• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Cardiology

Risk factors and rates of post-intensive care syndrome for patients with out-of-hospital cardiac arrest

byDavy LauandAlex Chan
October 21, 2022
in Cardiology, Chronic Disease, Emergency
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

Post-intensive care syndrome in out-of-hospital cardiac arrest patients: A prospective observational cohort study

1. Approximately half of patients with out-of-hospital cardiac arrest (OHCA) have signs of post-intensive care syndrome (PICS) at 3 and 12 months after ICU admission, including impairments to their physical, cognitive, and psychological well-being.

2. Risk factors for PICS for OHCA patients include increased length of stay in ICU, illness severity, intubation, poor functionality at discharge, and loss of work.

Evidence Rating Level: 2 (Good)

Post-intensive care syndrome (PICS) refers to the physical, cognitive, and psychological detriments that patients may face long-term after leaving the ICU. In particular, patients who suffer from out-of-hospital cardiac arrest (OHCA) have been associated with long-term negative impacts in these domains. Therefore, this study aimed to assess the prevalence and risk factors for PICS amongst adult OHCA survivors. This cohort study was based at a single centre in Switzerland, and conducted follow-up with OHCA patients 3 months and 12 months after admission to ICU. The level of physical impairment was measured using the EuroQol questionnaire (EQ-5D-3L), the cognitive domain was measured using the Cerebral Performance Category (CPC) and modified Rankin Scale (mRS), and the psychological domain was measured using the Hospital Anxiety and Depression Scale (HADS) and Impact of Event Scale-Revised (IES-R). The study population consisted of 139 patients at the 3-month follow-up and 110 patients at the 12-month follow-up, with a median age of 62.8 years, median ICU stay duration of 4 days, and median hospital stay of 13 days. The results showed that at 3 months follow-up, 49.6% of patients showed signs of PICS, with 36.7% demonstrating physical effects, 25.2% demonstrating cognitive effects, and 12.9% demonstrating psychological effects. Risk factors included intubation (OR 2.21, 95% CI 1.02-4.78, p = 0.043), length of ICU stay in days (OR 1.11, 95% CI 1.01-1.21, p = 0.022), work loss during period of follow-up (OR 14.53, 95% CI 1.8-117.56, p = 0.012), and poor functionality at discharge, as measured by mRS (OR 4.35, 95% CI 1.7-11.1, p = 0.002) and CPC (OR 3.39, 95% CI 1.46-7.88, p = 0.005). At 12 months follow-up, 47.3% demonstrated signs of PICS, with 36.7% demonstrating signs in the physical domain, 22.2% in the cognitive domain, and 12.7% in the psychological domain. Risk factors included initial illness severity as measured by the APACHE II score (OR 1.08, 95% CI 1.02-1.14, p = 0.008) and functionality at discharge, with lower risk of PICS found amongst patients not needing rehabilitation (OR 0.31, 95% CI 0.12-0.82, p = 0.019). Overall, this study showed that PICS affects approximately half of OHCA patients as far as 1 year after their admission to ICU, demonstrating the importance of screening and identifying patients at risk for PICS, and connecting them with relevant resources to support their physical, cognitive, and psychological recovery.

Image: PD

©2022 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

RELATED REPORTS

Haloperidol does not improve outcomes at 90 days in ICU patients with delirium

#VisualAbstract: Haloperidol provides no additional benefit for the management of delirium in patients admitted to the ICU

Neutrophil CD64 index may be superior for screening for pediatric infections in the ICU

Tags: ICUintensive care
Previous Post

Post-intensive care syndrome risk in out-of-hospital cardiac arrest patients

Next Post

2 Minute Medicine Rewind October 24, 2022

RelatedReports

2 Minute Medicine Rewind October 14, 2019
Emergency

Haloperidol does not improve outcomes at 90 days in ICU patients with delirium

January 8, 2023
#VisualAbstract: Haloperidol provides no additional benefit for the management of delirium in patients admitted to the ICU
StudyGraphics

#VisualAbstract: Haloperidol provides no additional benefit for the management of delirium in patients admitted to the ICU

January 3, 2023
Emergency

Neutrophil CD64 index may be superior for screening for pediatric infections in the ICU

December 20, 2022
#VisualAbstract: Early mobilization after ICU mechanical ventilation does not improve survival
StudyGraphics

#VisualAbstract: Early mobilization after ICU mechanical ventilation does not improve survival

December 1, 2022
Next Post

2 Minute Medicine Rewind October 24, 2022

Parents often unaware of adolescents’ suicidal thoughts

Sleep deprivation is not an effective treatment for major depressive episodes

Increasing C-section room temperature linked to reduced neonatal, maternal hypothermia

Antenatal corticosteroid treatment may increase the risk of childhood mental health disorders

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Low-dose pirfenidone may be noninferior to standard dosing in patients with idiopathic pulmonary fibrosis
  • Protein-truncating variants in apolipoprotein B and PCSK9 genes associated with lower exposure to atherogenic LDL cholesterol and risk of coronary heart disease
  • College campus monkeypox outbreaks can be controlled with timely detection and isolation
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options