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Health status and psychological distress among in-hospital cardiac arrest survivors in relation to gender. | LitMetric

Health status and psychological distress among in-hospital cardiac arrest survivors in relation to gender.

Resuscitation

Faculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden; Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden; Department of Research, Kalmar County Hospital, Kalmar, Sweden.

Published: May 2017

AI Article Synopsis

  • - The study aimed to analyze the health status and psychological distress of in-hospital cardiac arrest (IHCA) survivors based on gender, using data collected 3-6 months after their incidents in Sweden.
  • - Results indicated that out of 594 surveyed survivors, women had significantly lower health status and reported more psychological issues, specifically anxiety and depression, compared to men.
  • - Despite most participants showing acceptable health levels, women exhibited greater needs for support post-recovery, highlighting the importance of healthcare providers addressing individual health problems in survivors.

Article Abstract

Aim: To describe health status and psychological distress among in-hospital cardiac arrest (IHCA) survivors in relation to gender.

Methods: This national register study consists of data from follow-up registration of IHCA survivors 3-6 months post cardiac arrest (CA) in Sweden. A questionnaire was sent to the survivors, including measurements of health status (EQ-5D-5L) and psychological distress (HADS).

Results: Between 2013 and 2015, 594 IHCA survivors were included in the study. The median values for EQ-5D-5L index and EQ VAS among survivors were 0.78 (q1-q3=0.67-0.86) and 70 (q1-q3=50-80) respectively. The values were significantly lower (p<0.001) in women compared to men. In addition, women reported more problems than men in all dimensions of EQ-5D-5L, except self-care. A majority of the respondents reported no problems with anxiety (85.4%) and/or symptoms of depression (87.0%). Women reported significantly more problems with anxiety (p<0.001) and symptoms of depression (p<0.001) compared to men. Gender was significantly associated with poorer health status and more psychological distress. No interaction effects for gender and age were found.

Conclusions: Although the majority of survivors reported acceptable health status and no psychological distress, a substantial proportion reported severe problems. Women reported worse health status and more psychological distress compared to men. Therefore, a higher proportion of women may be in need of support. Health care professionals should make efforts to identify health problems among survivors and offer individualised support when needed.

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Source
http://dx.doi.org/10.1016/j.resuscitation.2017.02.006DOI Listing

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