serval:BIB_9BCB1A902727
How Do You Feel? Subjective Perception of Recovery as a Reliable Surrogate of Cognitive and Functional Outcome in Cardiac Arrest Survivors.
10.1097/CCM.0000000000002946
000427775500002
29309370
Juan
E.
author
De Lucia
M.
author
Beaud
V.
author
Oddo
M.
author
Rusca
M.
author
Viceic
D.
author
Clarke
S.
author
Rossetti
A.O.
author
article
2018-04
Critical care medicine
1530-0293
0090-3493
journal
46
4
e286-e293
To show that subjective estimate of patient's condition is related to objective cognitive and functional outcome in cardiac arrest survivors.
Longitudinal cohort study.
ICU and Neuropsychology Service in two hospitals in Switzerland.
Fifty survivors included from a prospective cohort of 138 patients admitted at the ICU for cardiopulmonary arrest.
Comprehensive cognitive and functional evaluation at 6 months follow-up.
Subjectively, 70% of survivors reported satisfactory recovery and 29% reported no complaints. Objectively, 76% were classified as good neurologic outcome (Cerebral Performance Category 1), 26% as having no symptoms (modified Rankin Scale 0), and 38% as upper good recovery (Glasgow Outcome Scale Extended 1). Cognitive assessment detected substantial cognitive impairment in 26%, primarily concerning processing speed, language, long-term memory, and executive functions. Subjective complaints severity correlated significantly with objective cognitive impairment (rS = 0.64; p < 0.001). Finally, patients reporting unsatisfactory recovery displayed lower functional scores than those reporting satisfactory recovery (e.g., quality of life satisfaction: 64% vs 81%; Z = 2.18; p = 0.03) and more cognitive impairment (three vs one cognitive domains impaired; Z = -3.21; p < 0.001), concerning in particular learning and long-term verbal and visual memory.
Long-term subjective and objective outcome appears good in the majority of cardiac arrest survivors. Specific functional and cognitive impairments were found in patients reporting unsatisfactory recovery. Subjective recovery was strongly correlated with objective assessment.
eng
60_published
true
peer-reviewed
Publication types: Journal Article
Publication Status: ppublish
University of Lausanne
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