The what, when, how and who of neurocognitive function: The importance of assessment quality and community engagement

      Survival from cardiac arrest is as much about cardiac survival as it is survival from hypoxic brain injury.
      • Perkins G.D.
      • Callaway C.W.
      • Haywood K.
      • et al.
      Brain injury after cardiac arrest.
      Hypoxic-ischaemic brain injury results in neurological sequelae which may substantially impact the everyday life of cardiac arrest survivors.
      • Perkins G.D.
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      Brain injury after cardiac arrest.
      • Nolan J.P.
      • Sandroni C.
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      • et al.
      European resuscitation council and European society of intensive care medicine guidelines 2021: Post-resuscitation care.
      Short-term neurocognitive impairment, presenting most often as problems with memory, attention, and executive functioning, is seen in up to 100% of survivors.
      • Polanowska K.E.
      • Sarzynska-Dlugosz I.M.
      • Paprot A.E.
      • et al.
      Neuropsychological and neurological sequelae of out-of-hospital cardiac arrest and the estimated need for neurorehabilitation: a prospective pilot study.
      However, this may be more sustained and long-term in up to a half of survivors,
      • Caro-Codon J.
      • Rey J.R.
      • Lopez-de-Sa E.
      • et al.
      Long-term neurological outcomes in out-of-hospital cardiac arrest patients treated with targeted-temperature management.
      • Green C.R.
      • Botha J.A.
      • Tiruvoipati R.
      Cognitive function, quality of life and mental health in survivors of our-of-hospital cardiac arrest: a review.
      • Lilja G.
      • Nielsen N.
      • Friberg H.
      • et al.
      Cognitive function in survivors of out-of-hospital cardiac arrest after target temperature management at 33 degrees C versus 36 degrees C.
      • Orbo M.
      • Aslaksen P.M.
      • Larsby K.
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      Determinants of cognitive outcome in survivors of out1102 of-hospital cardiac arrest.
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      Functional outcome, cognition and quality of life after out-of-hospital cardiac arrest and therapeutic hypothermia: data from a randomized controlled trial.
      with evidence suggesting that cognitive impairment is an important predictor of poor outcome.
      • Perkins G.D.
      • Callaway C.W.
      • Haywood K.
      • et al.
      Brain injury after cardiac arrest.
      • Nolan J.P.
      • Sandroni C.
      • Böttiger B.W.
      • et al.
      European resuscitation council and European society of intensive care medicine guidelines 2021: Post-resuscitation care.
      • Sawyer K.N.
      • Camp-Rogers T.R.
      • Kotini-Shah P.
      • Del-Rios M.
      • Gossip M.R.
      • Moitra V.K.
      • Haywood K.L.
      • Dougherty C.M.
      • Lubitz S.A.
      • Rabinstein A.A.
      • Rittenberger J.C.
      • Callaway C.W.
      • Abella B.S.
      • Geocadin R.G.
      • Kurz M.C.
      • American Heart Association Emergency Cardiovascular Care Committee; Council on Cardiovascular and Stroke Nursing; Council on Genomic and Precision Medicine; Council on Quality of Care and Outcomes Research; and Stroke Council
      Sudden cardiac arrest survivorship: a scientific statements from the American Heart Association.
      • Cronberg T.
      • Greer D.M.
      • Lilja G.
      • Moulaert V.
      • Swindell P.
      • Rossetti A.O.
      Brain injury after cardiac arrest: from prognostication of comatose patients to rehabilitation.
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