Cardiac Arrest (CA)
Conditions
Keywords
extracorporeal membrane oxygenation (ECMO), extracorporeal cardiopulmonary resuscitation (eCPR), Quality of Life, out-of-hospital cardiac arrest (OHCA), Post-Intensive Care Syndrome (PICS)
Brief summary
This study consists of two parts - retrospective and prospective. The aim of this study is to assess the quality of life in bio-psycho-social dimensions in patients after eCPR (extracorporeal cardiopulmonary resuscitation), in relation to their neurological outcome after the end of treatment and discharge from the Ostrava University Hospital (FNO). The study will focus on patients who underwent extracorporeal membrane oxygenation (ECMO) support after out-of-hospital cardiac arrest (OHCA) in the years 2022-2024.
Detailed description
Retrospective study Quantitative evaluation using data analysis from documentation. Patients on ECMO after OHCA in the period 1. 1. 2022 - 31. 12. 2024 will be evaluated based on data from the documentation. Analysis of data from the documentation of selected patients will be performed, evaluating demographic data, comorbidities, duration of ECMO support, mortality, Cerebral Performance Category (CPC) score 30 days after CPR. Prospective study Quantitative assessment using validated questionnaire tools Patients connected to ECMO after OHCA in the period 1. 1. 2022 - 31. 12. 2024, in whom a CPC score \>3 was detected after the 30th day from cardiac arrest and who were discharged from the FNO. As part of patient dispensary, these patients are electively invited to the PICS outpatient clinic in the FNO Ostrava. Individual interviews (filling out questionnaires) will be performed after obtaining informed consent in the Post-Intensive Care Syndrome (PICS) outpatient clinic at the University Hospital Ostrava, or telephone interviews conducted by the attending physician.
Interventions
Retrospective analysis of assigned treatment will be performed
The quality of life will be assessed using the SF-36 (Short-Form Health Subject Questionnaire).
The quality of life will be assessed using the EQ-5D (European Quality of Life Questionnaire)
Hospital Anxiety and Depression will be assessed using the HADS (Hospital Anxiety and Depression Scale)
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient who underwent eCPR after OHCA at University Hospital Ostrava * Hospitalised in the period from 1. 1. 2022 to 31. 12. 2024 * Ability to undergo an interview personally or a family member able to provide information * Signed informed consent
Exclusion criteria
* Language barrier * Acute serious mental or somatic disease making the interview not feasible
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life (SF-36) | 30 days | Quality of Life in patients after eCPR will be assessed using the SF-36 questionnaire 30 days after eCPR |
| Quality of Life (EQ-5D) | 30 days | Quality of Life in patients after eCPR will be assessed using the EQ-5D questionnaire 30 days after eCPR |
| Hospital Anxiety and Depression Scale (HADS) | 30 days | Hospital Anxiety and Depression Scale (HADS) in patients after eCPR will be assessed using the EQ-5D questionnaire 30 days after eCPR |
Countries
Czechia