ArticleTherapeutic advances in cardiovascular disease2018
Long-term outcome of elderly out-of-hospital cardiac arrest survivors as compared with their younger counterparts and the general population.
Article in Therapeutic advances in cardiovascular disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Long-term Survival After Out-of-Hospital Cardiac Arrest: A Systematic Review and Meta-analysis.JAMA cardiology · 2022Pooled it
- Extracorporeal Membrane Oxygenation for Cardiac Indications in Adults: A Health Technology Assessment.Ontario health technology assessment series · 2020Pooled it
- Impact of establishing a new emergency and critical care center on regional out-of-hospital cardiac arrest transport patterns and outcomes.Resuscitation plus · 2026Article
- Increasing neurologically intact survival after out-of-hospital cardiac arrest among elderly: Singapore Experience.Resuscitation plus · 2024Article
- Analysis of Out-of-Hospital First Aid for Recovery of Spontaneous Circulation after Cardiac Arrest in Korea.Diagnostics (Basel, Switzerland) · 2024Article
- Long term survival and disease burden from out-of-hospital cardiac arrest in Singapore: a population-based cohort study.The Lancet regional health. Western Pacific · 2023Article
- Sex-specific differences and outcome in elderly patients after survived out-of-hospital cardiac arrest.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022Article
- "Impact of age on management and prognosis of resuscitated sudden cardiac death patients".International journal of cardiology. Heart & vasculature · 2022Article
- General health condition of patients hospitalized after an incident of in-hospital or out-of hospital sudden cardiac arrest with return of spontaneous circulation.Clinical cardiology · 2021Article
- Intensive care-treated cardiac arrest: a retrospective study on the impact of extended age on mortality, neurological outcome, received treatments and healthcare-associated costs.Scandinavian journal of trauma, resuscitation and emergency medicine · 2021Article
- Article
- Observational
- Predictors of Out of Hospital Cardiac Arrest Outcomes in Pre-Hospital Settings; a Retrospective Cross-sectional Study.Archives of academic emergency medicine · 2019Article
- Demographics of Pediatric OHCA Survivors With Postdischarge Diseases: A National Population-Based Follow-Up Study.Frontiers in pediatrics · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background: Over the past decade, prehospital and in-hospital treatment for out-of-hospital cardiac arrest (OHCA) has improved considerably. There are sparse data on the long-term outcome, especially in elderly patients. We studied whether elderly patients benefit to the same extent compared with younger patients and at long-term follow up as compared with the general population.
methods: Between 2001 and 2010, data from all patients presented to our hospital after OHCA were recorded. Elderly patients (⩾75 years) were compared with younger patients. Neurological outcome was classified as cerebral performance category (CPC) at hospital discharge and long-term survival was compared with younger patients and predicted survival rates of the general population.
results: Of the 810 patients admitted after OHCA, a total of 551 patients (68%) achieved return of spontaneous circulation, including 125 (23%) elderly patients with a mean age of 81 ± 5 years. In-hospital survival was lower in elderly patients compared with younger patients with rates of 33% versus 57% ( p < 0.001). A CPC of 1 was present in 73% of the elderly patients versus 86% of the younger patients ( p = 0.031). In 7.3% of the elderly patients, a CPC >2 was observed versus 2.5% of their younger counterparts ( p = 0.103). Elderly patients had a median survival of 6.5 [95% confidence interval (CI) 2.0-7.9] years compared with 7.7 (95% CI 7.5-7.9) years of the general population ( p = 0.019).
conclusions: The survival rate after OHCA in elderly patients is approximately half that of younger patients. Elderly patients who survive to discharge frequently have favorable neurological outcomes and a long-term survival that approximates that of the general population.
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