Neurologic recovery after out-of-hospital cardiac arrest

W. T. Longstreth, T. S. Inui, L. A. Cobb, M. K. Copass

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Abstract

A retrospective cohort study of the neurologic sequelae of out-of-hospital cardiac arrest was done using 459 consecutive patients resuscitated and admitted to a teaching hospital over 10 years. Awakening was defined as having comprehensible speech or following commands. One hundred and eighty patients (39%) never awakened and 279 (61%) awakened, 188 without and 91 with persistent neurologic deficits. Fifty-nine patients had cognitive deficits and 32 patients had motor and cognitive deficits. Patients who did not awaken died, with a median survival of 3.5 days. The longer a patient survived without awakening, the smaller the probability of ever awakening and awakening without deficits. Fourteen patients awakening after 4 days had some deficits, and after 14 days 6 had severe deficits. Neurologic sequelae of cardiac arrest are common and related to awakening. The probability of future awakening and neurologic sequelae for patients not awake at specific times after cardiac arrest can be estimated.

Original languageEnglish (US)
Pages (from-to)588-592
Number of pages5
JournalAnnals of internal medicine
Volume98
Issue number5
StatePublished - Jan 1 1983
Externally publishedYes

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ASJC Scopus subject areas

  • Internal Medicine

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Longstreth, W. T., Inui, T. S., Cobb, L. A., & Copass, M. K. (1983). Neurologic recovery after out-of-hospital cardiac arrest. Annals of internal medicine, 98(5), 588-592.