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Long-term survival and neurologic status after resuscitation from out-of-hospital cardiac arrest

From the Department of Neurology (Drs. Earnest and Yarnell), Denver General Hospital, and the University of Colorado Health Sciences Center (Ms. Merrill), and the Department of Health and Hospitals (Mr. Knapp), City and County of Denver, CO.

Thirty-eight survivors from among 117 patients hospitalized after out-of-hospital cardiac arrest were evaluated approximately 3¹/₂ years later. Twenty patients were living; 18 had died. Fifty-three percent had resumed independent social activities, but only 32% had returned to work. Eight of 14 patients tested were normal on limited neuropsychologic tests. Satisfactory long-term outcome was associated statistically with the patient's being awake on admission or awakening to follow simple commands within 2 days, and with good neurologic status at the time of discharge from the hospital. None of nine patients with poor neurologic function at discharge subsequently resumed working or independent living.

Address correspondence and reprint requests to Dr. Earnest, Department of Neurology, Denver General Hospital, W. 8th Avenue and Cherokee Street, Denver, CO 80204.

Accepted for publication January 18, 1980.

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