The prevalence of psychiatric disorders in sudden cardiac arrest survivors: A 5-year nationwide inpatient analysis. (March 2019)

• Record Type: Journal Article
• Authors: Desai, Rupak; Singh, Sandeep; Patel, Krupa; Fong, Hee Kong; Kumar, Gautam; Sachdeva, Rajesh
• Is Part Of: Resuscitation. Volume 136(2019)
• Page Start: 131
• Page End: 135
• Publication Date: 2019-03
• Subjects: Sudden cardiac arrest -- Survivors -- Psychiatric disorder -- Mental illness -- Anxiety -- Depression -- Mood disorder -- Gender disparities -- National (Nationwide) Inpatient Sample; Resuscitation -- Periodicals; Resuscitation -- Periodicals; Réanimation -- Périodiques; Electronic journals; 616.025
• DOI: 10.1016/j.resuscitation.2019.01.035
• Languages: English
• ISSNs: 0300-9572

Abstract

Abstract: Background: Sudden cardiac arrest (SCA) is a major public health challenge in the United States (US). At present, the existence of limited literature on psychological sequelae post-cardiac arrest is a challenge in providing optimal care to survivors. Aim: The aim of this study is to determine the prevalence of various psychiatric comorbidities in survivors of SCA. Methods: The National Inpatient Sample (NIS) dataset was queried to assess the prevalence of psychiatric disorders with gender-based differences and inpatient mortality among adult patients hospitalized with a previous history of SCA using ICD-9 CM codes from 2010 to 2014. Results: Mood disorder (16.4%) was the most prevalent psychiatric comorbidity (including depression; 12.6%) followed by anxiety (10%). Cardiac arrest survivors with psychiatric disorder (CAPD) were often younger (mean 60 ± 16 vs. 64 ± 16 years; p < 0.001), female (53.7% vs. 38.0%; p < 0.001), white patients (75.9% vs. 68.7%; p < 0.001) and the majority were admitted non-electively (85.1% vs. 82.8%, p < 0.001) as compared to cardiac arrest survivors without psychiatric disorder (CANPD). Among the CAPD group, females had a significantly higher frequency of mood disorders (21.8% vs. 12.6%), depression (16.8% vs. 9.5%) and anxiety (14.2% vs. 8.0%) compared to males. The CAPD cohort had a lower all-cause in-hospital mortality (5.7% vs. 9.8%; p < 0.001) as compared to the CANPD group. Conclusions: Comorbid psychiatric disorders are prevalent in SCA survivors, especially younger, white, female patients. However, CAPD did not have higher all-cause mortality as compared to CANPD. It is imperative to identify, assess, treat, and monitor high-risk SCA patients for associated psychiatric comorbidities.