Mion_revised_2019.docx (48.38 kB)
Care After REsuscitation: Implementation of the United Kingdom's First Dedicated Multidisciplinary Follow-Up Program for Survivors of Out-of-Hospital Cardiac Arrest
journal contribution
posted on 2023-08-30, 16:03 authored by Marco Mion, Firas Al-Janabi, Shahed Islam, Neil Magee, Rajesh Balasubramanian, Noel Watson, Matthew Potter, Grigoris V. Karamasis, Jane Harding, Henry Seligman, Rajdip Dulai, Maria Maccarroni, William Toff, Veronique Moulaert, Kees Polderman, John R. Davies, Thomas R. KeebleSurvival 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.
History
Refereed
- Yes
Volume
10Issue number
1Page range
53-59Publication title
Therapeutic Hypothermia and Temperature ManagementISSN
2153-7933External DOI
Publisher
Mary Ann LiebertFile version
- Accepted version
Language
- eng
Official URL
Legacy posted date
2019-02-20Legacy creation date
2019-02-20Legacy Faculty/School/Department
Faculty of Health, Education, Medicine & Social CareUsage metrics
Categories
No categories selectedKeywords
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC