Quality of life and prognosis among survivors of out-of-hospital cardiac arrest.

Abstract:

PURPOSE OF REVIEW:We reviewed the topic of quality of life and prognosis of out-of-hospital cardiac arrest survivors, focusing on more recent developments. RECENT FINDINGS:In 2003 to 2004, published experiences from Canada, the United States, and Europe indicate that the quality of life among out-of-hospital cardiac arrest survivors is acceptable and that prognosis may be improving over time. However, a minority of survivors has substantial neurologic impairment that adversely affects the quality of life and prognosis. Recent investigations indicate that bystander CPR, early defibrillation by nontraditional first responders, and active induction of hypothermia offer potential means to improve functional outcomes that may translate into better quality of life and prognosis. Acute treatment of the underlying etiology and effective secondary prevention also can benefit the out-of-hospital cardiac arrest survivor, although only a portion who could benefit appear to receive these therapies. SUMMARY:The optimal strategy for improving long-term outcomes requires a multifaceted, integrative approach that begins with prehospital care and extends to secondary prevention.

journal_name

Curr Opin Crit Care

authors

Rea TD,Paredes VL

doi

10.1097/01.ccx.0000125494.84614.fb

keywords:

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

218-23

issue

3

eissn

1070-5295

issn

1531-7072

pii

00075198-200406000-00009

journal_volume

10

pub_type

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