TY - JOUR
T1 - Need for home care or nursing home admission after myocardial infarction complicated by cardiogenic shock and/or out-of-hospital cardiac arrest
AU - Lauridsen, Marie D.
AU - Rørth, Rasmus
AU - Butt, Jawad H.
AU - Strange, Jarl E.
AU - Schmidt, Morten
AU - Kristensen, Søren L.
AU - Kragholm, Kristian
AU - Johnsen, Søren P.
AU - Møller, Jacob E.
AU - Hassager, Christian
AU - Køber, Lars
AU - Fosbøl, Emil L.
N1 - © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology.
PY - 2023/11/1
Y1 - 2023/11/1
N2 - Aims Myocardial infarction (MI) with cardiogenic shock (CS) and/or out-of-hospital cardiac arrest (OHCA) are conditions with potential loss of autonomy. In patients with MI, the association between CS and OHCA and need for home care or nursing home admission was examined.Methods and Danish nationwide registries identified patients with MI (2008–19), who prior to the event lived at home without home results care and discharged alive. One-year cumulative incidences and hazard ratios (HRs) were reported for home care need or nursing home admission, a composite proxy for disability in activities of daily living (ADL), along with all-cause mortality. The study population consisted of 67 109 patients with MI (by groups: −OHCA/−CS: 63 644; −OHCA/+CS: 1776; +OHCA/−CS: 968; and +OHCA/+CS: 721). The 1-year cumulative incidences of home care/nursing home were 7.1% for patients who survived to discharge with −OHCA/−CS, 20.9% for −OHCA/+CS, 5.4% for +OHCA/−CS, and 8.2% for those with +OHCA/+CS. The composite outcome was driven by home care. With the −OHCA/−CS as reference, the adjusted HRs for home care/nursing home were 2.86 (95% CI: 2.57–3.19) for patients with −OHCA/+CS; 1.31 (95% CI: 1.00–1.73) for + OHCA/−CS; and 2.18 (95% CI: 1.68–2.82) for those with +OHCA/+CS. The 1-year cumulative mortality were 5.1% for patients with −OHCA/−CS, 9.8% for −OHCA/+CS, 3.0% for +OHCA/−CS, and 3.4% for those with +OHCA/+CS.Conclusion In patients discharged alive after a MI, CS, and to a lesser degree OHCA were associated with impaired ADL with a two-fold higher 1-year incidence of home care or nursing home admission compared with MI patients without CS or OHCA.
AB - Aims Myocardial infarction (MI) with cardiogenic shock (CS) and/or out-of-hospital cardiac arrest (OHCA) are conditions with potential loss of autonomy. In patients with MI, the association between CS and OHCA and need for home care or nursing home admission was examined.Methods and Danish nationwide registries identified patients with MI (2008–19), who prior to the event lived at home without home results care and discharged alive. One-year cumulative incidences and hazard ratios (HRs) were reported for home care need or nursing home admission, a composite proxy for disability in activities of daily living (ADL), along with all-cause mortality. The study population consisted of 67 109 patients with MI (by groups: −OHCA/−CS: 63 644; −OHCA/+CS: 1776; +OHCA/−CS: 968; and +OHCA/+CS: 721). The 1-year cumulative incidences of home care/nursing home were 7.1% for patients who survived to discharge with −OHCA/−CS, 20.9% for −OHCA/+CS, 5.4% for +OHCA/−CS, and 8.2% for those with +OHCA/+CS. The composite outcome was driven by home care. With the −OHCA/−CS as reference, the adjusted HRs for home care/nursing home were 2.86 (95% CI: 2.57–3.19) for patients with −OHCA/+CS; 1.31 (95% CI: 1.00–1.73) for + OHCA/−CS; and 2.18 (95% CI: 1.68–2.82) for those with +OHCA/+CS. The 1-year cumulative mortality were 5.1% for patients with −OHCA/−CS, 9.8% for −OHCA/+CS, 3.0% for +OHCA/−CS, and 3.4% for those with +OHCA/+CS.Conclusion In patients discharged alive after a MI, CS, and to a lesser degree OHCA were associated with impaired ADL with a two-fold higher 1-year incidence of home care or nursing home admission compared with MI patients without CS or OHCA.
KW - Activities of Daily Living
KW - Home Care Services
KW - Humans
KW - Myocardial Infarction
KW - Nursing Homes
KW - Out-of-Hospital Cardiac Arrest
KW - Shock, Cardiogenic/etiology
UR - http://www.scopus.com/inward/record.url?scp=85176494935&partnerID=8YFLogxK
U2 - 10.1093/ehjqcco/qcac084
DO - 10.1093/ehjqcco/qcac084
M3 - Journal article
C2 - 36509229
SN - 2058-5225
VL - 9
SP - 707
EP - 715
JO - European heart journal. Quality of care & clinical outcomes
JF - European heart journal. Quality of care & clinical outcomes
IS - 7
M1 - qcac084
ER -