• Curr Opin Crit Care · Aug 2024

    Neuroprognostication, withdrawal of care and long-term outcomes after cardiopulmonary resuscitation.

    • Adela Bazbaz and Joseph Varon.
    • Dorrington Medical Associates, PA.
    • Curr Opin Crit Care. 2024 Aug 12.

    Purpose Of ReviewSurvivors of cardiac arrest often have increased long-term risks of mortality and disability that are primarily associated with hypoxic-ischemic brain injury (HIBI). This review aims to examine health-related long-term outcomes after cardiac arrest.Recent FindingsA notable portion of cardiac arrest survivors face a decline in their quality of life, encountering persistent physical, cognitive, and mental health challenges emerging years after the initial event. Within the first-year postarrest, survivors are at elevated risk for stroke, epilepsy, and psychiatric conditions, along with a heightened susceptibility to developing dementia. Addressing these challenges necessitates establishing comprehensive, multidisciplinary care systems tailored to the needs of these individuals.SummaryHIBI remains the leading cause of disability among cardiac arrest survivors. No single strategy is likely to improve long term outcomes after cardiac arrest. A multimodal neuroprognostication approach (clinical examination, imaging, neurophysiology, and biomarkers) is recommended by guidelines, but fails to predict long-term outcomes. Cardiac arrest survivors often experience long-term disabilities that negatively impact their quality of life. The likelihood of such outcomes implements a multidisciplinary care an integral part of long-term recovery.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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