AP-HP (Paris Hospital "Assistance Publique Hôpitaux de Paris"), Occupational Health Unit, University Hospital of West Suburb of Paris, Poincaré Site, Garches, France; Versailles St-Quentin University UVSQ - Paris Saclay University, UMS 011, UMR-S 1168, France; Inserm, Population-Based Epidemiologic Cohorts Unit, UMS 011, Villejuif, France; Inserm, VIMA: Aging and Chronic Diseases, Epidemiological and Public Health Approaches, U1168, F-94807, Villejuif, France.
Paris Descartes University, AP-HP, Emergency Department, Cochin Hospital, APHP, France; Sudden Death Expertise Centre, INSERM U970, Paris, France.
Resuscitation. 2018 Jul;128:170-174. doi: 10.1016/j.resuscitation.2018.05.021. Epub 2018 May 17.
Although the survival rate after out-of-hospital cardiac arrest (OHCA) has increased over time, little is known about the return to work of OHCA survivors. We aim to evaluate prevalence and factors associated with return to work (RTW) in OHCA survivors.
All consecutive OHCA survivors aged 18-65 years and discharged alive from a Paris tertiary intensive care unit between 2000 and 2013 were included. Pre-hospital care, in-hospital care, and after-hospital discharge data, such as work description (work location, job classification, nature of the job) were compared relative to work status and RTW. Factors associated with RTW were evaluated using multivariable logistic regression.
153 OHCA survivors were included in the analysis. Among them, 96 (62.8%) returned to work an average of 714 days after OHCA (SD 1031); mostly to the same job (n = 72, 75%). Six patients changed jobs (4%) and 12 reduced their activity (10.6%). Factors associated with RTW were younger age (adjusted odds ratio (aOR) 3.64 [1.10; 12.02]), being managers and professionals, and service and sales workers (compared to technicians and associate professionals, clerical support workers, respectively aOR 3.43 [1.05; 11.22] and 4.69 [1.14; 19.37]), and workplace occurrence (aOR 11.72 [1.37; 99.93]).
Two thirds of OHCA survivors, in the present study, returned to work. Patients with a higher-level job, and with the arrest occurring in the workplace, were more likely to return to work. Further research should include more details of job contents, evolution, financial consequences, as well as prevention practices related to work location.
尽管院外心脏骤停（OHCA）后的存活率随着时间的推移有所提高，但对于 OHCA 幸存者的重返工作岗位（RTW）情况知之甚少。我们旨在评估 OHCA 幸存者 RTW 的流行率和相关因素。
本研究纳入了 2000 年至 2013 年间从巴黎一家三级重症监护病房出院的年龄在 18-65 岁之间的所有连续 OHCA 幸存者。比较了院前护理、院内护理和院外出院后的数据，如工作描述（工作地点、工作分类、工作性质）与工作状态和 RTW 的关系。使用多变量逻辑回归评估与 RTW 相关的因素。
本研究共纳入了 153 名 OHCA 幸存者进行分析。其中，96 人（62.8%）在 OHCA 后平均 714 天（标准差 1031 天）重返工作岗位；大多数人回到了原来的工作岗位（n=72，75%）。6 名患者换了工作（4%），12 名患者减少了工作活动（10.6%）。与 RTW 相关的因素包括年龄较小（调整后的优势比（aOR）3.64[1.10；12.02]）、管理人员和专业人员、服务和销售人员（与技术人员和助理专业人员、文员支持人员相比，aOR 分别为 3.43[1.05；11.22]和 4.69[1.14；19.37]），以及工作场所发生 OHCA（aOR 11.72[1.37；99.93]）。
在本研究中，三分之二的 OHCA 幸存者重返工作岗位。职业层次较高、工作场所发生心脏骤停的患者更有可能重返工作岗位。进一步的研究应包括更多关于工作内容、演变、财务后果的细节，以及与工作地点相关的预防措施。
