心肺复苏后的生活质量和表现状态：Cova da Beira大学医院中心重症监护室的一项研究。

IF 1.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Revista Portuguesa De Cardiologia Pub Date : 2024-10-01 DOI:10.1016/j.repc.2024.02.005

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引用次数: 0

摘要

导言和目的心脏骤停（CA）与高发病率和高死亡率有关。许多研究关注存活率，但很少有研究探讨其结果。本研究旨在分析心脏骤停后的生存曲线、独立性、生活质量和表现状态。方法这项回顾性研究纳入了2015年至2019年期间因心脏骤停入住科瓦达贝拉大学医院中心重症监护室的成年人。我们分析了患者的病历，并采用了包括EuroQoL's EQ-5D-3L和ECOG表现状态在内的调查问卷。结果共纳入97名患者（平均年龄75.74岁）。31名患者（32.0%）存活至出院。患者的日常生活能力明显下降，50.0%的患者由独立生活变为依赖生活，47.5%的患者由居家生活变为住院生活。糖尿病、女性性别和住院时间对这些结果的影响尤为明显。CA 一年后，只有 20.6% 的患者存活，只有 13.4% 的患者（占一年存活患者的 65%）能够独立生活。九名患者回答了我们的调查问卷。平均 EQ-5D 生活质量指数（0.528±0.297）和最受影响的领域（"疼痛/不适 "和 "焦虑/抑郁"）与葡萄牙 30 岁人群相似。然而，66.6%的受访者表示他们的生活质量有所下降。最后，7 名受访者的表现状况良好（ECOG 0-1）。此外，尽管受访者的表现状态和生活质量与普通人相似，但他们认为 CA 术后生活质量有所下降。最终，我们强调有必要改善对这些患者的护理。

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Quality of life and performance status after cardiopulmonary resuscitation: A study in Cova da Beira University Hospital Center's intensive care unit

Introduction and Objectives

Cardiac arrest (CA) is associated with high morbidity and mortality. Many studies focus on survival, but few explore the outcomes. The aim of this study is to analyze the survival curve, independence, quality of life, and performance status after CA.

Methods

This retrospective study included adults admitted to the intensive care unit of Cova da Beira University Hospital Center after CA between 2015 and 2019. We analyzed patient records and applied a questionnaire including EuroQoL's EQ-5D-3L and ECOG performance status.

Results

Ninety-seven patients were included (mean age 75.74 years). Thirty-one patients (32.0%) survived to hospital discharge. There was a significant loss of independence for activities of daily living, with 50.0% of those previously independent becoming dependent and 47.5% of those previously at home being institutionalized. Diabetes, female gender, and length of hospital stay were especially impactful on these findings. One year after CA, only 20.6% were alive and only 13.4% (65% of the one-year survivors) were independent. Nine patients answered our questionnaire. Mean EQ-5D quality of life index (0.528±0.297) and the most affected domains (‘Pain/discomfort’ and ‘Anxiety/depression’) were similar to the Portuguese population aged >30 years. However, 66.6% reported a decline in their quality of life. Lastly, seven respondents had a good performance status (ECOG 0-1).

Conclusions

There was a significant loss of independence after CA. Moreover, despite the acceptable performance status and the quality of life results being similar to the general population, there was a perceived deterioration post-CA. Ultimately, we emphasize the need to improve care for these patients.

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来源期刊

Revista Portuguesa De Cardiologia CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

2.70

自引率

22.20%

发文量

205

审稿时长

54 days

期刊介绍： The Portuguese Journal of Cardiology, the official journal of the Portuguese Society of Cardiology, was founded in 1982 with the aim of keeping Portuguese cardiologists informed through the publication of scientific articles on areas such as arrhythmology and electrophysiology, cardiovascular surgery, intensive care, coronary artery disease, cardiovascular imaging, hypertension, heart failure and cardiovascular prevention. The Journal is a monthly publication with high standards of quality in terms of scientific content and production. Since 1999 it has been published in English as well as Portuguese, which has widened its readership abroad. It is distributed to all members of the Portuguese Societies of Cardiology, Internal Medicine, Pneumology and Cardiothoracic Surgery, as well as to leading non-Portuguese cardiologists and to virtually all cardiology societies worldwide. It has been referred in Medline since 1987.