Abstract Details

Title NeuroCardiac Comprehensive Care Clinic Seeks to Define and Detect Neurological, Psychiatric, and Functional Sequelae in Cardiac Arrest Survivors

Topic Neuro Trauma, Critical Care, and Sports Neurology

Presentation(s) P2 - Poster Session 2 (5:30 PM-6:30 PM)

Poster/Presentation
Number 4-068

Objective To assess whether Cardiac Arrest (CA) survivors attending a follow-up clinic will have improved outcomes compared to historical controls.

Background Despite improved survivability, CA survivors face significant “extracardiac” (i.e. functional, cognitive and psychosocial) sequelae. More so, survivors and their caregivers are seemingly unaware that they will be confronted with these issues post-discharge. We have created a multidisciplinary follow-up clinic to provide comprehensive and well-coordinated care to CA survivors.

Design/Methods Fisher’s exact and Wilcoxon Rank-sum tests were used to assess differences in 1-year outcomes between survivors who had at least one follow-up visit in the NeuroCardiac clinic (between 2/2017 and 1/2018), with historical controls (9/2015 - 1/2017) who had no clinic visits.

Results Clinic patients (n= 34; median visit per patient=2) were slightly younger (49 vs 57 years, p=0.03) than historic controls (n=47), but were otherwise not significantly different in demographic, psychosocial or functional status at hospital discharge. At 1-year, clinic patients, compared to historic controls, had significantly greater independence on the Lawton Physical Self-Maintenance Scale (mean score 7.6 vs 8.9, p=0.03) and Instrumental Activities of Daily Living scale (4.9 vs 8.8, p =.01). In clinic patients, there was a trend towards returning to work (38.2% vs 23.4%), having a less negative impact on their marital status (5.9% vs 21.3%) and reduced complaints of sleep issues (29% vs 52%). Clinic patients had lower rates of depression symptoms on the Center for Epidemiological Studies-Depression scale (9.8 vs 13.4), were less fearful about the possibility of arrest recurrence (23.5% vs 31.9%), had more positive recovery perceptions (55.9% vs 38.3%), and had higher self-reported overall health ratings on a 100-point scale (84.7 vs 75.4) at one year.

Conclusions Early detection of "extracardiac" symptoms could result in a paradigm shift which can be utilized to develop and implement novel interventions responsible for improving clinical outcomes and quality of life.

Authors/Disclosures
Danish Ghazali, MD PRESENTER	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
Deepti Anbarasan, MD	Dr. Anbarasan has nothing to disclose.
	No disclosure on file
MaryKay A. Pavol, PhD (Neurological Institute)	Dr. Pavol has nothing to disclose.
Sachin Agarwal, MD, MPH (Columbia University Med Center)	Dr. Agarwal has nothing to disclose.

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