在心脏骤停后,长期运作与不良的神经学结果
Sjoukje Nutma1, Ozzy Roesink2, Caroline M van Heugten3
1Department of Clinical Neurophysiology, Technical Medical Center, University of Twente, Enschede, the Netherlands; Department of Neurology, Medisch Spectrum Twente, Enschede, the Netherlands.
Resuscitation
|August 22, 2024
概括
对于昏迷状态的心脏骤停幸存者而言,重度神经障碍的恢复到独立性是有限的. 大多数长期幸存者报告说,尽管面临持续的挑战,他们对生活质量感到满意.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
背景情况:
- 昏迷性心脏骤停的幸存者经常经历严重的神经障碍,大约6%的人在六个月后脑性能类别 (CPC) 评分为3.
- 关于这些患者在认知,情感和生活质量领域的长期康复潜力,数据有限.
研究的目的:
- 估计心脏骤停后六个月重度神经障碍 (CPC3) 患者恢复到独立的概率.
- 评估认知,情绪和生活质量的长期结果.
主要方法:
- 在2013年至2017年期间在荷兰两家医院入院的昏迷性心脏骤停患者的未来注册.
- 纳入标准:在心脏骤停后的六个月内,CPC得分为3.
- 随访至2023年11月,评估CPC得分,认知,情绪和生活质量,使用已建立的问卷.
主要成果:
- 在667名患者中,29名 (4.3%) 在六个月后患有CPC3.
- 在逮捕后8年的中位数,13名幸存的患者中有12名仍然是CPC3 (92%),其中一人改善到CPC2 (8%).
- 只有一个幸存者 (14%) 在日常生活中实现了独立;所有幸存者报告认知障碍,大多数经历了身体限制.
结论:
- 在心脏骤停后的六个月,患有严重神经障碍的患者实现独立的可能性很低.
- 尽管长期残疾严重,但大多数幸存者对自己的生活质量表示满意.
- 认知康复经常被忽视,突出了潜在的干预领域.
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