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Original Research

Open Access Special Issue

Long-term disability level of 1-month survivors after out-of-hospital cardiac arrest: a nationwide cohort study in Korea using data from 2009 to 2018

  • Sang-Min Kim1
  • Youn-Jung Kim1
  • Ye-Jee Kim2
  • Won-Young Kim1

1Department of Emergency Medicine, Ulsan University College of Medicine, Asan Medical Center, 05505 Seoul, Republic of Korea

2Department of Clinical Epidemiology and Biostatistics, Asan Medical Center, 05505 Seoul, Republic of Korea

DOI: 10.22514/sv.2022.014

Submitted: 08 December 2021 Accepted: 06 January 2022

Online publish date: 24 February 2022

*Corresponding Author(s): Won-Young Kim E-mail: wonpia73@naver.com

Abstract

Recent guidelines identified recovery from cardiac arrest as an additional link in the chain of survival. However, data on the disability level and long-term survivorship in such patients are limited. We aimed to determine the long-term disability level, including disability type and severity, in patients with out-of-hospital cardiac arrest (OHCA) 1 month after discharge. This nationwide observational study used data from the National Health Insurance Service of Korea. We included adult OHCA patients who presented to the emergency departments (ED) of all hospitals in Korea between 2009 and 2018. The main outcome was disability level between 1 month after discharge and the 2-year follow-up. The average disability level was divided into six grades: most severe (grade 1) to mild (grade 6). Among 224,520 OHCA patients, 25,598 (11.4%) survived at 30 days. After excluding 3143 patients with a follow-up less than 2 years, 22,455 patients were included. Newly-developed disabilities were observed in 2664 patients (11.9%) and were more frequent in 1-year survivors than non-survivors (16.7% vs. 4.4%, p < 0.01). The most common type of disability was encephalopathic (54.2%), followed by renal (16.1%), physical (10.5%), and cardiac (4.2%) disabilities. Grade 1 disability was most frequent, followed by grade 2 and 3 (45.7%, 23.5%, 10.9%, respectively). Among patients who survived at 30 days after OHCA, 11.9% developed disabilities, including encephalopathic, physical, renal, and cardiac disabilities. Physicians should be aware of the risk of these disabilities and efforts to treat these disabilities in OHCA survivors should be increased.


Keywords

Cardiac arrest; Long-term disability; Disability level; Population-based study


Cite and Share

Sang-Min Kim,Youn-Jung Kim,Ye-Jee Kim,Won-Young Kim. Long-term disability level of 1-month survivors after out-of-hospital cardiac arrest: a nationwide cohort study in Korea using data from 2009 to 2018. Signa Vitae. 2022.doi:10.22514/sv.2022.014.

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