 % were dependent in motor FIM and 47 % in social-cognitive FIM. 46% were wheel-chair users. Length of stay was 68 days (SD 60). During the rehabilitation period the motor function increased significantly (p<0.05) with 42 % dependent in motor FIM and 30 % were still wheel-chair users. Little change occurred in social-cognitive FIM, where still 42 % were dependent at discharge, 33% went home without any need for support, 40 % went to their own home with support from the community and 14% to nursing homes and 13 % to another hospital ward. Conclusion Motor functions seem to recover better than cognitive functions after CA. Even with more than 2 months of in-patient rehab, little improvement is noted in social-cognitive FIM. Those CA survivors that need rehabilitation, often remain dependent on others for the rest of their lives.

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