Psychological and cognitive support after cardiac arrest: a systematic review
Rattachement africain : it. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background: Adult survivors of cardiac arrest (CA) with favourable neurological recovery often experience persistent cognitive and psychological difficulties that impact quality of life and functional independence. However, post-discharge interventions remain heterogeneous, and evidence to support the prioritisation and implementation of specific cognitive and psychological interventions is limited. Objective: To systematically review the evidence on psychological and cognitive support interventions delivered after hospital discharge in adult CA survivors with good neurological recovery. Methods: A systematic review was conducted following PRISMA 2020 guidelines (PROSPERO CRD420251267160). Eligible studies included adults surviving CA with favourable neurological recovery who received structured post-discharge interventions. Outcomes were assessed across multiple domains, including: psychological well-being; cognitive performance; functional status and participation; health-related and global quality of life; and feasibility and implementation. Results: = 352 survivors) were included: two randomised controlled trials, two feasibility/pre-post studies, one single-case experimental design, and one process evaluation. Interventions varied in content and delivery (face-to-face, remote, home-based) and included nurse-led follow-up, psychotherapy, cognitive rehabilitation, and mindfulness-based strategies. Small improvements were observed in anxiety, depression, post-traumatic stress symptoms, and selected health-related quality-of-life domains, whereas cognitive, functional, and participation in daily and social activities showed limited or short-term gains in small uncontrolled studies. Interventions were feasible and well-tolerated. Conclusions: Post-discharge psychological and cognitive interventions are feasible and associated with modest improvements in psychological well-being and selected quality-of-life domains. Further rigorous research using standardised outcomes is needed.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Psychological and cognitive support after cardiac arrest: a systematic review
- Date Crossref
- 01/09/2026
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda pays non établi dans la noticeÉtablissement de santé
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Italian Resuscitation Council pays non établi dans la noticeInstitution
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Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico pays non établi dans la noticeÉtablissement de santé
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Provincia Autonoma di Trento pays non établi dans la noticeOrganisme public
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Agenzia Regionale Emergenza Urgenza pays non établi dans la noticeÉtablissement de santé
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University of Milan Department of Department of Pathophysiology and Transplantation pays non établi dans la noticeUniversité ou école supérieure
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Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo pays non établi dans la noticeÉtablissement de santé
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Agostino Gemelli University Polyclinic pays non établi dans la noticeÉtablissement de santé
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S.C. Ricerca Innovazione e Trasferimento Tecnologico pays non établi dans la noticeInstitution
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Department of Anaesthesia and Intensive Care Medicine pays non établi dans la noticeInstitution
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Department of Emergency Medicine pays non établi dans la noticeInstitution
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Fondazione Policlinico Universitario "A. Gemelli" IRCCS Department of Cardiovascular Sciences pays non établi dans la noticeÉtablissement de santé
Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Italian Resuscitation Council et Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.