Long-term Prognosis and Neuro-psychosocial Deficits in Post-cardiac arrest Patients.
- Author:
Woo Jin JUNG
1
;
Hyun KIM
;
Yong Sung CHA
;
Oh Hyun KIM
;
Tae Hoon KIM
;
Yong Won KIM
;
Kyoung Chul CHA
;
Kang Hyun LEE
;
Sung Oh HWANG
Author Information
1. Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Wonju, Koera. khyun@yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Cardiac arrest;
Cardiopulmonary resuscitation;
Prognosis
- MeSH:
Cardiopulmonary Resuscitation;
Dinucleoside Phosphates;
Heart Arrest;
Hospitals, University;
Humans;
Length of Stay;
Male;
Medical Records;
Memory;
Memory, Short-Term;
Neurologic Manifestations;
Prognosis;
Resuscitation;
Stress Disorders, Post-Traumatic;
Tachycardia, Ventricular;
Ventricular Fibrillation
- From:Journal of the Korean Society of Emergency Medicine
2013;24(4):370-377
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Anoxic neurologic deficits are an important cause of morbidity and mortality in post-cardiac arrest patients. Cardiopulmonary resuscitation (CPR), a series of life-saving actions, improve the chance of survival following cardiac arrest; however, there are few reports on neuropsychiatric function in patients successfully resuscitated after cardiac arrest. We conducted this study to evaluate the long-term neurologic, psychiatric, and social deficits in post-cardiac arrest patients. METHODS: We reviewed medical records from eight university hospitals from January 2009 to December 2009. Patients, older than 14 years old, successfully resuscitated after cardiac arrest and with a cerebral performance category scale (CPC) 1 or 2 were enrolled. Among 56 included patients, the mean age was 57 years old and 37 patients were male. Forty-two cases were presumed to have cardiac etiology and 14 were considered to have a non-cardiac etiology. The initially recorded rhythms, in 50% of patients, were ventricular fibrillation and pulse-less ventricular tachycardia. The mean length of a hospital stay was 30 days. RESULTS: At hospital discharge, 51 patients (91.1%) with successful resuscitation showed CPC 1 and 5 patients (8.9%) showed CPC 2. Twenty-four (42.9%) patients suffered from a variety of neuro-psychosocial deficits, such as memory disturbances, attention deficits, post-traumatic stress disorder, and difficulty initiating exercise. CONCLUSION: Despite successful resuscitation, a considerable number of patients complained of various neuro-psychiatric deficits. The most common neuro-psychosocial deficits were disturbances in short-term memory.
