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Demographics and Clinical Features of Postresuscitation Comorbidities in Long-Term Survivors of Out-of-Hospital Cardiac Arrest: A National Follow-Up Study.

Abstract The outcome of patients suffering from out-of-hospital cardiac arrest (OHCA) is very poor, and postresuscitation comorbidities increase long-term mortality. This study aims to analyze new-onset postresuscitation comorbidities in patients who survived from OHCA for over one year. The Taiwan National Health Insurance (NHI) Database was used in this study. Study and comparison groups were created to analyze the risk of suffering from new-onset postresuscitation comorbidities from 2011 to 2012 (until December 31, 2013). The study group included 1,346 long-term OHCA survivors; the comparison group consisted of 4,038 matched non-OHCA patients. Demographics, patient characteristics, and risk of suffering comorbidities (using Cox proportional hazards models) were analyzed. We found that urinary tract infections (n = 225, 16.72%), pneumonia (n = 206, 15.30%), septicemia (n = 184, 13.67%), heart failure (n = 111, 8.25%) gastrointestinal hemorrhage (n = 108, 8.02%), epilepsy or recurrent seizures (n = 98, 7.28%), and chronic kidney disease (n = 62, 4.61%) were the most common comorbidities. Furthermore, OHCA survivors were at much higher risk (than comparison patients) of experiencing epilepsy or recurrent seizures (HR = 20.83; 95% CI: 12.24-35.43), septicemia (HR = 8.98; 95% CI: 6.84-11.79), pneumonia (HR = 5.82; 95% CI: 4.66-7.26), and heart failure (HR = 4.88; 95% CI: 3.65-6.53). Most importantly, most comorbidities occurred within the first half year after OHCA.
PMID
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Authors

Mayor MeshTerms

Out-of-Hospital Cardiac Arrest

Resuscitation

Keywords
Journal Title biomed research international
Publication Year Start




PMID- 28286775
OWN - NLM
STAT- MEDLINE
DA  - 20170313
DCOM- 20170317
LR  - 20170317
IS  - 2314-6141 (Electronic)
VI  - 2017
DP  - 2017
TI  - Demographics and Clinical Features of Postresuscitation Comorbidities in
      Long-Term Survivors of Out-of-Hospital Cardiac Arrest: A National Follow-Up
      Study.
PG  - 9259182
LID - 10.1155/2017/9259182 [doi]
AB  - The outcome of patients suffering from out-of-hospital cardiac arrest (OHCA) is
      very poor, and postresuscitation comorbidities increase long-term mortality. This
      study aims to analyze new-onset postresuscitation comorbidities in patients who
      survived from OHCA for over one year. The Taiwan National Health Insurance (NHI) 
      Database was used in this study. Study and comparison groups were created to
      analyze the risk of suffering from new-onset postresuscitation comorbidities from
      2011 to 2012 (until December 31, 2013). The study group included 1,346 long-term 
      OHCA survivors; the comparison group consisted of 4,038 matched non-OHCA
      patients. Demographics, patient characteristics, and risk of suffering
      comorbidities (using Cox proportional hazards models) were analyzed. We found
      that urinary tract infections (n = 225, 16.72%), pneumonia (n = 206, 15.30%),
      septicemia (n = 184, 13.67%), heart failure (n = 111, 8.25%) gastrointestinal
      hemorrhage (n = 108, 8.02%), epilepsy or recurrent seizures (n = 98, 7.28%), and 
      chronic kidney disease (n = 62, 4.61%) were the most common comorbidities.
      Furthermore, OHCA survivors were at much higher risk (than comparison patients)
      of experiencing epilepsy or recurrent seizures (HR = 20.83; 95% CI: 12.24-35.43),
      septicemia (HR = 8.98; 95% CI: 6.84-11.79), pneumonia (HR = 5.82; 95% CI:
      4.66-7.26), and heart failure (HR = 4.88; 95% CI: 3.65-6.53). Most importantly,
      most comorbidities occurred within the first half year after OHCA.
FAU - Su, Chih-Pei
AU  - Su CP
AD  - Department of Health Care Administration, Asia University, Taichung, Taiwan;
      Department of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan; 
      Department of Nursing, Changhua Christian Hospital, Changhua, Taiwan.
FAU - Wu, Jr-Hau
AU  - Wu JH
AD  - Department of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan.
FAU - Yang, Mei-Chueh
AU  - Yang MC
AD  - Department of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan.
FAU - Liao, Ching-Hui
AU  - Liao CH
AD  - Department of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan.
FAU - Hsu, Hsiu-Ying
AU  - Hsu HY
AD  - Department of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan; 
      Department of Nursing, Changhua Christian Hospital, Changhua, Taiwan.
FAU - Chang, Chin-Fu
AU  - Chang CF
AD  - Department of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan.
FAU - Lan, Shou-Jen
AU  - Lan SJ
AUID- ORCID: 0000-0002-2973-5428
AD  - Department of Health Care Administration, Asia University, Taichung, Taiwan.
FAU - Chu, Chiao-Lee
AU  - Chu CL
AUID- ORCID: 0000-0003-0247-2178
AD  - Department of Health Care Administration, Asia University, Taichung, Taiwan;
      Department of Long Term Care, National Quemoy University, Kinmen, Taiwan.
FAU - Lin, Yan-Ren
AU  - Lin YR
AUID- ORCID: 0000-0002-9015-2678
AD  - Department of Emergency Medicine, Changhua Christian Hospital, Changhua, Taiwan; 
      School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; School of
      Medicine, Chung Shan Medical University, Taichung, Taiwan.
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
DEP - 20170213
PL  - United States
TA  - Biomed Res Int
JT  - BioMed research international
JID - 101600173
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Comorbidity
MH  - Disease-Free Survival
MH  - Epilepsy/etiology/mortality
MH  - Female
MH  - Follow-Up Studies
MH  - Gastrointestinal Hemorrhage
MH  - Heart Failure/genetics/mortality
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Out-of-Hospital Cardiac Arrest/mortality/therapy
MH  - Pneumonia/etiology/mortality
MH  - *Resuscitation
MH  - Sepsis/etiology/mortality
MH  - Survival Rate
MH  - Taiwan/epidemiology
MH  - Time Factors
MH  - Urinary Tract Infections/etiology/mortality
PMC - PMC5327773
COI - There is no conflict of interests related to this study.
EDAT- 2017/03/14 06:00
MHDA- 2017/03/18 06:00
CRDT- 2017/03/14 06:00
PHST- 2016/12/01 [received]
PHST- 2016/12/26 [revised]
PHST- 2017/01/04 [accepted]
AID - 10.1155/2017/9259182 [doi]
PST - ppublish
SO  - Biomed Res Int. 2017;2017:9259182. doi: 10.1155/2017/9259182. Epub 2017 Feb 13.

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