PMID- 30201535
OWN - NLM
STAT- In-Data-Review
LR  - 20181014
IS  - 1873-1570 (Electronic)
IS  - 0300-9572 (Linking)
VI  - 132
DP  - 2018 Nov
TI  - Factors associated with health-related quality of life among cardiac arrest
      survivors treated with an implantable cardioverter-defibrillator.
PG  - 78-84
LID - S0300-9572(18)30856-6 [pii]
LID - 10.1016/j.resuscitation.2018.09.002 [doi]
AB  - AIM: To explore factors associated with health-related quality of life (HRQoL)
      among cardiac arrest (CA) survivors treated with an implantable
      cardioverter-defibrillator (ICD) in relation to gender, and to compare their
      HRQoL with a general population. METHODS: This cross-sectional study included 990
      adults treated with an ICD after suffering CA. All participants received a
      questionnaire including demographics, comorbidities and instruments to measure
      HRQoL (EQ-5D-3L and HADS), ICD-related concerns (ICDC), perceived control (CAS), 
      and type D personality (DS-14). HRQoL (EQ-5D-3L) was compared to a general
      Swedish population, matched for age and gender. Linear regression analyses were
      used to explore factors associated with HRQoL. RESULTS: The CA survivors reported
      better HRQoL in EQ index and less pain/discomfort compared to the general
      population (p < 0.001). In contrast, they reported more problems in mobility and 
      usual activities (p < 0.01). Problems with anxiety and depression were reported
      by 15.5% and 7.4% respectively. The following factors were independently
      associated with all aspects of worse HRQoL: being unemployed, suffering more
      comorbidity, perceiving less control, and having a type D personality. Further,
      being female and suffering ICD-related concerns were independently associated
      with worse HRQoL in three of the four final regression models. CONCLUSIONS: This 
      extensive population-based study showed that most CA survivors living with an ICD
      rate their HRQoL as acceptable. In addition, their HRQoL is similar to a general 
      population. Women reported worse HRQoL compared to men. Several factors
      associated with HRQoL were identified, and might be used when screening patients 
      for health problems and when developing health promoting interventions.
CI  - Copyright (c) 2018 Elsevier B.V. All rights reserved.
FAU - Israelsson, Johan
AU  - Israelsson J
AD  - Department of Cardiology, Kalmar County Council, Kalmar, Sweden; Department of
      Medical and Health Sciences, Division of Nursing Science, Linkoping University,
      Linkoping, Sweden; Kalmar Maritime Academy, Linnaeus University, Kalmar, Sweden. 
      Electronic address: johani@ltkalmar.se.
FAU - Thylen, Ingela
AU  - Thylen I
AD  - Department of Cardiology and Department of Medical and Health Sciences, Division 
      of Nursing Science, Linkoping University, Linkoping, Sweden. Electronic address: 
      ingela.thylen@regionostergotland.se.
FAU - Stromberg, Anna
AU  - Stromberg A
AD  - Department of Cardiology and Department of Medical and Health Sciences, Division 
      of Nursing Science, Linkoping University, Linkoping, Sweden. Electronic address: 
      anna.stromberg@liu.se.
FAU - Bremer, Anders
AU  - Bremer A
AD  - Faculty of Health and Life Sciences, Linnaeus University, Vaxjo, Sweden; Division
      of Emergency Medical Services, Kalmar County Council, Kalmar, Sweden. Electronic 
      address: anders.bremer@lnu.se.
FAU - Arestedt, Kristofer
AU  - Arestedt K
AD  - Faculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden; The
      Research Section, Kalmar County Council, Kalmar, Sweden. Electronic address:
      kristofer.arestedt@lnu.se.
LA  - eng
PT  - Journal Article
DEP - 20180907
PL  - Ireland
TA  - Resuscitation
JT  - Resuscitation
JID - 0332173
OTO - NOTNLM
OT  - Cardiac arrest
OT  - Gender
OT  - Health status
OT  - Health-related quality of life
OT  - Implantable cardioverter-defibrillator
OT  - Psychological distress
EDAT- 2018/09/12 06:00
MHDA- 2018/09/12 06:00
CRDT- 2018/09/12 06:00
PHST- 2018/06/29 00:00 [received]
PHST- 2018/08/20 00:00 [revised]
PHST- 2018/09/05 00:00 [accepted]
PHST- 2018/09/12 06:00 [pubmed]
PHST- 2018/09/12 06:00 [medline]
PHST- 2018/09/12 06:00 [entrez]
AID - S0300-9572(18)30856-6 [pii]
AID - 10.1016/j.resuscitation.2018.09.002 [doi]
PST - ppublish
SO  - Resuscitation. 2018 Nov;132:78-84. doi: 10.1016/j.resuscitation.2018.09.002. Epub
      2018 Sep 7.