How Do You Feel? Subjective Perception of Recovery as a Reliable Surrogate of Cognitive and Functional Outcome in Cardiac Arrest Survivors

Objectives: To show that subjective estimate of patient’s condition is related to objective cognitive and functional outcome in cardiac arrest survivors. Design: Longitudinal cohort study. Setting: ICU and Neuropsychology Service in two hospitals in Switzerland. Patients: Fifty survivors included from a prospective cohort of 138 patients admitted at the ICU for cardiopulmonary arrest. Interventions: Comprehensive cognitive and functional evaluation at 6 months follow-up. Measurements and Main Results: Subjectively, 70% of survivors reported satisfactory recovery and 29% reported no complaints. Objectively, 76% were classified as good neurologic outcome (Cerebral Performance Category 1), 26% as having no symptoms (modified Rankin Scale 0), and 38% as upper good recovery (Glasgow Outcome Scale Extended 1). Cognitive assessment detected substantial cognitive impairment in 26%, primarily concerning processing speed, language, long-term memory, and executive functions. Subjective complaints severity correlated significantly with objective cognitive impairment (rS = 0.64; p

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