Factors associated with return to work among survivors of out-of-hospital cardiac arrest
Resuscitation Sep 26, 2019
Kearney J, et al. - Given an increase in survival rates following out-of-hospital cardiac arrest (OHCA), researchers investigated long-term functional outcomes of survivors, such as return to work (RTW). They identified this study as the largest study that collectively examined factors associated with RTW among OHCA survivors. From the Victorian Ambulance Cardiac Arrest Registry, they included 884 previously working survivors in the analysis; of these, 650 (73%) returned to work. RTW was observed in correlation with male gender, arrests witnessed by emergency medical services, discharge directly home from hospital and favourable 12-month health-related quality of life according to the EQ-5D. Decreased odds of RTW were evident in correlation with increasing age, traumatic arrest etiology, and labor-intensive occupations. Detailed RTW telephone-interview of 23 OHCA survivors was performed; of these, 87% RTW. Seventy-four percent of participants were offered flexible work hours or modified duties. The most frequently reported barrier to RTW was fatigue.
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