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Åsa Tornberg

Associate professor

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Self-reported limitations in physical function are common 6 months after out-of-hospital cardiac arrest.

Author

  • Katarina Heimburg
  • Tobias Cronberg
  • Åsa Tornberg
  • Susann Ullén
  • Hans Friberg
  • Niklas Nielsen
  • Christian Hassager
  • Janneke Horn
  • Jesper Kjærgaard
  • Michael Kuiper
  • Christian Rylander
  • Matt P. Wise
  • Gisela Lilja

Summary, in English

Background

Out-of-hospital cardiac arrest (OHCA) survivors generally report good health-related quality of life, but physical aspects of health seem more affected than other domains. Limitations in physical function after surviving OHCA have received little attention.
Aims

To describe physical function 6 months after OHCA and compare it with a group of ST elevation myocardial infarction (STEMI) controls, matched for country, age, sex and time of the cardiac event. A second aim was to explore variables potentially associated with self-reported limitations in physical function in OHCA survivors.
Methods

A cross-sectional sub-study of the Targeted Temperature Management at 33 °C versus 36 °C (TTM) trial with a follow-up 6 months post-event. Physical function was the main outcome assessed with the self-reported Physical Functioning-10 items scale (PF-10). PF-10 is presented as T-scores (0–100), where 50 represents the norm mean. Scores <47 at a group level, or <45 at an individual level indicate limitations in physical function.
Results

287 OHCA survivors and 119 STEMI controls participated. Self-reported physical function by PF-10 was significantly lower for OHCA survivors compared to STEMI controls (mean 46.0, SD 11.2 vs. 48.8, SD 9.0, p = 0.025). 38% of OHCA survivors compared to 26% of STEMI controls reported limitations in physical function at an individual level (p = 0.022). The most predictive variables for self-reported limitations in physical function in OHCA survivors were older age, female sex, cognitive impairment, and symptoms of anxiety and depression after 6 months.
Conclusion

Self-reported limitations in physical function are more common in OHCA survivors compared to STEMI controls.
Trial registration

ClinicalTrials.gov Identifier: NCT01946932.

Department/s

  • Brain Injury After Cardiac Arrest
  • Center for cardiac arrest
  • EpiHealth: Epidemiology for Health
  • Child and Family Health
  • SWECRIT
  • SEBRA Sepsis and Bacterial Resistance Alliance

Publishing year

2022

Language

English

Pages

1-9

Publication/Series

Resuscitation Plus

Volume

11

Document type

Journal article

Publisher

Elsevier

Topic

  • Cardiac and Cardiovascular Systems

Keywords

  • Cardiac Arrest
  • Myocardial Infarction
  • atient Reported Outcome Measures
  • Physical Function

Status

Published

Research group

  • Brain Injury After Cardiac Arrest
  • Center for cardiac arrest
  • Child and Family Health
  • SWECRIT
  • SEBRA Sepsis and Bacterial Resistance Alliance

ISBN/ISSN/Other

  • ISSN: 2666-5204