Abstract：
BACKGROUND:Sudden cardiac arrest (SCA) is a major public health challenge in the United States (US). At present, the existence of limited literature on psychological sequelae post-cardiac arrest is a challenge in providing optimal care to survivors. AIM:The aim of this study is to determine the prevalence of various psychiatric comorbidities in survivors of SCA. METHODS:The National Inpatient Sample (NIS) dataset was queried to assess the prevalence of psychiatric disorders with gender-based differences and inpatient mortality among adult patients hospitalized with a previous history of SCA using ICD-9 CM codes from 2010 to 2014. RESULTS:Mood disorder (16.4%) was the most prevalent psychiatric comorbidity (including depression; 12.6%) followed by anxiety (10%). Cardiac arrest survivors with psychiatric disorder (CAPD) were often younger (mean 60 ± 16 vs. 64 ± 16 years; p < 0.001), female (53.7% vs. 38.0%; p < 0.001), white patients (75.9% vs. 68.7%; p < 0.001) and the majority were admitted non-electively (85.1% vs. 82.8%, p < 0.001) as compared to cardiac arrest survivors without psychiatric disorder (CANPD). Among the CAPD group, females had a significantly higher frequency of mood disorders (21.8% vs. 12.6%), depression (16.8% vs. 9.5%) and anxiety (14.2% vs. 8.0%) compared to males. The CAPD cohort had a lower all-cause in-hospital mortality (5.7% vs. 9.8%; p < 0.001) as compared to the CANPD group. CONCLUSIONS:Comorbid psychiatric disorders are prevalent in SCA survivors, especially younger, white, female patients. However, CAPD did not have higher all-cause mortality as compared to CANPD. It is imperative to identify, assess, treat, and monitor high-risk SCA patients for associated psychiatric comorbidities.
journal_name
Resuscitationjournal_title
Resuscitationauthors
Desai R,Singh S,Patel K,Fong HK,Kumar G,Sachdeva Rdoi
10.1016/j.resuscitation.2019.01.035subject
Has Abstractpub_date
2019-03-01 00:00:00pages
131-135eissn
0300-9572issn
1873-1570pii
S0300-9572(19)30018-8journal_volume
136pub_type
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