Pulseless electrical activity and successful out-of-hospital resuscitation – long-term survival and quality of life: an observational cohort study

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dc.contributor.author Saarinen, Sini
dc.contributor.author Kämäräinen, Antti
dc.contributor.author Silfvast, Tom
dc.contributor.author Yli-Hankala, Arvi
dc.contributor.author Virkkunen, Ilkka
dc.date.accessioned 2012-11-23T10:19:15Z
dc.date.available 2012-11-23T10:19:15Z
dc.date.issued 2012
dc.identifier.issn 1757-7241 -
dc.identifier.uri http://tampub.uta.fi/handle/10024/66387
dc.description BioMed Central Open access -
dc.description.abstract Background The aim of the study was to evaluate the long-term outcome of patients successfully resuscitated from pre-hospital cardiac arrest with initial pulseless electrical activity (PEA), because the long-term outcome of these patients is unknown. Survival, neurological status one year after cardiac arrest and self-perceived quality of life after five years were assessed. Methods This retrospective study included adult patients resuscitated from PEA between August 2001 and March 2003 in three urban areas in southern Finland. A validated questionnaire was sent to patients while neurological status according to the Cerebral Performance Category (CPC) -classification was assessed based on medical database notes recorded during follow-up evaluations. Results Out of 99 included patients in whom resuscitation was attempted, 41 (41%) were successfully resuscitated and admitted to hospital. Ten (10%) patients were discharged from hospital. Seven were alive after one year and six after five years following cardiac arrest. Five of the seven patients alive one year after resuscitation presented with the same functional level as prior to cardiac arrest. Conclusions Patients with initial PEA have been considered to have poor prognosis, but in our material, half of those who survived to hospital discharge were still alive after 5 years. Their self-assessed quality of life seems to be good with only mild to moderate impairments in activities of daily life. -
dc.language.iso en -
dc.title Pulseless electrical activity and successful out-of-hospital resuscitation – long-term survival and quality of life: an observational cohort study -
dc.type fi=Artikkeli aikakauslehdessä | en=Journal Article| -
dc.identifier.urn URN:NBN:fi:uta-201211231078 -
dc.identifier.doi doi:10.1186/1757-7241-20-74 -
dc.type.version fi=Kustantajan versio | en=Publisher's version| -
dc.subject.okm fi=Kirurgia, anestesiologia, tehohoito, radiologia | en=Surgery, anesthesiology, intensive care, radiology| -
dc.administrativeunit fi=Lääketieteen yksikkö | en=School of Medicine| -
dc.journal.title Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine -
dc.journal.volume 20 -
dc.journal.number 74 -
dc.journal.volumepagerange 1-5 -
dc.journal.url http://www.sjtrem.com/content/20/1/74 -
dc.ismoreauthorsthanlisted 0 -

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