Neurocognitive outcomes following successful resuscitation from cardiac arrest

Resuscitation
Alexa R SabedraPost Cardiac Arrest Service

Abstract

Cardiac arrest commonly results in varying degrees of cognitive injury. Standard outcome measures used in the cardiac arrest cohort do not rigorously evaluate for these injury patterns. We examined the utility of the Computerized Assessment for Mild Cognitive Injury (CAMCI) in cardiac arrest (CA) survivors. We hypothesized that cognitive deficits would be more severe in patients who were comatose on hospital arrival. Prospective cohort of CA survivors at a single tertiary care facility where participants received neurocognitive testing using CAMCI. CAMCI results were subdivided into memory, attention, and executive functions. Scores between subjects who were initially comatose and were not comatose following resuscitation were compared using the Mann-Whitney test. Of 72 subjects included, the majority (N=44) were initially comatose following resuscitation with mean age of 54 (±14) years. The majority experienced a good neurologic outcome based on Cerebral Performance Category (N=47; 66%) and Modified Rankin Scale (N=38; 53%). Time from resuscitation to CAMCI testing was not associated with total CAMCI score in this cohort (Pearson's r(2) value -0.1941, p=0.20). Initially comatose and not comatose subjects did not differ in thei...Continue Reading

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Citations

Oct 30, 2016·Resuscitation·Anne V GrossestreuerDavid F Gaieski
Jun 25, 2016·Alzheimer Disease and Associated Disorders·Mary C TierneyRahim Moineddin
May 18, 2017·Resuscitation·Allison C KollerUNKNOWN Post-Cardiac Arrest Service
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