Care After REsuscitation: Implementation of the United Kingdom's First Dedicated Multidisciplinary Follow-Up Program for Survivors of Out-of-Hospital Cardiac Arrest
| Autor: | Rajesh Balasubramanian, Firas Al-Janabi, Kees H. Polderman, Neil Magee, V. R. M. Moulaert, Henry Seligman, Jane Harding, Noel Watson, Rajdip Dulai, Matthew Potter, William D. Toff, Thomas R. Keeble, Maria R Maccarroni, Shahed Islam, Grigoris V. Karamasis, John R. Davies, Marco Mion |
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| Přispěvatelé: | Faculteit Medische Wetenschappen/UMCG |
| Rok vydání: | 2020 |
| Předmět: |
Male
Emergency Medical Services Resuscitation medicine.medical_specialty THERAPEUTIC HYPOTHERMIA Referral medicine.medical_treatment Pilot Projects Targeted temperature management neuropsychological disability Critical Care and Intensive Care Medicine Out of hospital cardiac arrest 03 medical and health sciences TARGETED TEMPERATURE MANAGEMENT 0302 clinical medicine Hypothermia Induced Multidisciplinary approach Intervention (counseling) follow-up medicine Humans Neuropsychological assessment 33-DEGREES-C multidisciplinary team Depression (differential diagnoses) OUTCOMES medicine.diagnostic_test business.industry 030208 emergency & critical care medicine Middle Aged COGNITIVE FUNCTION 36-DEGREES-C Cardiopulmonary Resuscitation Patient Discharge United Kingdom LIFE Survival Rate Anesthesiology and Pain Medicine Emergency medicine Female HEALTH business INTERVENTION Out-of-Hospital Cardiac Arrest 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Therapeutic hypothermia and temperature management, 10(1). MARY ANN LIEBERT, INC |
| ISSN: | 2153-7933 2153-7658 |
| Popis: | Survival rates after cardiac arrest (CA) are increasing, with more patients and their families living with the psychological consequences of surviving a sudden CA. The currently available neuropsychological assessment tools and therapies were not designed for CA, and may be inadequate. The Essex Cardiothoracic Centre set up the United Kingdom's first dedicated multidisciplinary "Care After REsuscitation" (CARE) service, offering CA survivors and their caregivers systematic psychological, cognitive, and specialized medical support for the first 6 months after CA. Twenty-one patients were recruited into the CARE pilot service evaluation. Patients' health at hospital discharge was poor; however, by 6 months all components (except general health) had improved significantly, and were close to that experienced by "healthy" individuals. Five (26%) required referral to a psychiatrist, with all 5 (26%) subsequently being diagnosed with moderate-to-severe depression, and 3 (16%) with comorbid post-traumatic stress disorder. Our study demonstrates a large unmet clinical need in general and neuropsychological assessment, and our results suggest that offering appropriate and prompt specialist diagnosis and therapies leads to an improvement in health at 6 months. |
| Databáze: | OpenAIRE |
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